- Highmark Health (Sacramento, CA)
- …and retrospective claims review basis. Review process includes a review of medical documentation, itemized bills, and claims data to assure appropriate level ... the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the… more
- City and County of San Francisco (San Francisco, CA)
- … processing, and/or collecting healthcare service reimbursements or medical claims from Medi-Cal (Medicaid), Medicare, insurance , third party payors, and ... Service Commission Rule 109, the duties specified below are representative of the range of duties assigned to this...issues; + Performs revenue analysis related to charge errors, claims submission volume, denials and trends based on claim… more
- Horizon Services, Inc. (Hayward, CA)
- …+ Administers benefits program, such as group health, dental and vision, life insurance , 401k, UI, COBRA etc., and responds to all provides and vendors requests ... employees with health, dental, life and other related benefit claims . + Coordinate workers' compensation claims with...resources. PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an… more
- The County of Los Angeles (Los Angeles, CA)
- …Provides technical and administrative direction to staff performing reviews of patients' medical charts to ascertain the medical necessity for services and ... new or revised procedures. + Works with Professional Standards Review Organization representative to orient new staff to Federal laws and regulations pertaining to… more
- University of Southern California (Arcadia, CA)
- …medical record numbers, gathering current patient data, photocopying insurance cards, identification cards, and other pertinent information, obtaining ... within the institution. + It is the responsibility of the Patient Access Representative to uphold the highest service standards regarding patient care. + Making… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …in wider clinical development plans. + Serve as early-stage CMC representative of the department in effectively communicating program related updates, strategies, ... for a minimum of 5 business days. **Company benefits:** Comprehensive medical , dental, vision, prescription drug coverage, company provided basic life, accidental… more
- Alameda Health System (Alameda, CA)
- …and/or departments within prescribed timelines, to ensure timely and accurate submission of claims needed to maximize reimbursement to the Medical Center. 8. ... **Summary** **SUMMARY:** The AHD Admitting Clerk interviews incoming patient or representative and enters information required for admission into computer. Performs… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …the pharmacy team in administrative tasks such as filing, data entry, and processing insurance claims . + Collaborate with team members to improve workflow and ... each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable...of the business. BENEFITS for full time Employees + Medical , Dental, and Vision insurance + 401… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …diploma or GED required . 1-3 years of experience in benefit verification, medical billing, health insurance , or specialty pharmacy. . Familiarity with ... benefit verification results in pharmacy systems. . Troubleshoot rejected claims and perform necessary claim adjustments. . Assist in...of the business. BENEFITS for full time Employees | Medical , Dental, and Vision insurance | 401… more
- Medtronic (San Diego, CA)
- …Clinical Expert + Translates complex technical messaging, dispels competitive claims , resolves complex technical issues, and maintains customer relationships through ... or sales/service/engineering in the Cardiac Ablation, Cardiac Rhythm, or Implantable Medical Device Industry OR + Advanced Degree in Engineering or Nursing… more