- 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
- Crawford & Company (Brea, CA)
- …and/or clients. + Approves payments of medical bills on lost time disability claims within area of payment authority up to, but not exceeding, $2,500 after ... We Touch We are always searching for Workers Compensation Claim Examiners in the California region to join our...post. Position Summary Administers and resolves non-complex short term claims of low monetary amounts, including medical only … 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 Manager ... Angeles County and the Inland Empire. Job Description The Claims Specialist is responsible for accuracy of...to date accounts receivable for both CalAIM and IFMG, claim follow-up, and must have knowledge of billing codes.… more
- Lincoln Financial Group (Los Angeles, CA)
- …**The Role at a Glance** We are excited to bring on a highly motivated **Group Claims Specialist ** to support our ever-growing claims organization in a work ... west coast employer groups. _Background details_ As a Group Claims Specialist , you will support our Short...and reviewing medical records, and making timely and ethical claim determinations. You'll complete a thorough training to develop… more
- Robert Half Accountemps (Costa Mesa, CA)
- Description We are looking for a Medical Collections Specialist to join our team in Costa Mesa, California. The role will focus on working with insurance companies, ... government payors, and patients for the resolution of payments and accounts. The successful candidate will be responsible for evaluating claims , initiating… more
- Lincoln Financial Group (Glendale, CA)
- … Specialists to staff our ever-growing claims organization. As a Leaves Claims Specialist , you will be responsible for administering and managing leave ... more about a Day in the Life (https://www.youtube.com/watch?v=vbSYiXOPSII&feature=youtu.be) of a Claims Specialist at Lincoln Financial Group! **What you'll be… more
- Providence (Mission Hills, CA)
- …special handling in accordance with established policy guidelines. Reviews and authorizes payment and final disposition of claims requiring adjustment and ... **Description** Responsible for processing medical claims . Resolves complex, difficult or non-routine claims requiring… more
- Social Security Administration (Whittier, CA)
- …and make final decisions for initial and post-entitlement for benefits and payments ; adjudicate and authorize entitlement or disallowance actions at all levels of ... by SSA; and use state of-the-art technology to access and update claims information. Requirements Conditions of Employment Qualifications Applicants must have 52… more
- Conduent (Los Angeles, CA)
- …of incorrectly paid claims arising from COB issues, data mining, duplicate claim payments , client referrals, etc. Including but not limited to analyzing the ... Specialist ** **Pay $18-20hr based on experience** The Insurance/Collections Specialist is responsible for analyzing medical claims data, seeking… more
- Robert Half Accountemps (Baldwin Park, CA)
- …working on claim edits, and ensuring accurate and timely processing of claims . Responsibilities: * Handle claim edits, investigate denied claims , and ... Description We are seeking a Medical Billing Specialist in the healthcare industry located in Baldwin...resubmit claims as needed. * Submit claims timely through electronic or paper mode using the… more
- Robert Half Accountemps (Covina, CA)
- …managing CMS1500 forms, working on claim edits, submitting, and following up on claims . The Medical Billing Specialist must have experience with claims ... Description The role of the Medical Billing Specialist will include handling day-to-day medical billing procedures,...healthcare system and ensure accurate and timely processing of claims . Responsibilities: * Handle claim edits, investigate… more
- LA Care Health Plan (Los Angeles, CA)
- …in coordination of benefits data, including overlapping coverage, duplicate claims , and payment responsibility conflicts. Collaborate with insurance ... Coordination of Benefits Validation Specialist II Job Category: Administrative, HR, Business Professionals... II Job Category: Administrative, HR, Business Professionals Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position… more
- Robert Half Accountemps (Covina, CA)
- …in the San Gabriel Valley is looking to add Medical Insurance Collections Specialist to its Regional Business Office. The Medical Insurance Collections Specialist ... CMS1500, alongside comprehensive multispecialty experience. The ideal Medical Insurance Collections Specialist must have at least 2 years of experience with… more
- Robert Half Accountemps (Covina, CA)
- …Gabriel Valley is looking for a dedicated and experienced Medical Collections Specialist . The ideal candidate must possess profound knowledge of CMS1500, alongside ... comprehensive multispecialty experience. The ideal Medical Collections Specialist must have at least 2 years of experience with insurance medical collections and… more
- Robert Half Accountemps (Los Angeles, CA)
- …surgical procedures. -Reviews EOBS and Denials. Make corrections as required and resubmit the claim for payments . -Work on the Athena Work Dashboard / Claim ... Center in Los Angeles is in the need of a Surgery Medical Billing Collections Specialist . The Surgery Medical Billing Collections Specialist must have at least 2… more
- Robert Half Accountemps (Los Angeles, CA)
- …in a dynamic and fast-paced environment. Responsibilities: * Handle high to medium volume of claim collections, ensuring all claims are paid in a timely manner * ... is currently seeking a highly competent and organized Medical Biller/Collections Specialist with specialty experience in Oncology. This is a great opportunity… 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 (Los Angeles, CA)
- …collections support, performing duties which may include reviewing and submitting claims to third party payors, performing account follow-up activities, updating ... all applicable job aids and processes for unit. Applies "TCR" Touch It, Claim It, Resolve It. + Adheres to documentation standards of the department. Properly… more
- Cedars-Sinai (Los Angeles, CA)
- …collections support, performing duties which may include reviewing and submitting claims to third party payors, performing account follow-up activities, updating ... all applicable job aids and processes for unit. Applies "TCR" Touch It, Claim It, Resolve It. + Adheres to documentation standards of the department. Properly… more
- Banc of California (Santa Ana, CA)
- …in Denver, Colorado, and Durham, North Carolina, as well as full-stack payment processing solutions through its subsidiary, Deepstack Technologies. The bank is ... small business support, affordable housing, and more. **Job Summary** The Benefits Specialist is responsible for assisting the Benefits Team with daily duties… more