- Sedgwick (Ontario, CA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative Workers Compensation **PRIMARY PURPOSE** : To ... not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to… more
- Providence (CA)
- …caregivers regarding Centers for Medicare and Medicaid Services (CMS) Medicare Secondary Payer reporting, applicable laws, insurance regulations, and other ... claim payments and write-offs and serve as our mandatory reporting authorized representative + Facilitate monthly claims files internal audits including monthly… more
- Travelers Insurance Company (Walnut Creek, 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
- Travelers Insurance Company (Diamond Bar, CA)
- …under direct supervision. As a trainee, you may also be exposed to claims that could involve litigation, settlement negotiations, Medicare set asides and ... Claim team is committed to partnering with our business insurance customers to help their injured employees return to...you will handle all aspects of a workers compensation claims . In this role, you will learn how to… more
- Cardinal Health (Sacramento, CA)
- …the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of ... from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and...or third party policy. + Updates patient files for insurance information, Medicare status, and other changes… more
- Cardinal Health (Sacramento, CA)
- …+ Acts as a subject matter expert in claims processing. + Processes claims : investigates insurance claims ; properly resolves by follow-up & disposition. ... account receivables performance and client satisfaction. + Resolves complex insurance claims , including appeals and denials, to...or third party policy. + Updates patient files for insurance information, Medicare status, and other changes… more
- Evolent (Sacramento, CA)
- …+ Answer and manage inbound inquiries regarding health plan benefits and claims , eligibility, medical and other healthcare procedures, billing and payments and other ... and verbalize processes and procedures of the organization and of health insurance coverage. + Training includes a virtual classroom environment with trainers who… more
- Fresenius Medical Center (Los Angeles, 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
- The County of Los Angeles (Los Angeles, CA)
- …new or revised procedures. + Works with Professional Standards Review Organization representative to orient new staff to Federal laws and regulations pertaining to ... Medicare and Medi-Cal reimbursement. + Analyzes cases for referral...provided to patients are appropriate and covered by the insurance payer. They are responsible for ensuring that patient… more
- e CancerCare (Fresno, CA)
- …and track financial assistance applications and approvals within Assist Point Audit Medicare Only patients to ensure all assistance available is accessed and ... self-pay, etc. Review all Early Out collection Visit Owners Bi-weekly to ensure claims are properly worked. Ability to intervene in crisis situations - quickly and… more