- 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
- 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 ... Medical Review Nurse Coder RN III ( Payment Integrity Nurse) Job Category: Clinical Department: Managed Care Services Location: Los Angeles, CA, US, 90017 Position… more
- Robert Half Accountemps (Los Angeles, CA)
- …regulatory standards. * Conduct follow-ups with insurance providers to address unpaid claims , denials, or payment discrepancies. * Collaborate with internal ... large University, is looking for a skilled Medical Collections Specialist to join the medical revenue cycle team. In...will be tasked with managing and processing medical insurance claims for acute care facilities, ensuring accuracy and efficiency… 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 (Los Angeles, CA)
- Description A Hospital is looking for an experienced Medical Collections Specialist to join its Medical Revenue Cycle team. In this role, you will focus on managing ... insurance collections and claims for acute care facilities, ensuring accurate and timely... by following up with insurance providers. * Address payment denials and discrepancies through appeals and effective communication.… more
- Robert Half Accountemps (Pasadena, CA)
- …surgical procedures. * Reviews EOBS and Denials. Make corrections as required and resubmit the claim for payments * Work on the Athena Work Dashboard / Claim ... in the need of a Surgery Medical Billing Collections Specialist . The Surgery Medical Billing Collections Specialist ...payer information via CareConnect and Insurance portals prior to claim submission * Performs all data entry and charge… more
- CDM Smith (Los Angeles, 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
- Robert Half Accountemps (Pasadena, CA)
- …Responsibilities: * Manage accounts receivable processes, including invoicing, collections, and payment reconciliation. * File claims and resolve discrepancies ... Description We are looking for a detail-oriented Accounts Receivable Specialist to join our team on a contract basis...have a proven background in managing collections and filing claims through retail customer portals. This role is critical… 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
- 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 (Torrance, CA)
- …Hospitals! **What will I be doing in this role?** The Revenue Cycle Specialist III works under general supervision and following established practices, policies, and ... Duties include but are not limited to, reviewing and submitting claims to payors, performing account follow-up activities, updating information on patient… more
- City National Bank (Los Angeles, CA)
- *FRAUD DETECTION SPECIALIST I* WHAT IS THE OPPORTUNITY? A Fraud Detection Specialist level I, will review alerts/transactions that are flagged as potentially ... normal activity. Alerts and/or transactions may consist of various payment types and colleagues in this department are tasked...outbound and/or inbound call, in addition to initiating dispute claims . This position will play a key role in… more
- CDM Smith (Los Angeles, CA)
- …ID:** 40506BR **Business Unit:** FSU **Job Description:** The FEMA Architectural Specialist : * Conducts site inspections to validate and record infrastructure ... and engineering reports, designs, and as-built plans. Makes recommendations regarding claim eligibility. * Develops or evaluates hazard mitigation proposals and… more
- CDM Smith (Los Angeles, CA)
- …ID:** 40483BR **Business Unit:** FSU **Job Description:** The Disaster Planning Specialist : * Provides technical recommendations and assists with the development of ... field, reviews FEMA Public Assistance applicant data, and makes recommendations regarding claim eligibility. * Documents damages, scopes of work and estimated costs… more
- City of Santa Monica (Santa Monica, CA)
- Public Works Construction Specialist Print (https://www.governmentjobs.com/careers/santamonica/jobs/newprint/4956091) Apply Public Works Construction Specialist ... and contractors for CIP projects. Reviews invoices and processes requests for payments . Tracks and monitors project budgets and make recommendations regarding budget… more
- Financial Partners Credit Union (Downey, CA)
- …days past due. This involves achieving resolution through up-to-date payment arrangements, repossession, extensions, legal actions, or charge-offs. Essential ... member inquiries regarding past-due accounts. + Perform account reconciliation, review payment history, and educate members on their responsibilities and the… 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
- Option Care Health (Santa Fe Springs, CA)
- …in healthcare. **Job Description Summary:** Starting Pay at $21/hour The Specialist , Patient Registration is responsible for facilitating new patient's transition to ... 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
- Clay Lacy Aviation (Van Nuys, CA)
- …+ Lead the resolution of complex payroll challenges, including retroactive payments , garnishments, and multi-state taxation, among others, with accuracy and ... escalation point for sensitive payroll issues, wage disputes, and labor claims , providing strategic counsel and documentation to mitigate legal and financial… more