- Stanford Health Care (Palo Alto, CA)
- …to effectively facilitate work groups to successful outcomes. + Knowledge of medical and insurance terminology, MS-DRG, APR-DRG, CPT, ICD coding structures, ... Denial Analysis: Conduct thorough analyses of denials, evaluating the appropriateness of medical services and procedures. Ensure accurate coding with ICD, HCPCS, CPT… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …much-needed medical care. The opportunity to learn and grow within the medical insurance industry can become a career with limitless possibilities. We would ... codes, CPT Codes, HCPC Codes, Health Plan benefits, or claims Positive, friendly demeanor Superb listening skills with natural...experience in the health care field, such as hospital, medical group, health insurance , or other Risk… 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 ... and Fire Protection industry. Primary responsibility is to assist the Safety Manager in enforcing and regulating all safety procedures to ensure that Southland… 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 ... and Fire Protection industry. Primary responsibility is to assist the Safety Manager in enforcing and regulating all safety procedures to ensure that Southland… more
- 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...and performing appeals as necessary + Electronic or hardcopy claims editing and submission to payers + Recognizing potential… more
- HUB International (Roseville, CA)
- …on how to prepare for the unexpected. As one of the worlds' largest insurance brokers, our focus is dedicated to providing our customers with the peace of ... matters most will be protected-through unrelenting advocacy and tailored insurance solutions that put our clients in control. Our...queue system. + Assists clients and employees with various claims and benefit issues. + Respond to all phone… more
- Belcan (North Hollywood, CA)
- …Start Date: Right Away Keywords: #ITARCompliance #ContractsAdmin #ComplianceJobs Benefits: * Medical / Health Benefits with multiple plan options, Flexible Spending ... * On the job training / cross-training * Life Insurance , disability insurance , and voluntary life ...responds to complex issues including the validity of customer claims and development of Parker assertions. * Provides support… more
- Elevance Health (Costa Mesa, CA)
- …fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Fraud Investigator II** is responsible for… more
- Elevance Health (Walnut Creek, CA)
- …healthcare analytics, and/or financial services highly preferred. + Comprehensive understanding of medical claims data. + Intermediate to Advanced expertise with ... Analytics Analyst Senior) measures financial performance of core Carelon products leveraging claims , authorization, and membership data to tell a detailed story to… more
- UIC Government Services and the Bowhead Family of Companies (Travis AFB, CA)
- …of Defense and many federal agencies. Bowhead offers competitive benefits including medical , dental, vision, life insurance , accidental death and dismemberment, ... role in ensuring uninterrupted mission-essential communications for base operations, medical facilities, and tenant organizations. The Telecommunications Mechanic II… more