- Crawford & Company (Brea, CA)
- …and/or clients. + Approves payments of medical bills on lost time disability claims within area of payment authority up to, but not exceeding, $2,500 after ... We Touch We are always searching for Workers Compensation Claim Examiners in the California region to join our...post. Position Summary Administers and resolves non-complex short term claims of low monetary amounts, including medical only … more
- Illumination Foundation (Santa Ana, CA)
- …in understanding, reading EOB's and Remittance Advice + Posting payment accurately to claims and continuing with the claim close out process (as needed). + ... Angeles County and the Inland Empire. Job Description The Claims Specialist is responsible for accuracy of...provider portals or authorization letters on Kipu prior to claim submission. + Reviewing claims prior to… more
- SCI Shared Resources, LLC (Whittier, CA)
- …vendor (American Funeral Financial) to ensure timely payment . Submit claims for Batesville rebates, process payments , research credit balances, submit ... and troubleshoot situations. Elevates problems up to the Account Claims Specialist II when unable to resolve.... claims and assist with third party insurance claims timely. + Submit total casket protection claim… more
- Lincoln Financial Group (Los Angeles, CA)
- …**The Role at a Glance** We are excited to bring on a highly motivated **Group Claims Specialist ** to support our ever-growing claims organization in a work ... west coast employer groups. _Background details_ As a Group Claims Specialist , you will support our Short...and reviewing medical records, and making timely and ethical claim determinations. You'll complete a thorough training to develop… more
- Providence (Mission Hills, CA)
- …policies, procedures and technologies. Must be familiar with applicable State and Federal claim payment and denial timeliness legislation. Must be familiar with ... **Description** Manage the claims internal audit functions, which includes audit process...internal audit functions, which includes audit process for adjudicated claims and encounters. Monitor check run process for accuracy.… more
- Providence (Mission Hills, CA)
- …special handling in accordance with established policy guidelines. Reviews and authorizes payment and final disposition of claims requiring adjustment and ... **Description** Responsible for processing medical claims . Resolves complex, difficult or non-routine claims requiring… more
- Robert Half Accountemps (Costa Mesa, CA)
- …to billing. * Experience in Audit procedures, specifically related to billing and claims . * Familiarity with Billing procedures and Claim Administration. * Fast ... a contract to hire employment opportunity for a Billing Specialist I to join our team in Costa Mesa,...dynamic team in the healthcare industry, working primarily on claims and customer service related tasks. Responsibilities: * Respond… more
- CDM Smith (Los Angeles, CA)
- …applicant-provided cost claims for reasonableness to report to FEMA regarding claim eligibility. Participates in and assists with the development of the final ... **Business Unit:** FSU **Job Description:** The FEMA Disaster Management Construction Specialist : * Schedules and conducts site inspections with applicants, performs… more
- Deloitte (Los Angeles, CA)
- …working in one of the following sub service areas: Insurance Products, Underwriting, Claims , Billing & Payments , Policy Administration or Distribution + Minimum ... Operations & Technology Transformation Specialist Master, Guidewire Data Migration - ETL Developer...including Health Care & Life Sciences, Digital Banking & Payments , Investment & Wealth Management, Insurance, Telecom, Media and… more
- Cedars-Sinai (Los Angeles, CA)
- …indexing, and posting payments , performing daily reconciliation, processing payment transfers, reviewing and submitting claims to payors, performing ... supervision and following established practices, policies, and guidelines, provides payments indexing and posting to Patient Financial Services, performing duties… more
- Cedars-Sinai (Los Angeles, CA)
- …collections support, performing duties which may include reviewing and submitting claims to third party payors, performing account follow-up activities, updating ... all applicable job aids and processes for unit. Applies "TCR" Touch It, Claim It, Resolve It. + Adheres to documentation standards of the department. Properly… more
- Robert Half Accountemps (Van Nuys, CA)
- …in the San Fernando Valley is looking to add a Hospital Medical Collections Specialist to the team. The Hospital Medical Collections Specialist will be ... collection processes within a hospital setting. The Hospital Medical Collections Specialist will also be responsible for managing Medicare managed care, commercial,… more
- Cedars-Sinai (Torrance, 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
- CDM Smith (Los Angeles, CA)
- …ID:** 37077BR **Business Unit:** FSU **Job Description:** The Disaster Engineering Specialist : * Conducts site inspections to validate and record infrastructure ... reports, designs, and as-built plans. * Makes recommendations regarding claim eligibility. Develops or evaluates hazard mitigation proposals and benefit-cost… more
- Option Care Health (Sun Valley, 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...required documentation for new referrals. + Secures patient's upfront payment including assisting patients to find avenues for … 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 (Torrance, CA)
- …Fee billing and collections. Duties include but not limited to, reviewing claims to payors, updating information on patient account, reviewing and processing ... credits, posting payments , and account reconciliations. Positions at this level require...and properly uses activity codes. + Accurately bills multispecialty claims within established timelines and initiates dialog with payors,… more
- CDM Smith (Los Angeles, 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
- Immigration and Customs Enforcement (Santa Ana, CA)
- …or juggling multiple duties at the same time. As a Mission Support Specialist , at the full performance level you will perform the following duties: Coordinating ... met by the closing date of this announcement. Qualification claims will be subject to verification. National Service Experience...review of financial issues such as delinquency in the payment of debts, child support and/or tax obligations, as… more
- Elevance Health (Los Angeles, CA)
- …preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing guidelines, payer ... 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 … more