- Providence (Mission Hills, CA)
- …best people, we must empower them. **Required qualifications:** + 2 years HMO claims processing experience in a managed care environment, preferably PMG/IPA ... Full time **Job Shift:** Day **Career Track:** Admin Support **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Mission Hills 11165… more
- Providence (Anaheim, CA)
- …+ Bachelor's Degree or equivalent education/experience. + 10 or more years HMO claims processing and/or auditing experience in a managed care environment, ... Full time **Job Shift:** Day **Career Track:** Admin Support **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Anaheim 200 W… more
- Crawford & Company (Brea, CA)
- …members of the medical profession and other persons pertinent to the investigation and processing of claims . + Verifies policy coverage for submitted claims ... is not a job post. Position Summary Administers and resolves non-complex short term claims of low monetary amounts, including medical only claims . Documents and… more
- City National Bank (Los Angeles, CA)
- …CLAIM SPECIALIST ** **WHAT IS THE OPPORTUNITY?** The Payment Claims Specialist is responsible for the investigation and processing of payment fraud ... email to discuss claim decisions, obtain additional details or follow-up on existing claims within the regulatory defined guidelines, as well as, the banks policies… more
- UCLA Health (West Hills, CA)
- …o Works with electronic billing vendor to resolve any e-billing issues, denied claims , etc. o Generates and processes all insurance claims . o Researches ... bills secondary Insurance carrier. o Inputs charges to create claims in AdvantX. o Sends electronic insurance claims...invoices, match PO and delivery confirmation o Responsible for processing all the invoices for a company and … more
- TORKLAW (Los Angeles, CA)
- …Experience in property damage or a related field + Familiarity with insurance claims processing and requirements + Excellent communication and negotiation skills ... those in need? Join us at TorkLaw! We're seeking a standout Property Damage Specialist , who thrives on challenges, excels in organization, and never loses sight of… more
- LA Care Health Plan (Los Angeles, CA)
- …incentives or any additional service needs according to specific program guidelines. Uses claims processing and care management software to look up member ... Care Management Specialist II Job Category: Clinical Department: Care Management...predictive modeling, provider's utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other… more
- Blackstone Consulting (Los Angeles, CA)
- …Agile, ability to work in a fast-paced, deadline or + Responsible for the timely processing of all LOA/FMLA claims . + Ensures all unemployment claims are ... Description/Job Summary Job Description-Human Resources Specialist The HR Specialist (HRS) with...time limits proscribed by each State. + Manages unemployment claims and leave of absence logs. + Provides assistance… more
- The County of Los Angeles (Los Angeles, CA)
- CREDENTIALING SPECIALIST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3476028) Apply CREDENTIALING SPECIALIST Salary $63,840.00 - ... typically report to a higher-level manager and are responsible for processing and maintaining credentialing documentation for review by the credentialing review… more
- The County of Los Angeles (Los Angeles, CA)
- ENVIRONMENTAL HEALTH SPECIALIST III Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3049497) Apply ENVIRONMENTAL HEALTH SPECIALIST III ... class receive administrative and technical lead from a Chief, Environmental Health Specialist and may receive technical lead from an Environmental Health … more
- LA Care Health Plan (Los Angeles, CA)
- …Excel and Power Point. Requires strong knowledge of regulatory standards and claims processing ; strong analytical, oral, written and presentation skills, able ... Customer Solution Center Appeals and Grievances Specialist II (ALD) Job Category: Customer Service Department:...complaint and appeals issues, including eligibility, access to care, claims , benefit, and quality of care concerns. Experience working… more
- Herbalife (Torrance, CA)
- Specialist , Regulatory Affairs Category: Legal Position Type: Regular Full-Time External ID: 13578 Location: Torrance, CA, United States Date Posted: Jun 13, 2024 ... POSITION SUMMARY STATEMENT: The Global Regulatory Affairs & Product Compliance Specialist works in a cross-functional environment to assist the North America… more
- Cedars-Sinai (Los Angeles, CA)
- …collections. Duties include but not limited to, reviewing and submitting claims to payors, performing account follow-up activities, updating information on patient ... account, reviewing and processing credits, posting payments, and account reconciliations. Positions at this level require expert knowledge, skill and proficiency in… more
- Cedars-Sinai (Los Angeles, CA)
- …may include preparing, indexing, and posting payments, performing daily reconciliation, processing payment transfers, reviewing and submitting claims to payors, ... department and properly using activity codes. + Accurately billing multispecialty claims within established timelines and initiating dialog with payors, patients and… more
- Cedars-Sinai (Torrance, CA)
- …Fee billing and collections. Duties include but not limited to, reviewing claims to payors, updating information on patient account, reviewing and processing ... the department and properly uses activity codes. + Accurately bills multispecialty claims within established timelines and initiates dialog with payors, patients and… more
- Allied Universal (Woodland Hills, CA)
- …including application state required guard license training, Livescan fingerprinting, guard card processing , and all new hire paperwork processing . + Creates and ... associated with the program; + Assists with the workers' compensation claims management, issuing and obtaining claim paperwork, collecting statements, and… more
- SpaceX (Hawthorne, CA)
- Sr. Customs Operations Specialist (Starlink) at SpaceX Hawthorne, CA SpaceX was founded under the belief that a future where humanity is out exploring the stars is ... of enabling human life on Mars. SR. CUSTOMS OPERATIONS SPECIALIST (STARLINK) This role will be responsible for the...Zones (FTZ) operations end to end to include daily processing zone transactions + Prepare and submit required weekly,… more
- Aston Carter (Commerce, CA)
- Job Title: Benefits SpecialistJob Description As a Benefits Specialist , you will play a crucial role in managing various aspects of employee benefits, including 401k ... fees. Your duties will also include coordinating daily benefit processing , handling enrollments, COBRA, terminations, changes, beneficiaries, disability, accident… more
- UCLA Health (Los Angeles, CA)
- Description As the Credit and Refunds Specialist , you will be responsible for: * Reviewing inpatient and outpatient claims /balances to ensure maximum collection ... providing appropriate follow-up and documenting actions taken * Reviewing and processing refunds/credit balances in each liability bucket regardless of the services… more
- Cedars-Sinai (Los Angeles, CA)
- …performing duties which may include reviewing and submitting multi-specialty claims to third party payors, performing account follow-up activities, updating ... reimbursements. You will be in charge of monitoring and processing accounts that are both straightforward or may need...**Req ID** : HRC1268782 **Working Title** : Revenue Cycle Specialist II **Department** : MNS PBS Huntington Hospital **Business… more