- 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
- 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
- UCLA Health (West Hills, CA)
- …accordingly. o Verifies and obtains all patient eligibility, authorizations, benefits, and claim information with insurance companies, 3 rd party payer at least ... electronic billing vendor to resolve any e-billing issues, denied claims , etc. o Generates and processes all insurance ...up activities timely on all accounts to ensure prompt payment . * Maintains daily queue on desktop. * Identifies… more
- BrightSpring Health Services (Los Angeles, CA)
- …CMS-1500 and electronic 837. + Utilize the mose efficient resources to secure timely payment of open claims or invoices, giving priority to electronic solutions. ... + Review insurance remittance advices for accuracy. Identify billing errors, short- payments , overpayments and unpaid claims and resolve accordingly,… 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
- Robert Half Accountemps (Manhattan Beach, CA)
- …We are a dynamic and fast-paced healthcare provider seeking a Surgery Medical Collections Specialist to join our finance team. The ideal candidate will have a deep ... understanding of medical and surgical billing, insurance claims procedures and advanced negotiation skills. They will be responsible to provide excellent customer… more
- Option Care Health (Sun Valley, CA)
- …or your employment will be terminated. **Job Description Summary:** 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
- Cedars-Sinai (Torrance, CA)
- …Financial Services, performing duties which may include reviewing and resubmitting claims to third party payors, performing account follow-up activities, updating ... cycle functions and provide back-up coverage. The Revenue Cycle Specialist II: + Participates in department meetings and provides...on the account is complete and accurate. Adheres to payment timeline protocol. + Adheres to payment … 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
- 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
- Molina Healthcare (Los Angeles, CA)
- …JOCs on exception. Executes standardized fee for service and other core payment method contracts with predefined, common programs. Typically does not entail heavy ... and timely maintenance of critical provider information on all claims and provider databases. Synchronizes data among multiple ...but not limited to Fee for Service and Alternative Payment Methods including Pay for Performance. * Supports network… more
- MetroLink (Los Angeles, CA)
- …+ Participate in developing strategies designed to keep projects on schedule and avoid claims such as damage assessment and effect on time schedules. + Work with the ... 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