- Scripps Health (San Diego, CA)
- …in a fast-paced environment and has a passion for insurance and medical claims . As a Patient Account Specialist , you will be responsible for the following: ... Health for over 10 years. As a Patient Account Specialist , you will be supporting the Billing Services department...guidelines. * Follows-up with insurance carriers timely on unpaid claims until claims are paid or only… more
- Illumination Foundation (Santa Ana, CA)
- …across Orange County, Los Angeles County and the Inland Empire. Job Description The Claims Specialist is responsible for accuracy of claims submission, ... eligibility verification, accuracy of client information. In addition, the Claims Specialist is also responsible for keeping...+ Associate's Degree + Bachelor's degree + Experience in Medical Billing and Primary Care Billing + Medical… more
- Sedgwick (Sacramento, CA)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Surety Claims Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically ... difficult surety and surety bond claims ; to provide resolution of highly complex nature and/or...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- Lincoln Financial Group (Sacramento, CA)
- …73278 **The Role at a Glance** We are excited to bring on highly motivated Voluntary Claims Specialist I to staff our ever-growing claims organization. As a ... administering, processing, and adjudicating Accident, Critical Illness, and Hospital Indemnity claims for our members. You'll complete a thorough training to develop… more
- Crawford & Company (Brea, CA)
- …the processing of the claim. + Identifies wage loss expenses and wage exposures on medical claims . + Documents receipt and contents of medical reports. ... not exceeding, $2,500 after compensability has been determined. + Evaluates medical claims for potential fraud issues, loss control and recovery in accordance… more
- Axis (Los Angeles, CA)
- …contributor directly reviewing primary and excess Financial Institutions and Management Liability claims to determine nature of loss, coverage provided, and scope of ... claim and to make recommendations regarding settlement/disposition of claims . Responsible for severity inventory. Please note this role can be based in any Axis… more
- Providence (Mission Hills, CA)
- **Description** Responsible for processing medical claims . Resolves complex, difficult or non-routine claims requiring special handling in accordance with ... policy guidelines. Reviews and authorizes payment and final disposition of claims requiring adjustment and claims benefit determination for reinsurance… more
- LA Care Health Plan (Los Angeles, CA)
- Claims Documentation Specialist II Job Category: Claims Department: Claims Data and Support Services Location: Los Angeles, CA, US, 90017 Position Type: ... net required to achieve that purpose. Job Summary The Claims Documentation Specialist II is responsible for...Off (PTO) + Tuition Reimbursement + Retirement Plans + Medical , Dental and Vision + Wellness Program + Volunteer… more
- Providence (Anaheim, CA)
- **Description** Manage the claims internal audit functions, which includes audit process for adjudicated claims and encounters. Monitor check run process for ... accuracy. Develop policies and procedures for periodic claims audits and ensure compliance with affiliated health plans,...valued - they're invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused,… more
- Robert Half Office Team (Valley Center, CA)
- …company in Valley Center, CA is currently in need of an Insurance Specialist for immediate hire. The successful candidate will assist with policy management, ... claims handling, and risk assessment procedures. Responsibilities: + Liaise...clients' queries. Requirements + Proven experience as an insurance specialist , agent, or similar role. + Strong understanding of… more
- Guidehouse (San Marcos, CA)
- …Required** **:** None **What You Will Do** **:** The **Credit Balance Specialist ** will manage credit balance workloads and respond and follow-up on external ... **What Would Be Nice To Have** **:** + Healthcare claims background + PC skills in a Windows environment...creating a diverse and supportive workplace. Benefits include: + Medical , Rx, Dental & Vision Insurance + Personal and… more
- USAA (Los Angeles, CA)
- …makes us so special! **The Opportunity** We are seeking a dedicated Property Adjuster Specialist located in **Long Beach, CA** to join our field Team. As a Insurance ... Property Adjuster Specialist , you will work within established guidelines and framework...to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will… more
- USAA (San Jose, CA)
- …what makes us so special! USAA is seeking an experienced Field Property Adjuster Specialist in the San Jose, CA area. Relocation assistance is not available for this ... travel outside of their local territory to respond to claims in other regions when needed. This is an...paid overtime available. **The Opportunity** As a Property Adjuster Specialist you will work within defined guidelines and framework,… more
- Robert Half Accountemps (Whittier, CA)
- …billing. The Medical Billing Specialist will be responsible for submitting medical claims to insurance companies and payers such as HMO and PPO Job ... Practice is currently in the need of a diligent, detail-oriented, and detail oriented medical billing specialist to join our dedicated team in boosting our… more
- Robert Half Accountemps (Covina, CA)
- Description We are seeking a Medical Collections Specialist to join our team in the healthcare industry, based in Covina, California. This role involves managing ... medical collections, ensuring prompt billing and collection procedures for...up with insurance companies on unpaid, denied, and rejected claims . * Work with claims 150 aged… more
- Robert Half Accountemps (Manhattan Beach, CA)
- Description We are a dynamic and fast-paced healthcare provider seeking a Surgery Medical Collections Specialist to join our finance team. The ideal candidate ... will have a deep understanding of medical and surgical billing, insurance claims procedures and advanced negotiation skills. They will be responsible to provide… more
- Robert Half Accountemps (Poway, CA)
- …Review and verify patient billing information for accuracy in invoice preparation. + Submit medical claims to insurance companies and payers such as Medicare and ... comprehensive and high-quality medical care. We are looking for a motivated Medical Billing Specialist to join our dedicated and compassionate team. We offer… more
- Robert Half Accountemps (Los Angeles, CA)
- …A Hospital Business Office is currently seeking a dedicated and detail-oriented Medical Insurance Collections Specialist . The successful candidate will be ... initiate refunds when necessary. + Review accounts for unpaid claims and take necessary actions to collect. + Resolve...have at least 3 years of experience in a Medical Biller/Collections Specialist role or similar in… more
- Elevance Health (Walnut Creek, CA)
- **Plan to Plan Service Specialist I** **Location :** Ideal candidates will live within 50 miles of an Elevance Health PulsePoint office location. The Plan to Plan ... Service Specialist I is responsible for serving as a single...of contact in responding to all Plan to Plan claims inquiries and resolving related issues. Plan to Plan… more
- Robert Half Accountemps (Long Beach, CA)
- …Are you motivated, with attention to detail? This growing company is hiring a Medical Collections Specialist with strong behavioral health skills. The Medical ... up with insurance rendered regarding denials and rejections. The Medical Collections Specialist must be well versed...and following up insurance companies daily to resolve outstanding claims issues. - Report any identified billing issues that… more