- 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 (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 / ... 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)
- …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
- Deloitte (Los Angeles, CA)
- …working in one of the following sub service areas: Insurance Products, Underwriting, Claims , Billing & Payments , Policy Administration or Distribution + Minimum ... Operations & Technology Transformation Specialist Master, Guidewire Data Migration - ETL Developer...including Health Care & Life Sciences, Digital Banking & Payments , Investment & Wealth Management, Insurance, Telecom, Media and… 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
- Robert Half Accountemps (Alhambra, CA)
- …offering a contract to hire employment opportunity for a Medical Biller/Collections Specialist in the healthcare industry. This role is based in Alhambra, California ... appeals. * Conduct billing and collection activities, including processing insurance claims . * Respond to patient inquiries about billing, insurance coverage, and… more
- Robert Half Accountemps (Van Nuys, CA)
- …in the San Fernando Valley is looking to add a Hospital Medical Collections Specialist to the team. The Hospital Medical Collections Specialist will be ... collection processes within a hospital setting. The Hospital Medical Collections Specialist will also be responsible for managing Medicare managed care, commercial,… more
- Cedars-Sinai (Torrance, CA)
- …collections. Duties include but not limited to, reviewing and submitting claims to payors, performing account follow-up activities, updating information on patient ... account, reviewing and processing credits, posting payments , and account reconciliations. Positions at this level require expert knowledge, skill and proficiency in… more
- CDM Smith (Los Angeles, CA)
- …ID:** 37077BR **Business Unit:** FSU **Job Description:** The Disaster Engineering Specialist : * Conducts site inspections to validate and record infrastructure ... reports, designs, and as-built plans. * Makes recommendations regarding claim eligibility. Develops or evaluates hazard mitigation proposals and benefit-cost… more
- Option Care Health (Sun Valley, CA)
- …and retaining a diverse workforce. **Job Description Summary:** The Specialist , Patient Registration is responsible for facilitating new patient's transition ... 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
- Cedars-Sinai (Torrance, CA)
- …Fee billing and collections. Duties include but not limited to, reviewing claims to payors, updating information on patient account, reviewing and processing ... credits, posting payments , and account reconciliations. Positions at this level require...and properly uses activity codes. + Accurately bills multispecialty claims within established timelines and initiates dialog with payors,… more
- Cedars-Sinai (Los Angeles, CA)
- …collections. Duties include but not limited to, reviewing and submitting claims to payors, performing account follow-up activities, updating information on patient ... account, reviewing and processing credits, posting payments , and account reconciliations. Positions at this level require expert knowledge, skill and proficiency in… more
- CDM Smith (Los Angeles, CA)
- …ID:** 39180BR **Business Unit:** FSU **Job Description:** The FEMA Costing Specialist : * Conducts preliminary damage assessments (PDAs) in the field for ... structure damaged by a disaster. * Reviews, evaluates and analyzes applicant-provided cost claims for reasonableness and accuracy as related to the scope of work. *… 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
- City of Long Beach (Long Beach, CA)
- …requests for information and submittals, analyzing and negotiating contract changes, evaluating claims and reviewing and processing progress payments ; acts as ... for assigned projects; evaluates and manages project risks; performs claims analysis; administers consultant contracts; makes presentations to governmental bodies… more
- MetroLink (Los Angeles, CA)
- …accomplishing project objectives. + Supports project change management, including subcontractor claims , change requests, claims and dispute resolution. + Create ... your dental services. If you require treatment from a specialist , your contract dentist will handle the referral. Many...services are covered at no cost to you. A co- payment applies for other services. The Delta Dental PPO… more
- MetroLink (Los Angeles, CA)
- …Review for compliance against terms & conditions of contract invoices and payment to contractors. + Review and evaluate existing contractual agreements, Contract ... compliance. + Assist in developing strategies to avoid risk, claims , damages, and impact to schedule. + Work with...your dental services. If you require treatment from a specialist , your contract dentist will handle the referral. Many… more