NewClaims Examiner Stop Loss Coord Sr CCH Community Medical CenterClaims Examiner Stop Loss Coord Sr CCHFresno, CAHigh School Diploma, High School Equivalency (HSE) or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required• Associate''s Degree preferred Experience• 4 years of medical claims processing/adjudication experience required• Experience working with claims system/applications and troubleshooting • TriZetto/QNXT system knowledge preferred. Alternative Strong Backgrounds: Medicare Experience: Even though the role does not handle these lines directly, The department heavily utilizes CMS guidelines in their processing, so Medicare knowledge overlaps by 80% to 90%.
Pharmacy Technician-Certified Costco Wholesale CorpPharmacy Technician-CertifiedVisalia, CAAssists Pharmacists in filling prescriptions by bringing stock bottles, counting, pouring, re-stocking, labeling, and pricing prescriptions under direct Pharmacist's supervision. Answers phones and provides prompt and courteous member service including answering questions at pharmacy windows, and directing members to product location.
Pharmacy Technician Non-Certified Costco Wholesale CorpPharmacy Technician Non-CertifiedHANFORD, CAAssists Pharmacists in filling prescriptions by bringing stock bottles, counting, pouring, re-stocking, labeling, and pricing prescriptions under direct Pharmacist's supervision. Answers phones and provides prompt and courteous member service including answering questions at pharmacy windows, directing members to product location.
DOT Compliance Specialist Western MillingDOT Compliance SpecialistGoshen, CAFollow through to end of contract completion, complete payment procedure paperwork to ensure grant payment will be made in a timely manner to OHK. Ensure all vehicles are legally operational with required licenses, permits, certifications, etc. to avoid interruptions to business operations.
Medical Biller - Workers Compensation Specialist American Family Care NW FresnoMedical Biller - Workers Compensation SpecialistFresno, Californiamagazine as one of the fastest-growing companies in the U.S., AFC's stated mission is to provide the best healthcare possible, in a kind and caring environment, while respecting the rights of all patients, in an economical manner, at times and locations convenient to the patient. Today, with more than 250 clinics and 800 in-network physicians caring for over 6 million patients a year, AFC is the nation's leading provider of urgent care, accessible primary care, and occupational medicine.
Pharmacist Walgreen CoPharmacistVisalia, CA$67.35–$82.30 / hourWalgreens has approximately 211,000 team members, including roughly 85,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities. Opportunities for growth - Many pharmacists advance quickly into leadership roles in pharmacy operations, retail management, multi-site leadership, and corporate support functions.
Claims Receivables and Recovery Specialist (50627) Western GrowersClaims Receivables and Recovery Specialist (50627)Fresno, CAThe Claims Receivables and Recovery Specialist reports to the Supervisor, Payment Integrity, and works with various departments within the company to ensure all open claim receivables, which are results of claim overpayments and/or adjustments, are pursued and collected appropriately. Collect receivables for the Western Growers Assurance Trust (WGAT) and clients of the Third-Party Administrator (TPA) that may be a result of overpayments or claims adjustments by researching, writing letters, and actively making phone calls.
Claims Specialist Lead The Progressive CorpClaims Specialist LeadFresno, CA$39.18–$51.92 / hourFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/ . As a claims specialist on our team, you'll play a critical role in our ability to successfully and efficiently resolve large-loss injury claims valued over $60k.
Claims Adjuster Senior - Injury The Progressive CorpClaims Adjuster Senior - InjuryFresno, CA$36–$47 / hourFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/ . Investigating complex and high-risk claims - which may be attorney represented or have additional litigation features - you'll consult with police officers, medical professionals, claimants and others involved in the accident.
Claims Adjuster Senior - Litigation The Progressive CorpClaims Adjuster Senior - LitigationFresno, CA$36–$47 / hourFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/ . Investigating complex and high-risk claims - which may be attorney represented or have additional litigation features - you'll consult with police officers, medical professionals, claimants and others involved in the accident.
Customer Service Representative - State Farm Agent Team Member Arianna Ontiveros - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberDinuba, CAFull timeAs a State Farm team member for Arianna Ontiveros Insurance Agency, Inc State Farm Office, you will build and develop customer relationships within the community to promote State Farm products including auto, home and life insurance. Service can include responding to inquiries regarding insurance availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification.