- UCLA Health (Los Angeles, CA)
- Description As a Medicare Collections Representative , you will manage a designated portfolio of inpatient and outpatient claims , ensuring effective and ... up on claims to ensure timely resolution. + Communicate with insurance providers, patients, and internal departments to gather necessary information and resolve… more
- Humana (Sacramento, CA)
- …a part of our caring community and help us put health first** The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims ... assignments. Performs computations. Typically works on semi-routine assignments. The Pharmacy Claims Representative 2 analyzes and answers inquiries regarding… 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 (Diamond Bar, CA)
- …Bar or Irvine, CA locations. 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
- TEKsystems (San Bernardino, CA)
- …or any other insurance collection opportunities Skills Customer service, medicare , medicaid, revenue cycle, claims submission, insurance , medical ... terminology, medical billing Top Skills Details Customer service, medicare ,medicaid,revenue cycle, claims submission, insurance ,medical terminology,medical billing… more
- Tiburcio Vasquez Health Center (Hayward, CA)
- …follow up on denied Remittance Advice/Explanation of Benefits (RA/EOB) for all insurance claims . + Develop well-supported, patient specific appeal arguments to ... The position is integral to the centralized billing team responsible for Medicare , Medi-Cal, Private Insurance , Managed Care, and other third-party billing… 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
- Insight Global (Burbank, CA)
- …the Health Fund. The Senior Participant Service Specialist/Analyst will process health insurance claims and answers calls from the customer (participant, ... providers, physicians, hospitals etc.) Adhere to eligibility, claims and call policies and procedures while making sound claim/call decisions. Foster strong… more
- Humana (Sacramento, CA)
- …- What it takes to Succeed** + Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of experience with ... experience directly managing a group of seasoned professionals. + Proven knowledge in Medicare regulations + Excellent PC skills MS Excel and Access and PowerPoint… more