- 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
- 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 (Walnut Creek, 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
- 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
- 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
- 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
- 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