- 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...insurance prior to billing + Following up on claims that were denied, rejected, or held in the… 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 ... information for payment. * Applying core knowledge of voluntary insurance products and claims processes to review...letters. Lincoln will not ask applicants to provide their social security numbers, date of birth, bank account information… 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
- 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,...1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon,… more
- The County of Los Angeles (Los Angeles, CA)
- …employees do not pay into Social Security, but do pay the Medical Hospital Insurance Tax portion of Social Security at a rate of 1.45%. The Los Angeles ... ENVIRONMENTAL HEALTH SPECIALIST III Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3049497) Apply ENVIRONMENTAL HEALTH SPECIALIST III… more
- The County of Los Angeles (Los Angeles, CA)
- …employees do not pay into Social Security, but do pay the Medical Hospital Insurance Tax portion of Social Security at a rate of 1.45%. The Los Angeles ... ENVIRONMENTAL HEALTH SPECIALIST II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1240253) Apply ENVIRONMENTAL HEALTH SPECIALIST II… more
- The County of Los Angeles (Los Angeles, CA)
- …employees do not pay into Social Security, but do pay the Medical Hospital Insurance Tax portion of Social Security at a rate of 1.45%. The Los Angeles ... ENVIRONMENTAL HEALTH SPECIALIST IV Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3074682) Apply ENVIRONMENTAL HEALTH SPECIALIST IV… more
- The County of Los Angeles (Los Angeles, CA)
- …employees do not pay into Social Security, but do pay the Medical Hospital Insurance Tax portion of Social Security at a rate of 1.45%. The Los Angeles ... CREDENTIALING SPECIALIST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3476028) Apply CREDENTIALING SPECIALIST Salary $63,840.00 -… more
- The County of Los Angeles (Los Angeles, CA)
- …employees do not pay into Social Security, but do pay the Medical Hospital Insurance Tax portion of Social Security at a rate of 1.45%. The Los Angeles ... ENVIRONMENTAL HEALTH SPECIALIST I (TEMPORARY) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2892557) Apply ENVIRONMENTAL HEALTH … more
- LA Care Health Plan (Los Angeles, CA)
- Care Management Specialist II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 10945 ... safety net required to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills and training to perform essential functions of… more
- The County of Los Angeles (Los Angeles, CA)
- …employees do not pay into Social Security, but do pay the Medical Hospital Insurance Tax portion of Social Security at a rate of 1.45%. The Los Angeles ... STATIONARY ENGINEER CONTROLS SPECIALIST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3721998) Apply STATIONARY ENGINEER CONTROLS … more
- The County of Los Angeles (Los Angeles, CA)
- …employees do not pay into Social Security, but do pay the Medical Hospital Insurance Tax portion of Social Security at a rate of 1.45%. The Los Angeles ... CONSULTING SPECIALIST , MD Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1213555) Apply CONSULTING ...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be… more
- BrightSpring Health Services (Los Angeles, CA)
- …Inc. is a leading provider in home Infusion therapy. We are looking for a Collection Specialist to join our Revenue Cycle Management (RCM) team as we grow to be one ... top home infusion providers in the country. The Collection Specialist will report to the Collection Manager and work...establish appropriate follow up. + Resubmit accurate and timely claims in formats including, but not limited to, CMS-1500… more
- Dialysis Clinic, Inc. (Sacramento, CA)
- …for assigned patients by staying in contact with clinical staff and social workers, calling insurance companies and providing online verification. Responsible ... a lower caregiver-to-patient ratio than other providers. **The AR Specialist ** will provide continual and accurate documentation regarding eligibility,… more
- Trinity Health (Fresno, CA)
- …processes record requests, phone support backup coverage. **_Position Purpose:_** Document Specialist position is responsible and accountable for the processing of ... and paperwork is received timely for the submission of claims . + Responds to all system issues by preparing...**_Position Highlights and Benefits:_** + _Medical, dental and vision insurance - day one benefits_ + _Short and long-term… more
- Sharp HealthCare (San Diego, CA)
- …Group Appeals on members with SNF services under appeals process.Reviews SNF claims for medical necessity and appropriateness when any information on the claim ... is disputed and claims department is requesting verification. + Plan of care...the physician and the interdisciplinary team as appropriate regarding insurance coverage, discharge planning support, and post discharge care… more
- Providence (Santa Rosa, CA)
- …Caregivers will be expected to provide proof of driver license and auto insurance upon request. See policy for additional information. + 5 years Progressive ... to identify potential losses, protect records and evidence, monitor claims , manage the acceptance of legal service and to...1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon,… more
- Sacramento County (Sacramento, CA)
- … programs or deferred compensation programs for a large public or private group insurance office; Or(C) As a group claims supervisor or major health and/or ... in the development and administration of the health, dental, and life insurance ; deferred compensation; and related programs of the County's Employment Benefits… more
- The County of Los Angeles (Los Angeles, CA)
- …employees do not pay into Social Security, but do pay the Medical Hospital Insurance Tax portion of Social Security at a rate of 1.45%. The Los Angeles ... one community library as needed. Public Services Administration Serves a departmental specialist in the evaluation and selection of library materials customized for… more
- The County of Los Angeles (Los Angeles, CA)
- …employees do not pay into Social Security, but do pay the Medical Hospital Insurance Tax portion of Social Security at a rate of 1.45%. The Los Angeles ... Facilities Evaluator I.* LICENSE: A certificate as a Registered Environmental Health Specialist issued by the California State Department of Health Services.** A… more