- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Claims Processing Representative 1 reviews and adjudicates complex or ... specialty claims , submitted via paper. The Claims Processing Representative 1 performs basic administrative/clerical/operational/customer… more
- Humana (Sacramento, CA)
- …based on business needs. **Preferred Qualifications** + Bachelor's Degree + Prior claims processing experience + Overpayment experience + Financial recovery ... community and help us put health first** The Bilingual Claims Research & Resolution Representative 2 manages...(Spanish / English) (see Language Proficiency Testing below)** + ** 1 or more years of Call Center or Telephonic… more
- LA Care Health Plan (Los Angeles, CA)
- …( 1 ) inquiries, this includes but not limited to, general inquiries on claims processing and status and eligibility verification. In addition, this position ... Customer Solution Center Service Representative III Job Category: Customer Service Department: Customer...this includes (but not limited to): general inquiries on claims processing , payment status and appeal and… more
- Travelers Insurance Company (Rancho Cordova, CA)
- …us most. As a Claim Rep, you will be responsible for managing, evaluating, and processing claims in a timely and accurate manner. In this detail-oriented and ... performance-based cash incentive awards. **Salary Range** $67,000.00 - $110,600.00 **Target Openings** 1 **What Is the Opportunity?** This role is eligible for a… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …of the Manager Professional Billing & Coding, the Billing & Collections Representative II (BCII) is responsible for the resolution of all outstanding balances ... payors, including but not limited to; Commercial, Medi-Cal and Managed Care professional claims . This position is responsible checking status of unpaid claims by… more
- Stanley Black and Decker (Hayward, CA)
- **Inside Sales Representative , Hayward, CA - Onsite** **Come make the world and accelerate your success.** It takes great people to achieve greatness. People with a ... CADET(R), and HUSTLER(R). **The Job:** As an **Inside Sales Representative ** , you'll be part of our SEF Industrial,...obtaining proof of delivery, and the filing of freight claims . + Develop call reports as required for specific… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …can be frustrating and we are here to help. The Customer Service Representative 's primary role is to support relationships with members, providers and health plans. ... scheduling translation services Data entry of authorization requests Authorization processing Researching and responding to provider calls regarding authorization or… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …as needed for accurate reporting of the service. The incumbent completes daily processing of claim edits or rejected claims processed through the billing ... system and from electronic claim vendor processing , They are to correct all errors or warning...is responsible for pulling medical records to submit with claims and appeals as required by payors. Responsible to… more
- Guidehouse (Ventura, CA)
- **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** + Greet patients and ... hospital business office. + Assist patients with questions related to account processing , insurance coverage and resolution of patient liability. + Sort and… more
- Ryder System (Sacramento, CA)
- …action plans if deficiencies are noted. Monitors staff's workflow to ensure accurate processing of claims , timely establishment of reserves, reviews and logs ... : **SUMMARY** This position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling… more
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