Claims Examiner II

Job SummaryWe are seeking a skilled Claims Examiner II to join our team at Ultimate Staffing. As a Claims Examiner II, you will be responsible for analyzing claims for appropriate payer based on a combination of coding, medical group's service area, and contract per the Division of Financial Responsibility (DoFR) document.Key ResponsibilitiesClaims Analysis:...

Job SummaryLHH Recruitment Solutions is seeking a skilled Medical Claims Examiner to join our team in Sacramento, CA. As a Medical Claims Examiner, you will be responsible for analyzing claims to determine the appropriate payer based on coding, medical group service areas, and Division of Financial Responsibility (DoFR) guidelines.Key...

Job SummaryWe are seeking a highly skilled Medical Claims Examiner to join our team at Benefit & Risk Management Services, Inc. As a Medical Claims Examiner, you will be responsible for ensuring that claims are processed correctly and efficiently, while meeting production requirements.Key Responsibilities:Review and analyze claims data to ensure accuracy and...

Job SummaryBCforward is seeking a highly motivated Claims Examiner - Workers Compensation to join our team. As a Claims Examiner, you will be responsible for analyzing and managing workers compensation claims to ensure compliance with company standards and industry best practices.Key ResponsibilitiesClaims Analysis: Conduct thorough analysis of workers...

Job SummaryThe Sacramento County CA is seeking a highly skilled Workers' Compensation Claims Examiner to join our team. As a key member of our compensation team, you will be responsible for administering the County's self-insured Workers' Compensation Program.Key ResponsibilitiesAdminister indemnity workers' compensation cases from inception to...

Job SummaryThe Sacramento County CA is seeking a highly skilled Workers' Compensation Examiner to join our team. As a key member of our compensation team, you will be responsible for administering the County's self-insured Workers' Compensation Program.Key ResponsibilitiesAdminister indemnity workers' compensation cases from inception to closure.Attend...

About the PositionThis is a continuous filing exam. Next filing cut-offs are at 5:00 pm on: 6/28/24, 7/19/24 (Final)Job SummaryUnder direction, the Workers' Compensation Examiner performs specialized claims service in the administration of the County's self-insured Workers' Compensation Program. Incumbents in this class administer the indemnity workers'...

Job SummaryWe are seeking a skilled Medical Claims Adjustor to join our team at CVS Health. As a Medical Claims Adjustor, you will play a critical role in reviewing and adjusting SF, FI, Reinsurance, and/or RX claims, ensuring that they are processed in accordance with claim processing guidelines.Key ResponsibilitiesReview and adjust claims to ensure...

Job SummaryWe are seeking a highly skilled and experienced Plans Examiner II/Senior to join our team at the City of West Sacramento, CA. As a key member of our Community Development Department, you will be responsible for reviewing and inspecting building plans to ensure compliance with local and state building codes.Key ResponsibilitiesReview and inspect...

Insurance Verification Specialist OpportunityRiver City Staffing is seeking a skilled Insurance Verification Specialist to join our team in Sacramento. As a key member of our healthcare industry team, you will be responsible for verifying insurance coverage and ensuring seamless coordination with our clients.Key Responsibilities:Verify insurance coverage and...

About the RoleWe are seeking a highly skilled Appeals Examiner to join our team at Gainwell Technologies. As an Appeals Examiner, you will play a critical role in reviewing provider appeals and making determinations based on approved guidelines and documentation.Key ResponsibilitiesReview and analyze appeal documentation to ensure all aspects of the appeal...

Job Title: Information Technology Specialist IIThis is a 12-month limited-term position that may be extended or made permanent at any time. The reporting location for this position is Sacramento.This is a remote-centered telework position that will telework 90% of the time. A teleworker is considered Remote-centered if they work fifty (50%) or more of their...

Job Description and DutiesUnder the direction of the California Department of Aging's (CDA) Assistant Director of the Office of the Long-Term Care (LTC) Patient Representative (OLTCPR), the Health Program Manager II (HPM II) oversees the day-to-day operations of the office and supervises a team of Health Program Specialists I (HPS I), Staff Service Managers...

Job Description and DutiesUnder the general direction of the Staff Services Manager III over the Public Support Section, the Staff Services Manager II performs at the full managerial level and plans, organizes, directs, and administers the work of professional staff with a diverse set of tasks and functions, which are managed by three (5) Staff Services...

Job Title: Behavior Specialist IIJoin the California Department of Developmental Services as a Behavior Specialist II and contribute to the delivery of high-quality services to individuals with developmental disabilities.About the RoleThis is a permanent, full-time position that requires a strong commitment to person-centered care and a passion for creating...

Job Description and DutiesUnder the direction of the California Department of Aging's (CDA) Assistant Director of the Office of the Long-Term Care (LTC) Patient Representative (OLTCPR), the Health Program Manager II (HPM II) oversees the day-to-day operations of the office and supervises a team of Health Program Specialists I (HPS I), Staff Service Managers...

Job SummaryWe are seeking a highly skilled and detail-oriented Coroner Technician Level I/II to join our team at the Sacramento County Coroner's Office. As a key member of our morgue services team, you will assist forensic pathologists with autopsy examinations, prepare bodies for examination, and maintain a safe and sanitary environment.Key...

Job Description and DutiesThis is a reposted bulletin. If you previously applied, it is not necessary to reapply.The Department of Health Care Access and Information is seeking a highly skilled Research Data Supervisor II to lead the Healthcare Data Resources Unit (HDRU). The successful candidate will be responsible for planning, organizing, directing, and...

About the RoleKaiser Permanente is seeking a skilled Ultrasound Technologist Level II to join our team in Sacramento, California.This is a unique opportunity to work in a dynamic environment where you will be responsible for producing high-quality ultrasonic recordings of internal organs for use by physicians in diagnosis and treatment of diseases.Key...

About the RoleThe Department of Health Care Services (DHCS) is seeking a highly motivated and experienced individual to join our team as an Information Technology Specialist II (ITS II) within the Data Exchange Branch.Key ResponsibilitiesStreamline and automate data operations to ensure data quality, reliability, and accessibility across our...