- Sedgwick (Roseville, CA)
- …A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who ... by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans...+ Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to… more
- Elevance Health (Walnut Creek, CA)
- **Genetic Counselor Review Associate** **Genetic Testing Utilization Review** **Carelon Medical Benefits Management** **Virtual** : This role enables associates to ... face-to-face onboarding and skill development. _Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from… more
- US Bank (Brea, CA)
- …give you peace of mind. Our benefits include the following (some may vary based on role, location or hours): + Healthcare ( medical , dental, vision) + Basic term ... At US Bank, we're on a journey to do our best. Helping...Net-O, MSP, CACS, Doc Velocity) for the various business line processes. RESPONSIBILITIES - Customer Remediation Support: The CBB… more
- Adecco US, Inc. (Ontario, CA)
- …compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an ... . Ensures claim files are properly documented and claims coding is correct. . Refers cases as appropriate to...college or university preferred. Professional certification as applicable to line of business preferred. . Experience Five (5) years… more
- Sedgwick (West Hills, CA)
- …compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an ... client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to supervisor and management.… more
- Sedgwick (Sacramento, CA)
- …compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an ... client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to supervisor and management.… more
- University of Southern California (Newport Beach, CA)
- …prior to end of shift. + Follow-up on outstanding authorization requests and on medical documentation requests in a timely manner. + Enroll patients in ... party payers/payers insurance carrier for authorization with correct CPT and ICD coding + Research payers medical policy requirements for chemotherapy treatment… more
- University of Southern California (Alhambra, CA)
- …TARs and SARs, and ABN's, and CMS certs and recerts. Obtains and reviews the medical record or on - line reports for additional documentation to be attached ... electronically, with all the required documentation. ie authorizations, reimbursement based on LOAs, medical records, sterilization consent forms, treatment… more
- Prime Healthcare (Inglewood, CA)
- …roles in supply chain, IT and cybersecurity, clinical engineering, capital procurement, medical coding , project management and more. We provide services to ... on hospital equipment such as; maintenance support on general medical equipment, as needed. Collaborates...calls as directed by Manager, and representing BSI in front- line leadership tasks such as, but not limited to,… more
- Sharp HealthCare (San Diego, CA)
- …and ability to utilize community resources. + Knowledge of and experience with on - line computer systems. + Excellent verbal and written communication skills; ... weekend/as needed. May work holidays as needed. **Weekend Requirements:** Every Other ** On -Call Required:** No **Hourly Pay Range (Minimum - Midpoint - Maximum):**… more