- Dentsply Sirona (Camarillo, CA)
- …or a related field** + **Additional certifications in medical billing, insurance claims processing , or healthcare administration are considered a ... innovation. **Make a difference** -by helping improve oral health worldwide. **The Medical Insurance Billing Specialist confirms patient eligibility and verify… more
- Dignity Health (Ventura, CA)
- …on TES PIRs and denial management. Knowledge of payer and regulatory guidelines for medical insurance claims processing and reimbursement. Knowledge of ... TES PIRs and denial management. Knowledge of payer and regulatory guidelines for medical insurance claims processing and reimbursement. Knowledge of the… more
- Robert Half Accountemps (Los Angeles, CA)
- …this role, the Medical Collections Specialist will be tasked with managing and processing medical insurance claims for acute care facilities, ... resolve outstanding balances. Responsibilities: * Oversee the collection process for medical insurance claims , ensuring timely and accurate submissions. *… more
- TEKsystems (Pasadena, CA)
- Description -Accurate and timely processing of medical claims -Investigation/communication in order to obtain necessary information to complete claim -Review ... data from the claims system Skills PPO Insurance , Claims , Claims Processing...,Health information management Additional Skills & Qualifications Health / Medical Claims experience - PPO claims… more
- Providence (CA)
- …+ Insurance Carrier Experience + Third Party Professional Negligence Claims Experience + Experience handling Medical Negligence Professional Liability ... defense of medical negligence claims + Experience analyzing medical professional and general liability insurance policy documents and addressing coverage… more
- LA Care Health Plan (Los Angeles, CA)
- …Preferred Master's Degree Experience Required: A minimum of 5 years of experience performing claims audits or claims processing related to Medi-Cal, Cal ... of the PPGs, capitated hospitals and the Plan Partners. This includes all claims processing sub-contracting functions of the delegates. Salary Range Disclaimer:… more
- Cognizant (Sacramento, CA)
- …ensuring all mandated government and state regulations are regularly met. 2. Processing claims for multiple plans with automated and manual differences ... **Experience:** Minium of two to three years of Medicaid and or Commerical ** claims payer** processing experience. **Technical Competencies:** 1. Ability to work… more
- UCLA Health (Los Angeles, CA)
- …you will play a critical role in in ensuring the timely, accurate, and compliant processing of health insurance claims . The ideal candidate will be ... will: + Coordinate and monitor the daily workflow of claims processing . + Distribute unprocessed claims...combination of education and experience. + 6-8 years of medical claims payment experience in an HMO… more
- ICW Group (San Diego, CA)
- …ensuring it aligns with overall business objectives. This includes balancing effective claims processing with risk mitigation. The CCO develops policies, ... of our journey as we strive to transform the insurance carrier space. We're proud to be in business...identify areas for improvement and implement strategies to enhance claims processing efficiency and effectiveness. + Develops… more
- Adecco US, Inc. (Roseville, CA)
- …documented and claims coding is correct. + Processing complex lifetime medical and/or defined period medical claims which include state and physician ... + Coordinating return-to-work efforts and approving claim payments. + Approving and processing assigned claims , determining benefits due, and managing action… more