- Guidehouse (El Segundo, CA)
- …**:** None **Clearance Required** **:** None **What You Will Do** **:** The ** Insurance Patient Account Representative ** **(Hospital Claims )** is an ... **Essential Job Functions** + Account Review + Appeals & Denials + Medicare /Medicaid + Insurance Follow-up + Customer Service + Billing + UB-04 & CMS 1500… more
- Humana (Sacramento, CA)
- …resolution to a pending call.** The Claims Research & Resolution Representative 2 works with insurance companies, providers, members, and collection services ... **Become a part of our caring community and help us put health first** The Claims Research & Resolution Representative 2 manages claims operations that… more
- Sedgwick (Concord, CA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation | Claims Representative (Future Medical)| In-Office ... or equivalent combination of education and experience or successful completion of Claims Representative training required. **Skills & Knowledge** + Developing… more
- Travelers Insurance Company (Rancho Cordova, CA)
- …**What Is the Opportunity?** Under general supervision, manage Workers' Compensation claims with lost time to conclusion and negotiate settlements where appropriate ... to resolve claims . Coordinate medical and indemnity position of the claim...losses involving issues of statutory benefit entitlement, medical diagnoses, Medicare Set Aside to achieve resolution through the best… more
- Surgery Care Affiliates (Long Beach, CA)
- …for Primary insurance . + Utilize the centers selected vendor for claims and eligibility and/or individual payer websites to obtain eligibility, benefits and/or ... guidelines and the process of collecting over the counter payments/deductibles/copay/co- insurance . Knowledge of payer contracts including Medicare , Medicaid… more
- Guidehouse (San Marcos, CA)
- …**:** None **Clearance Required** **:** None **What You Will Do** **:** The ** Insurance Patient Account Representative - Hospital A/R Emphasis** is an extension ... three days from home._** **Essential Job Functions** + Hospital Claims + Account Review + Appeals & Denials +... + Account Review + Appeals & Denials + Medicare /Medicaid + Insurance Follow-up + Customer Service… more
- Molina Healthcare (Los Angeles, CA)
- …to, phone, chat, email, and off phone work supporting our Medicaid, Medicare and/or Marketplace business. Also provides product and service information, identifies ... for a wide variety of inquiries and assistance involving their benefits, claims , premiums, and other areas including very complex issues. Conducts initial research… more
- UCLA Health (Los Angeles, CA)
- Description As a Senior Collections Representative , you will oversee a designated portfolio of inpatient and outpatient claims to maximize collection outcomes. ... position requires strong communication skills to work effectively with insurance providers, patients, and internal departments while gathering essential information… more
- Fresenius Medical Center (Antioch, CA)
- …coordinate insurance options: + Educates on the availability of alternative insurance options (ie, Medicare , Medicaid, Medicare Supplement, State Renal ... and annual indigent waivers. + Discusses insurance options when insurance contracts are terminated. Responsibilities involving Medicare and Medicaid include… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …analyze and appropriately resolve rejected claims by working with national Medicare D plans, third party insurance companies, and all state Medicaid ... is responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial… more