- Dignity Health (Bakersfield, CA)
- …for the national PHSO operating platform, including systems like EMR, population health /care management, remote patient monitoring, and CRM. - Provide backup ... with all internal Managed Care operations such as enrollment, claims operations and provider contracting departments - Play a...and vision plans, for the employee and their dependents, Health Spending Account (HSA), Life Insurance and… more
- Centene Corporation (Sacramento, CA)
- …per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, paid ... million members as a clinical professional on our Medical Management/ Health Services team. Centene is a diversified, national organization...and testing (new and year over year). + Conduct claims analysis + Performs other duties as assigned +… more
- BrightSpring Health Services (Arroyo Grande, CA)
- …living, adult host homes for adults regardless of disability, behavioral/mental health support, in-home pharmacy solutions, telecare and remote support, ... and ensures staff follows agency procedures to promote optimum health care and behavior supports + Monitors and ensures...service site injuries and assist with the management of claims + Monitors service site expenses relative to budgets… more
- BrightSpring Health Services (San Luis Obispo, CA)
- …living, adult host homes for adults regardless of disability, behavioral/mental health support, in-home pharmacy solutions, telecare and remote support, ... employee data for corrective action/termination requests + Responds to unemployment claims and participates in unemployment hearings + Provides guidance and support… more
- Highmark Health (Sacramento, CA)
- …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... Epic modules. **Preferred** + 2+ years of Healthcare Revenue Cycle experience ( Claims , Patient Access, Billing) + Epic Certification in Resolute Hospital Billing… more
- The Hartford (Carlsbad, CA)
- …- LM07EE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every ... efficiency. * Collaborative Environment: Work alongside experienced Attorneys and Claims professionals in a matrixed business setting that encourages… more
- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Senior Payment Integrity Professional uses technology and data mining, detects anomalies ... in data to identify and collect overpayment of claims . Contributes to the investigations of fraud waste and...PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- Humana (Sacramento, CA)
- …us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met. ... **Use your skills to make an impact** **WORK STYLE:** Remote /Work at home **WORK HOURS:** Associates will work on...Health , and minor procedures + Experience with the Claims Life Cycle + Experience with coding/auditing Professional Inpatient… more
- CenterWell (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Clinical Pharmacy Technician assists the interdisciplinary CIT team with ... + Assist clinical pharmacists in troubleshooting prescription third party claim rejections by accessing and understanding formulary restrictions, plan limitations,… more
- Humana (Sacramento, CA)
- …for the provider reimbursement programs for an organization that provides health insurance . The Senior Provider Reimbursement Professional works assignments ... **Become a part of our caring community and help us put health first** The Senior Provider Reimbursement Professional - Certified Medical Coder performs research,… more