- ICW Group (Pleasanton, CA)
- …to drive claims to an equitable resolution within Company standards. The Claims Specialist works with a sense of urgency, understands insurance coverage ... JOB** This role will be responsible for handling complex claims with a focus on providing exceptional service for...DUTIES AND RESPONSIBILITIES** Manages all aspects of a complex claims inventory in CA jurisdiction. + Effectively communicates with… more
- Philadelphia Insurance Companies (Walnut Creek, CA)
- …Top 50 and rated A++ by AM Best. Duties: We are looking for a Claims Specialist - Professional Liability to join our team. JOB SUMMARY: Investigate, evaluate ... and settle more complex first and third party insurance claims . JOB RESPONSIBILITIES: Evaluates each claim in light of...investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Communicates with… more
- Robert Half Office Team (Oakland, CA)
- …looking for a career in Healthcare? Robert Half is hiring for a Medical Billing Specialist to join our client's team! The Medical Billing Specialist will be ... a fast-paced environment. Key Responsibilities: . Prepare and submit accurate medical claims to insurance companies and patients. . Verify patient insurance coverage… more
- Deloitte (San Jose, CA)
- Manager/ Specialist Master, Operations & Technology Transformation, Insurance, Guidewire Integration & Configuration What we do Operations and Technology ... contributing to the development of junior staff. Your role As a Manager/ Specialist Master you will bring considerable technical expertise to deliver effective… more
- San Jose State University (San Jose, CA)
- … Specialist Apply now (https://secure.dc4.pageuppeople.com/apply/873/gateway/default.aspx?c=apply&lJobID=535854&lJobSourceTypeID=837&sLanguage=en-us) Job no: 535854 ... of the Associate Director of Procurement to Payment Services, the Payment Specialist is responsible for processing the payment of invoices and reimbursements and… more
- CDM Smith (Walnut Creek, CA)
- …39321BR **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
- Deloitte (San Jose, CA)
- Manager/ Specialist Master, Operations and Technology Transformation, Guidewire Data Architect What we doOur Operations and Technology Transformation team (OTT) ... on January 31, 2025 Work you'll do As an OTT Insurance Transformation Manager/ Specialist Master, you will bring technical expertise to deliver effective solutions to… more
- Stryker (San Jose, CA)
- …We are currently seeking a **Senior Staff Regulatory Affairs Specialist ** to join our Endoscopy division based hybrid on-site three ... you will do** As the **Senior Staff Regulatory Affairs Specialist ** , you will play an integral role on...+ Provides regulatory information and guidance for proposed product claims /labeling + Ensures that the clinical and nonclinical data,… more
- Walgreens (Oakland, 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
- Option Care Health (Hayward, CA)
- …and retaining a diverse workforce. **Job Description Summary:** The Specialist , Patient Registration is responsible for facilitating new patient's transition ... Care Health makes it easy to transition care. The Specialist , Patient Registration works in conjunction with Sales to...+ Supports the ongoing activities needed to ensure clean claims on hold and denial management (follow-up on paperwork… more
- CDM Smith (Walnut Creek, 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
- CDM Smith (Walnut Creek, CA)
- …ID:** 39180BR **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
- Alameda Health System (Oakland, CA)
- Eligibility Specialist I + Oakland, CA + Finance + HGH Enrollment + Full Time - Day + Req #:40157-29608 + FTE:1 + Posted:November 4, 2024 **Summary** **Job Summary** ... : Under general supervision, the Eligibility Specialist I (ES I) performs a variety of hospital...prescribed timelines, to ensure timely and accurate submission of claims needed to maximize reimbursement to the Medical Center.… more
- Randstad US (Milpitas, CA)
- union/certified payroll specialist . + milpitas , california + posted 5 days ago **job details** summary + $35 - $40 per hour + temp to perm + no requirements + ... details Randstad is looking for an experienced union/certified payroll specialist who lives in or near the Milpitas area....+ Assist in processing payroll weekly + Process expense claims , per-diem, and allowances + Assist new employees with… more
- Abbott (Livermore, CA)
- …serve people in more than 160 countries. **Job Title** **Insurance Data Management, Specialist III** **Working at Abbott** At Abbott, you can do work that matters, ... as the liaison between insurance companies, patients and the departments; + Ensure claims are processed and followed up to meet company goals of account receivable… 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
- Abbott (Livermore, CA)
- …activities to ensure timely submission of primary, secondary and tertiary insurance claims . Serve as a subject matter expert. + Review and approve adjustments ... and claim appeal submitted by Specialist of Patient Accounts. + Conduct quality assurance reviews...software (such as XiFin, Telcor, Carevoyant, or Quad X), claims processing systems, Salesforce or other CRM system, Electronic… more
- San Jose State University (San Jose, CA)
- …foreign country suppliers require consultation with non-Resident Alien Tax Specialist . Set up supplier tax reporting information accordingly. + Responsible ... and/or develop plans for their resolution. + Process, troubleshoot, and analyze Claims process, identify problem areas and time constraints preventing claims … more
- Alameda Health System (Oakland, CA)
- …Coding Clinics, Medicare conditions of payments (NCD/LCDs), Medicare Benefits and Claims Manual; performs quality reviews on medical records by validating assignment ... AAPC Certified Professional Coder (CPC) or AHIMA's Certified Coding Specialist (CCS-P) or Certified Documentation Improvement Practitioner (CDIP). Alameda Health… more