- City National Bank (Los Angeles, CA)
- * PAYMENTS CLAIM SPECIALIST * WHAT IS THE OPPORTUNITY? The Payment Claims Specialist is responsible for the investigation and processing of ... payment fraud claims and disputes with precision...reviews, identification of miss/near miss opportunities etc. A successful Payment Claim Specialist will be… more
- Travelers Insurance Company (Sacramento, CA)
- …Provide quality claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...Science medical products, clinical trial and pharmaceutical bodily injury claims , as well as General Liability Coverage B … more
- CVS Health (Sacramento, CA)
- …handle customer service inquiries and problems. Additional Responsibilities - Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- Illumination Foundation (Santa Ana, CA)
- …understanding, reading EOB's and Remittance Advice + Posting payment accurately to claims and continuing with the claim close out process. + Assist ... Angeles County and the Inland Empire. Job Description The Claims Specialist is responsible for accuracy of...keeping up to date accounts receivable for both CalAIM, claim follow-up, and must have knowledge of Billing codes.… more
- Carrington (Anaheim, CA)
- …and Supervisor informed of all trends and problems including, but not limited to, claim denials/curtailments and claim payment offsets. + Moderate working ... our amazing team and work remote from home!** The Claims Recovery & Loss Analysis Specialist is...advances once the GSE or Government Mortgage Insured "expense" claim has been paid. + Maintain updates in LoanServ… more
- San Francisco Federal Credit Union (San Francisco, CA)
- …Drafts, Wires, Mobile Deposits and all other types of transactions. The Electronic Payments Specialist is also responsible for Credit and Debit card services ... POSITION: Electronic Payment Services Specialist I DEPARTMENT: Electronic...files. Process credit/debit card and ATM fraud and dispute claims . Have a thorough understanding of Mastercard rules and… more
- Cedars-Sinai (CA)
- …arise. **Department specific responsibilities include:** Analyzes, trends, reports out, and resolves pended claims in PB Claim Edit WQs and PB Payer Rejection ... clean claim submissions and timely reimbursement. Completes special PB claims related projects as assigned. These projects could include trending issues to… more
- LA Care Health Plan (Los Angeles, CA)
- …within the claim adjudication process through medical record review for Payment Integrity and Utilization Management projects. The position serves as a subject ... Payment Integrity Nurse Coder RN III Job Category:...coding elements. Audits can include inpatient, outpatient, and professional claims . Serves cross functionally with Utilization Management, Medical Directors,… more
- Robert Half Accountemps (Los Angeles, CA)
- Description We are looking for a skilled Surgery Medical Collections Specialist to join our team. In this role the Surgery Medical Collections Specialist will ... critical part in managing insurance follow-ups, addressing medical appeals, and resolving claim denials. This position is ideal for someone with expertise in medical… more
- The County of Los Angeles (Los Angeles, CA)
- …(CAM) and other property related charges, reconciliations are accurate and develops a payment plan for any over/under payments . Ensures property management staff ... CHIEF PROGRAM SPECIALIST , CEO - REAL ESTATE Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4905644) Apply CHIEF PROGRAM SPECIALIST , CEO -… more
- Robert Half Accountemps (Alhambra, CA)
- … claims for acute care facilities, using your expertise in UB-04 claims processing. The Hospital Medical Insurance Collections Specialist must be proficient ... Angeles is currently seeking a Hospital Medical Insurance Collections Specialist to join our client's team. The Hospital Medical...+ Follow up with insurance carriers to resolve unpaid claims and address denials or payment discrepancies.… more
- Carrington (Anaheim, CA)
- …completes the Set-up bankruptcy filings process, Motion for Reliefs, Proof of Claims , Transfer of Claims , Reaffirmations, Notice of Final Cures, Post-Petition ... Fee notices, Payment Change Notices and the Closing process for accuracy...the set-up bankruptcy filings, Motion for Reliefs, Proof of Claims , Transfer of Claims , Reaffirmations, Notice of… more
- Robert Half Accountemps (Los Angeles, CA)
- …standards and regulations. * Follow up with insurance carriers to resolve unpaid claims , address denials, and rectify payment discrepancies. * Collaborate with ... efficiency and accuracy. * Excellent communication and problem-solving skills to address payment discrepancies and resolve claims . * Ability to maintain… more
- US Pacific Fleet (CA)
- …when selecting individuals under this specific hiring authority. However, if you claim veteran's preference, you will be required to submit supporting documentation ... eligible selectees. A relocation incentive is generally a single payment intended to offset some of the relocation costs...above to see if any are required. If you claim membership, license, certification, or credentials, you must submit… more
- HCA Healthcare (Campbell, CA)
- …implemented and executed accurately + May do analysis in conjunction with Finance or the Claims team to ensure claims payments are accurate, and participate ... worth of each individual is recognized. Submit your application for our Contract Specialist opening with HCA Healthcare today and find out what it truly means… more
- Option Care Health (Sacramento, CA)
- …hours of receipt. + Follows up on invoices submitted to ensure prompt and timely payment . Calls to verify that claims submitted were received and are in ... payer, of any type, for all services and products provided. Evaluates payments received and application to the patient account. Follows-up with responsible parties… more
- Amazon (San Francisco, CA)
- …workflow and mail operations at our corporate office. The Correspondence Specialist handles the essential task of processing and mailing secondary insurance ... claims with primary EOBs, preparing and submitting insurance appeals,...compensation company. Dependent on the position offered, equity, sign-on payments , and other forms of compensation may be provided… more
- CDM Smith (San Francisco, CA)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes...and make recommendations to FEMA as to whether the claim is eligible. Assists with the development of the… more
- CDM Smith (Irvine, 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
- Prime Healthcare (Ontario, CA)
- …Responsibilities The Patient Account Specialist is responsible for submitting ... Patient Account Specialist is also responsible for accurate and timely payment analysis of managed care contracts to determine that appropriate reimbursement is… more