- Stanford Health Care (Palo Alto, CA)
- …Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the Revenue Cycle Denials Management ... and communication skills. The Clinical Government Audit Analyst and Appeals Specialist II will collaborate with clinical staff, coding professionals, and external… more
- ICW Group (Pleasanton, CA)
- …everyday! Learn more about why you want to be here! **PURPOSE OF THE JOB** This Claims Specialist is responsible for handling complex claims with a focus on ... claims to an equitable resolution within Company standards. The Claims Specialist works with a sense of urgency, understands insurance coverage concepts, and… more
- Insight Global (Pleasanton, CA)
- Job Description Insight Global is seeking a Medicare Billing Specialist to join their clients team. The Medicare Billing Specialist is responsible for the ... accurate preparation, submission, and reconciliation of Medicare claims for outpatient mental health services. This role ensures compliance with Medicare regulations… more
- BD (Becton, Dickinson and Company) (Milpitas, CA)
- **Job Description Summary** Specialist , Senior Specialist , Medical Affairs is an integral member of Medical and Scientific Affairs (MSA) collaborating in cross ... registrations and updates of the BD products. The Sr. Specialist has knowledge of BD reagents and flow cytometry...and execution of studies to establish the new product claims for regulatory submissions. **Key Responsibilities:** + Act as… more
- Walgreens (Concord, CA)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- Bayer (Fremont, CA)
- **Women's Healthcare Specialist - Oakland/East Bay, CA** **PURPOSE** Bayer is expanding in its efforts to advance its mission "Health for All, Hunger for None." The ... Women's Health Specialist (WHS) will be responsible for managing the Intrauterine...for portfolio; + Thorough understanding of competitive landscape, including Claims Data within your territory; + Ensure that all… more
- CDM Smith (San Jose, CA)
- …ID:** 40481BR **Business Unit:** FSU **Job Description:** The FEMA Costing Specialist : * Conducts preliminary damage assessments (PDAs) in the field for ... structure damaged by a disaster. * Reviews, evaluates and analyzes applicant-provided cost claims for reasonableness and accuracy as related to the scope of work. *… more
- CDM Smith (San Jose, CA)
- …**Business Unit:** FSU **Job Description:** The FEMA Disaster Management Construction Specialist : * Schedules and conducts site inspections with applicants, performs ... projects and meets regularly on the status. * Evaluates applicant-provided cost claims for reasonableness to report to FEMA regarding claim eligibility. Participates… more
- Saia, Inc (San Jose, CA)
- …and ensures a positive customer experience. + Investigates freight issues, manages claims processes, and applies policies to resolve disputes fairly and efficiently. ... issues promptly in accordance with company procedures to minimize potential claims . + Identifies recurring service issues and recommends improvements to enhance… more
- Acosta Group (Concord, CA)
- …to perform the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related injury you ... incur to your direct supervisor as soon as possible following an incident resulting in an injury. **QUALIFICATIONS** _Education/Experience:_ High school diploma or general education degree (GED); or one to three months' related experience and/or training; or… more
- CDM Smith (San Jose, CA)
- …**Business Unit:** FSU **Job Description:** CDM Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical ... in evaluating and analyzing financial data related to disaster-related claims , including property damage, business interruption, and other loss categories. The … more
- Elevance Health (Walnut Creek, CA)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
