- Stanford Health Care (Palo Alto, CA)
- …Account Representative (PAR) is responsible for the timely and accurate processing of insurance balance patient claims in accordance with contracts and policies. ... Responding to requests from the payer, such as providing medical records or other documentation either by mail or...+ Reviewing and resolving payer rejections, denials, and performing appeals as necessary + Electronic or hardcopy claims… more
- J&J Family of Companies (San Bernardino, CA)
- …assigned. + Educate HCPs on product coverage, prior authorizations and appeals , reimbursement processes, claims submissions, procedures, and coding requirements ... eligible to participate in the following Company sponsored employee benefit programs: medical , dental, vision, life insurance , short- and long-term disability,… more
- Alameda Health System (Oakland, CA)
- …actively appeals denied cases when necessary and assists physicians with appeals . Maintains minimal denial rates by Medicare, MediCal , private and contracted ... Their responsibilities span from managing admissions to ensuring clean claims , identifying trends, and optimizing resource utilization. This role supports… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …This position is responsible for pulling medical records to submit with claims and appeals as required by payors. Responsible to validate and accurately ... register new patients in the system, including patient demographics, verifying insurance , eligibility and claim information is accurate. Incumbent will verify… more
- Southland Industries (Garden Grove, CA)
- …vesting + Annual incentive program based upon performance, profitability, and achievement + ** Medical , Dental, Vision Insurance - 100% Paid for Employee** + Term ... equipment training. + Report and manage all company vehicle claims . + Assist in reporting workers compensation claims...one of the country's largest MEP building systems firms appeals to you and you're ready for the next… more
- UCLA Health (Inglewood, CA)
- …more than a century of experience helping patients regardless of their income, insurance or immigration status. The organization now has more than 500 staff who ... utilize knowledge of AHA-Coding Clinic and AMA - CPT Assistant guidelines, medical terminology, anatomy and physiology, and pathological basis of disease, documented… more
- Dignity Health (Bakersfield, CA)
- …knowledge of DHPR and CMS rules for Claim. Submission, Claim Payment, Eligibility, Appeals for Commercial, MediCare and MediCal lines of business. + Bachelor's ... teams as needed when questions arise. The Provider Data Analyst partners with Configuration Claims and Enrollment to ensure end to end accuracy to pay claims … more
- The County of Los Angeles (Los Angeles, CA)
- …and unemployment insurance proceedings for purposes of asserting liens or claims for the recovery of support debts. Initiates and responds to motions, discovery ... the preparation of child support cases. Makes recommendations for appeals of routine child support cases. Confers with custodial...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be… more
- Highmark Health (Sacramento, CA)
- …medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary ... through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. + Serve as a resource for technical staff. +… more
- Robert Half Legal (Oakland, CA)
- …in the United States. Benefits are available to contract/temporary professionals, including medical , vision, dental, and life and disability insurance . Hired ... cases, including but not limited to discrimination, harassment, retaliation, and whistleblower claims * Provide legal advice and counsel on matters related to FLSA… more