- 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 ... Payment Integrity Nurse Coder RN III Job Category:...coding elements. Audits can include inpatient, outpatient, and professional claims . Serves cross functionally with Utilization Management, Medical Directors,… 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
- Robert Half Accountemps (Duarte, CA)
- …guidelines. * Communicate with insurance companies and other payers to resolve outstanding claims and secure payments . * Stay informed about federal, state, and ... Description We are looking for an experienced Medical Billing Collections Specialist with expertise in Skilled Nursing Facility (SNF) billing to join our team in… more
- Robert Half Accountemps (Los Angeles, CA)
- …accurately and timely. + Follow up with insurance carriers to resolve unpaid claims and address denials or payment discrepancies. + Communicate effectively with ... of patient care is seeking a Medical Billing Collections Specialist to join its hospital team. This role focuses...focuses on ensuring accurate and timely collections of medical claims for acute care facilities, using your expertise in… 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
- 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
- Robert Half Accountemps (Los Angeles, CA)
- …submission. + Perform weekly claims transmissions and re-submit denials for payment resolution. + Post payments to corresponding accounts and assist with ... Responsibilities include managing charge processing for the clinic's services, supporting claims processors, providing backup coverage for the Billing Manager, and… 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
- Robert Half Office Team (Los Angeles, CA)
- Description We are looking for an experienced HR Specialist to join our team in Los Angeles, California. In this role, you will oversee a variety of HR functions, ... ensuring accurate enrollment, changes, and terminations. * Reconcile benefit payments , process wellness reimbursements, and manage department bill payments… 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
- 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
- The County of Los Angeles (Los Angeles, CA)
- …adjustments and closing entries and preparing reports. When needed, serve as technical specialist in a central accounting agency with a narrow range of highly ... encumbrances, cost account assignment, reviewing and approving invoices for vendor payments , preparing invoices for services rendered, processing employee expense … more