- UCLA Health (Los Angeles, CA)
- …operation requirements, policies, and procedures. You will: + Review and process provider dispute resolutions according to state and federal designated ... You will be responsible for the accurate analysis and resolution of provider disputes. This will require...adjust claims and determine the root cause of the dispute + Draft written responses to providers in a… more
- LA Care Health Plan (Los Angeles, CA)
- …research) for all inquiries both internal and external; Fields and responds to Provider Dispute Resolution (PDR) requests stemming from Payment Integrity ... Payment Integrity Analyst III (ALD) Job Category: Claims Department: Claims...public agency created by the state of California to provide health coverage to low-income Los Angeles County residents.… more