- Elevance Health (Cerritos, CA)
- …to conduct extensive research and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize and route to ... + Demonstrated business writing proficiency, understanding of provider networks, the medical management process, claims process, the company's internal business… more
- Medtronic (Irvine, CA)
- …review of advertising and promotional material to ensure that it meets all medical , legal, and regulatory (MLR) process requirements. + Facilitate online and offline ... International promotional labeling material, including the creation of a claims matrix database and claims objects. +...communication, or a healthcare-related field + 4 years of medical device experience, including knowledge of the US and… more
- Elevance Health (Los Angeles, CA)
- …as single point of service support (eg, phone and e-mail inquiries, claims , enrollment, billing) to Elite Broker contacts (Brokers, General Agents, Agencies, etc.) ... plan offerings, have issues that are impacting multiple service areas such as claims , eligibility, etc. and provide onsite support as needed) with timely and… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …warning flags to ensure clean claim submission. This position is responsible for pulling medical records to submit with claims and appeals as required by payors. ... JOB SUMMARY: Under the direction of the Manager , Professional Billing & Coding, the Billing &...new patients in the system, including patient demographics, verifying insurance , eligibility and claim information is accurate. Incumbent will… more
- Amazon (CA)
- …for claims management and ensures successful and timely submission of all insurance claims . Maintains timely billing of services provided while ensuring high ... 29, 2025 As a member of the Amazon One Medical Senior Health Revenue Cycle team, the Revenue Cycle...the best experience available. This role reports into the Manager I, Revenue Cycle. As part of Amazon Health… more
- Horizon Services, Inc. (Hayward, CA)
- POSITION DESCRIPTION TITLE: Human Resources III CLASSIFICATION: TBD REPORTS TO: Sr. HR. Manager of Human Resources PROGRAM OR DEPT: Administration JOB SUMMARY: As a ... program, such as group health, dental and vision, life insurance , 401k, UI, COBRA etc., and responds to all...employees with health, dental, life and other related benefit claims . + Coordinate workers' compensation claims with… more
- Walgreens (Redding, CA)
- …systems to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. ... efficient workflow of the pharmacy and assists the pharmacy manager in identifying ways to optimize pharmacy financials, inventory...Follows-up with insurance companies as well as medical providers… more
- Walgreens (Cupertino, CA)
- …systems to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. ... efficient workflow of the pharmacy and assists the pharmacy manager in identifying ways to optimize pharmacy financials, inventory...Follows- up with insurance companies as well as medical providers… more
- Empirical Systems Aerospace, Inc. (San Luis Obispo, CA)
- …project reports and make presentations at meetings + Support negotiations of claims , manage contractual changes and resolve disputes or conflict resolution with ... Contractors and Customers + Assess and prepare claims from suppliers + Manage contract closeout procedures + Confer with counsel and leadership on items out of the… more
- Humana (Sacramento, CA)
- …2 ensures contract compliance and performs analysis regarding pharmacy claims . Understands department, segment, and organizational strategy and operating objectives, ... 2 ensures contract compliance and performs analysis regarding pharmacy claims . Understands department, segment, and organizational strategy and operating objectives,… more