- Lincoln Financial (Sacramento, CA)
- …for this opportunity. **Requisition #:** 74565 **The Role at a Glance** As an Appeals Specialist you will be responsible for being a product subject matter ... multiple product lines. You will perform and deliver on appeals claims assignments/projects while simultaneously leveraging and...lieu of Bachelor's) + 1 - 3+ Years of Short -Term and/or Long-Term Disability. (Required) + Ability to communicate… more
- Cognizant (Sacramento, CA)
- …assigned accounts. . Maintain working knowledge of applicable health insurers' internal claims , appeals , and retro-authorization as well as timely filing ... with Medicare, Medicaid, and third-party guidelines. . Effectively document and log claims / appeals information on relevant tracking systems . Utilize critical… more
- TEKsystems (Los Angeles, CA)
- …and information for appeals . + Complete and process tasks related to claims support, prior authorizations, and appeals . + Maintain compliance with internal ... Preferred Skills + Experience in ambulatory and healthcare settings. + Familiarity with claims support and appeals processes. + Demonstrated ability to manage… more
- TEKsystems (Los Angeles, CA)
- Position: Medical Quality Specialist Work type: Hybrid / In Office Pay: $21-23/hr Monday - Friday 8am - 5pm Description The Quality Management department is ... responsible for completing and reviewing task related to claims that have been denied. They are the last...Plans, and Medical Directors to gather required information for appeals process. Skills Quality improvement, Ehr, Emr, Patient care,… more
- CVS Health (Sacramento, CA)
- …handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- Cardinal Health (Sacramento, CA)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. ... the appropriate system. + Manages and resolves complex insurance claims , including appeals and denials, to ensure...day with myFlexPay + Flexible spending accounts (FSAs) + Short - and long-term disability coverage + Work-Life resources +… more