- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...will not be held liable or responsible for any claims , losses, damages or expenses resulting from job recruiting… more
- Sharp HealthCare (San Diego, CA)
- …with medical management such as provider relations, member services, benefits and claims management, IT management, etc. + Plans, organizes, and directs the ... analysis of Plan performance from summary data of paid claims , encounters, authorization logs, complaint and grievance logs and...POS/PPO Case Management and high-cost review with CMO and Claims management teams. + Co-Chairs with the CMO CPTAC… more
- Centene Corporation (Sacramento, CA)
- …benefits including a fresh perspective on workplace flexibility. **We're Hiring: Remote Medical Directors** Centene Corporation is a leading provider of ... would improve utilization and health care quality. + Reviews claims involving complex, controversial, or unusual or new services...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Pearl Interactive Network (Sacramento, CA)
- **Pearl Interactive Network is sourcing Seasonal Remote Customer Service Representatives.** The **Customer Service Representative** is responsible for providing ... + Navigate pre-scripted responses, read them verbatim to provide basic and claims -specific information, and ensure callers receive accurate details. + Perform other… more
- Robert Half Legal (Santa Monica, CA)
- Description Litigation Paralegal - Remote (California-Based) A respected California-based law firm with a strong reputation for handling high-stakes, high-net-worth ... abuse, wrongful death, catastrophic injuries, trucking, plaintiff bad faith, and asbestos claims . + The firm focuses exclusively on trial work for large, complex… more
- Cedars-Sinai (Torrance, CA)
- …collections support, performing duties which may include reviewing and submitting claims to third party payors, performing account follow-up activities, updating ... strive for. **Req ID** : 6393 **Working Title** : Revenue Cycle Specialist IV ( Remote ) **Department** : CSRC PB - Group 3 CSMCF **Business Entity** : Cedars-Sinai… more
- Providence (Irvine, CA)
- …compliance with key healthcare regulations, including Stark Law, Anti-Kickback Statute, False Claims Act, Medicare and Medicaid billing rules, HIPAA and EMTALA. + ... Canyon Rd **Work Location:** Providence System Offices Discovery Park-Irvine **Workplace Type:** Remote **Pay Range:** $78.33 - $138.50 The amounts listed are the… more
- Mass Markets (CA)
- POSITION OVERVIEW REMOTE INBOUND SALES REPRESENTATIVE (SASKATCHEWAN) Looking for opportunities to work for a rapidly growing company? We are looking for call center ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Sharp HealthCare (San Diego, CA)
- …non-clinical appeals and grievances. **Required Qualifications** + 3 years' experience in claims , utilization review, appeals or member services in a managed care ... requests for assistance.Provides feedback to Customer Service, Enrollment, Provider Relations, Claims Research, and Health Services on issues and trends identified… more
- Sharp HealthCare (San Diego, CA)
- …with medical management such as provider relations, member services, benefits and claims management, etc. Assists (as determined by the plan Chief Medical Officer) ... review and analysis of Plan performance from summary data of paid claims , encounters, authorization logs, complaint and grievance logs and other sources. +… more