- Providence (Anaheim, CA)
- **Description** The Senior Claims Specialist is responsible for the processing of complex institutional claims (stop loss, contracted, non-contracted, per ... rate etc.) and adjudication and claims research when necessary. Senior Claims Specialist must have knowledge of compliance issues as they relate to claims… more
- Illumination Foundation (Santa Ana, CA)
- …across Orange County, Los Angeles County and the Inland Empire. Job Description The Claims Specialist is responsible for accuracy of claims submission, ... and eligibility verification, accuracy of client information. In addition, the Claims Specialist is also responsible for keeping up to date accounts receivable… more
- Providence (Irvine, CA)
- **Description** **Providence is calling a Claims Specialist who will work remotely within our footprint states in, AK, CA, MT, OR, TX, or MT.** The Research ... Claims Specialist will support the Clinical Research billing and account review needs of the Providence Health System. This position reports to the Research … more
- LA Care Health Plan (Los Angeles, CA)
- Claims Documentation Specialist II Job Category: Claims Department: Claims Data and Support Services Location: Los Angeles, CA, US, 90017 Position Type: ... safety net required to achieve that purpose. Job Summary The Claims Documentation Specialist II is responsible for creating, editing and updating documents that… more
- Crawford & Company (Brea, CA)
- …is not a job post. Position Summary Administers and resolves non-complex short term claims of low monetary amounts, including medical only claims . Documents and ... and ensures proper and timely closing of files. Makes decisions on claims within delegated limited authority. Responsibilities + Conducts investigations of claims… 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, ... and accounts. The successful candidate will be responsible for evaluating claims , initiating appeals for underpayments, reviewing and completing payor and patient… more
- 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 and quality. They must...of miss/near miss opportunities etc. A successful Payment Claim Specialist will be able to navigate multiple technologies while… more
- Conduent (Los Angeles, CA)
- … Specialist ** **Pay $18-20hr based on experience** The Insurance/Collections Specialist is responsible for analyzing medical claims data, seeking ... timely, maximum call time is achieved, and ensures quality results. Insurance-Collections Specialist will handle the collection/recovery of medical claims with… more
- USAA (Los Angeles, CA)
- …makes us so special! **The Opportunity** We are seeking a dedicated Property Adjuster Specialist located in **Orange County, CA** to join our field Team. As a ... Insurance Property Adjuster Specialist , you will work within established guidelines and framework...to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will… more
- LA Care Health Plan (Los Angeles, CA)
- Coordination of Benefits Validation Specialist II Job Category: Administrative, HR, Business Professionals Department: Claims Integrity Location: Los Angeles, ... that purpose. Job Summary The Coordination of Benefits (COB) Validation Specialist ensures the accurate coordination of healthcare benefits for individuals covered… more
- The County of Los Angeles (Los Angeles, CA)
- ENVIRONMENTAL HEALTH SPECIALIST III Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3049497) Apply ENVIRONMENTAL HEALTH SPECIALIST III ... class receive administrative and technical lead from a Chief, Environmental Health Specialist and may receive technical lead from an Environmental Health … more
- The County of Los Angeles (Los Angeles, CA)
- ENVIRONMENTAL HEALTH SPECIALIST II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1240253) Apply ENVIRONMENTAL HEALTH SPECIALIST II ... Requirements SELECTION REQUIREMENTS Certificate* as a Registered Environmental Health Specialist issued by the California Department of Public Health. *CERTIFICATE… more
- The County of Los Angeles (Los Angeles, CA)
- ENVIRONMENTAL HEALTH SPECIALIST IV Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3074682) Apply ENVIRONMENTAL HEALTH SPECIALIST IV ... program and provides staff assistance to a Chief Environmental Health Specialist . CLASSIFICATION STANDARDS: Positions allocable to this class receive administrative… more
- TORKLAW (Los Angeles, CA)
- …those in need? Join us at TorkLaw! We're seeking a standout Property Damage Specialist , who thrives on challenges, excels in organization, and never loses sight of ... might be what we are looking for. Key Responsibilities As a Property Damage Specialist , you'll be responsible for managing and resolving property damage claims … more
- LA Care Health Plan (Los Angeles, CA)
- Care Management Specialist II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 10945 ... safety net required to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills and training to perform essential functions of… more
- The County of Los Angeles (Los Angeles, CA)
- CREDENTIALING SPECIALIST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3476028) Apply CREDENTIALING SPECIALIST Salary $63,840.00 - ... education, employment history, licensure, professional references, hospital affiliations and liability claims history by performing on-line queries from a variety of… more
- The County of Los Angeles (Los Angeles, CA)
- ENVIRONMENTAL HEALTH SPECIALIST I (TEMPORARY) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2892557) Apply ENVIRONMENTAL HEALTH ... SPECIALIST I (TEMPORARY) Salary $55,466.16 - $63,528.00 Annually Location...view correspondence. + Los Angeles County will not consider claims of not viewing or receiving notifications to be… more
- Sunrun (Los Angeles, CA)
- …diversity, inclusion and belonging. **Responsibilities** + Report workers' compensation claims to the company's workers' compensation insurance. + Maintain accurate ... account managers, brokers and insurance carriers. + Recommend solutions to complex claims that may involve coverage and compensability disputes. + Manage workers'… more
- Cedars-Sinai (Torrance, CA)
- …Duties include but are not limited to, reviewing and submitting claims to payors, performing account follow-up activities, updating information on patient ... other revenue cycle functions and provide back-up coverage. The Revenue Cycle Specialist III: + Independently responds timely and accurately to all requests.… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member and provider complaints and… more