- 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
- 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
- The Clorox Company (Pleasanton, CA)
- …**Your role at Clorox:** The Senior Regulatory Specialist will serve as a strategic regulatory partner ... not limited to ingredient assessments, formula reviews, product dossiers, claims , packaging labels, marketing communication materials. + Translate complex regulatory… 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
- Sedgwick (San Francisco, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , Medical Malpractice | Professional Liability | California **PRIMARY ... PURPOSE** : To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ;… more
- ICW Group (Pleasanton, CA)
- …and workflows for Audit & Compliance program. + Works closely with training specialist and claims management staff to correct deficiencies and address technical ... purpose of this job is to supervise functions of claims internal controls and to monitor team activities with...is responsible for the development and execution of the Claims audit program, identifying trends and promoting continuous improvement.… more
- Zurich NA (San Francisco, CA)
- Underwriting Specialist OR Executive Underwriter- Middle Market 121067 Zurich Middle Markets has delivered double-digit growth over the last four consecutive years, ... work collaboratively across business units including but not limited to; claims , finance, risk engineering, actuary, and technical underwriting while gaining… more
- Sedgwick (San Francisco, CA)
- …Best Workplaces in Financial Services & Insurance Senior Estimate Review Specialist **PRIMARY PURPOSE** **:** To review all estimates and supporting documentation ... services. + Monitors, assists, tracks, and provides approval for all claims that are re-inspected by the Carrier. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES**… more
- CDM Smith (San Francisco, CA)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs… more
- HUB International (San Francisco, CA)
- …the insurance community. **THE OPPORTUNITY:** The Personal Lines Client Service Specialist is responsible for providing exceptional service to our clients and ... to resolve. May also negotiate with underwriters and carriers. Troubleshoots claims and billing issues. + Produce binders, certificates, endorsements, and other… more
- Walgreens (El Cerrito, 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
- Robert Half Accountemps (Palo Alto, CA)
- Description We are seeking a Medical Billing Specialist who will play a key role in managing client billing processes, ensuring accurate invoicing, payment tracking, ... statements. Prepare monthly billing statements for direct services and insurance claims . Support month-end and year-end close procedures for Self-Pay accounts.… more
- Terumo Medical Corporation (San Francisco, CA)
- Field Clinical Specialist , Silicon Valley/Portland/Sacramento Date: Nov 15, 2025 Req ID: 4313 Location: San Francisco, CA, US Company: Terumo Medical Corporation ... (QA), and by ensuring all promotional messaging (ie branding strategies, product claims , etc.) and materials (ie literature) discussed or presented to customers are… more
- Bayer (Oakland, 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
- Molina Healthcare (San Francisco, CA)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... care experience + Experience in one or more of the following: Claims , Provider Services, Provider Network Operations, Hospital or Physician Billing, or similar.… more
- Insight Global (San Leandro, CA)
- …applications to determine the next appropriate work activity. Verify claims adjudication utilizing appropriate resources and applications. Initiate telephone or ... letter contact to patients to obtain additional information as needed. Perform appropriate follow-up functions, including manual re-submissions as well as electronic attachments to payers. Manage and maintain desk inventory, complete reports, and resolve high… more
- Horizon Services, Inc. (Hayward, CA)
- …to the executive team. + Collaborates with Learning and Staff Development Specialist to train managers on writing job descriptions, conducting behavioral and ... information, changes. + Collaborates with Learning and Staff Development Specialist to support training managers on leadership, communication, performance… 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
