- Robert Half Accountemps (Costa Mesa, CA)
- …payors (ie Medicare, Medi -Cal, TriCare, etc) and how these payors process claims * Accurately code insurance plan codes * Establish a payment arrangement when ... and accounts. The successful candidate will be responsible for evaluating claims , initiating appeals for underpayments, reviewing and completing payor and patient… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor , Authorization Technician Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... the safety net required to achieve that purpose. Job Summary The Supervisor , Authorization Technician supports the Utilization Management (UM) Specialist by handling… more
- Alameda Health System (Oakland, CA)
- …services assistance programs. This may include programs such as Medicare, Medi -Cal, Breast and Cervical Cancer diagnostic and treatment programs, Managed Care ... Plans, Medi -Cal Managed Care Programs, private insurance and numerous other...prescribed timelines, to ensure timely and accurate submission of claims needed to maximize reimbursement to the Medical Center.… more
- LA Care Health Plan (Los Angeles, CA)
- …Excel and Power Point. Requires strong knowledge of regulatory standards and claims processing ; strong analytical, oral, written and presentation skills, able ... assignment of cases. Monitors closure of complaints and works with Quality Control Supervisor to resolve all database issues. Prepare and analyze monthly appeal and… more
- Cedars-Sinai (Los Angeles, CA)
- …performing duties which may include reviewing and submitting multi-specialty claims to third party payors, performing account follow-up activities, updating ... may act in the absence of the lead and/or supervisor . This position may be cross-trained in other revenue...reimbursements. You will be in charge of monitoring and processing accounts that are both straightforward or may need… more
- Cedars-Sinai (Torrance, CA)
- …performing duties which may include reviewing and submitting multi-specialty claims to third party payors, performing account follow-up activities, updating ... may act in the absence of the lead and/or supervisor . This position may be cross-trained in other revenue...reimbursements. You will be in charge of monitoring and processing accounts that are both straightforward or may need… more