- Stanford Health Care (Palo Alto, CA)
- …a Stanford Health Care job.** **A Brief Overview** The Pharmacy Billing Specialist supports accurate and compliant billing for pharmacy services by reviewing data, ... identifying areas for improvement. This role ensures consistency in charge capture, claims submission, and reimbursement to safeguard revenue and minimize risk. The … more
- Parexel (Sacramento, CA)
- …, we believe in the power of real-world data to transform clinical research and improve patient outcomes. We are seeking a passionate and experienced **RWE** ... Specialist join our team and support the design and...3+ years of experience working with real-world healthcare data ( claims , EMR, registries, etc.). + 2+ years of experience… more
- Children's Hospital Los Angeles (Glendale, CA)
- …care for kids in California. Here world-class experts in medicine, education and research work together to deliver family-centered care half a million times each ... of the future is brighter than can be imagined. Investments in technology, research and innovation will create care that is personal, convenient and empowering. Our… more
- GAP Solutions Inc (Sacramento, CA)
- **Position Objective:** As a Junior Human Resource Specialist , apply HR skills in support of managers, program staff and customers on the full range of HR topics ... Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating tentative selection notifications, notice of results or… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Research Specialist will oversee and manage research efforts related to claims overpayments, ... point of contact for the providers and/or provider relations team regarding claims research issues, facilitating effective communication and resolution of… more
- Dignity Health (Bakersfield, CA)
- …and efficiency. The Claims Quality Specialist will work closely with the Claims Research colleague and other team members to enhance claims processes ... **Job Summary and Responsibilities** The Claims Quality Specialist is responsible for ensuring the accuracy and quality of claims processing within a managed… more
- Cedars-Sinai (Los Angeles, CA)
- …environment that fuels innovation. **Req ID** : 13216 **Working Title** : Revenue Cycle Specialist III (PB Claims ) **Department** : CSRC PB - Group 3 CSMCF ... reputation for excellence! Cedars Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a...I be doing in this role?** The Revenue Cycle Specialist III works under general supervision and following established… more
- Carrington (Anaheim, CA)
- **Come join our amazing team and work remote from home!** The Sr Claims &Recovery Analysis Loss Specialist is responsible for ensuring the proper incurred losses ... identified during the Quality Review Process, communicating findings to Loss Specialist for remediation. Ensure Loss Specialist provides corrections as… more
- C&S Wholesale Grocers, Inc. (Lathrop, CA)
- **Position Overview** As a Claims Investigator, you will be researching shortage claims based on calls received from our customer locations. These investigations ... Description** **Description** + This position will report directly to the Claims Manager and conduct detailed investigations by recovering all documentation… more
- Ventura County (Ventura, CA)
- Medical Billing Specialist III/IV - Behavioral Health Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5037514) Apply Medical Billing ... Specialist III/IV - Behavioral Health Salary $52,216.65 - $73,565.49...IV), performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance… more
- Guidehouse (San Marcos, CA)
- …Required** **:** None **What You Will Do** **:** The **Cash Applications Specialist ** - Under general supervision and according to established policies and ... in on payment batch log with time completed. + Research payments. + Payments requiring additional information should be...information should be pulled out from the batch for research . If the pullout is not resolved in two… more
- Ventura County (Ventura, CA)
- Medical Billing Specialist II - Patient Financial Services Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4940099) Apply Medical Billing ... Specialist II - Patient Financial Services Salary $49,302.23 -...direction, the incumbent is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance… more
- The County of Los Angeles (Los Angeles, CA)
- …their impact on the department, the community, and the Environmental Health Specialist staff. + Directs research , special studies, and field evaluations ... CHIEF ENVIRONMENTAL HEALTH SPECIALIST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4260745) Apply CHIEF ENVIRONMENTAL HEALTH SPECIALIST … more
- WestCare Foundation (Fresno, CA)
- Billing Specialist Job Details Job Location Fresno - 1900 N Gateway - Fresno, CA Position Type Full Time Education Level High School Salary Range $24.00 - $24.00 ... DMC-ODS, Enhanced Care Management (ECM), and Community Supports. This position ensures claims are submitted accurately and timely directly to insurance carriers and… more
- Travelers Insurance Company (Sacramento, CA)
- …reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices. Provide quality ... claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims by completing essential… more
- Molina Healthcare (CA)
- …Health Care Services (DHCS) **Essential Job Duties** * Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from ... to ensure that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate appeals and… more
- Sedgwick (Sacramento, CA)
- …EDI Support Specialist - Casualty **PRIMARY PURPOSE** **:** To identify, research , resolve, and respond to complex technical EDI issues or questions received ... of related experience to include two (2) years of workers' compensation or claims related experience and three (3) years of EDI technical experience including… more
- UIC Government Services and the Bowhead Family of Companies (Corona, CA)
- …AI/ML & LLM (AR/PA IT) Bowhead seeks a Sr. Data Scientist - AI/ML & LLM Specialist to join our team supporting the AR/PA IT Program at Naval Surface Warfare Center - ... California. The Sr. Data Scientist - AI/ML & LLM Specialist will work directly with the client analyzing complex...RMF, STIGs, and DoD cybersecurity compliance practices + Conduct research to identify and assess new technology solutions for… more
- BluePearl (Irvine, CA)
- **BluePearl Pet Hospital is hiring for an Employee Relations Specialist - Veterinary for our** **West** **Division!** **Pay: $84,302 - $114,900** Under the direction ... of the Manager of P&O, West Division, the Veterinary Associate Relations Specialist is primarily responsible for advising and guiding managers, advocating our… more
- Cedars-Sinai (Torrance, CA)
- …that has a reputation for excellence! Cedars Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a row for providing the ... Hospitals! **What will I be doing in this role?** The Revenue Cycle Specialist III works under general supervision and following established practices, policies, and… more
