- Providence (Mission Hills, 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
- HUB International (Encino, CA)
- …insurance, paid time off, a generous 401k plan and more! **THE OPPORTUNITY:** The Claims Specialist position requires an experienced P&C claims professional ... as a liaison between clients and the insurance company claims department. The position will involve assisting clients with...assisting clients with both Commercial Lines and Personal Lines claims . Responsibilities include but are not limited to: +… more
- 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 ... support our west coast employer groups. _Background details_ As a Group Claims Specialist , you will support our Short Term Disability or Integrated Absence… 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 (Los Angeles, CA)
- … will be responsible for calling insurance companies to resolve unpaid and rejected claims . The Medical Collections Specialist must have 2+ years of experience ... the UB04. + Reviews records for outstanding and unpaid claims to determine collection activities and processes. + Submits...processes. + Submits timely appeals and follows up on claims at various stages of collection process. + Responsible… more
- Conduent (Los Angeles, CA)
- … Specialist ** **Pay $17-22hr (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
- 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
- Sedgwick (Los Angeles, CA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Medicare Specialist (Remote) **PRIMARY PURPOSE** **:** To coordinate, analyze and facilitate ... nurses for analysis; and provides guidance and advice on processing claims based on nurses' analysis. + Requests rated-ages; tracks files/requests/submissions… 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
- 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
- Elevance Health (Los Angeles, CA)
- …send you a check, or ask you for payment as part of consideration for employment. **eCOB Specialist I** + Job Family: CLM > Claims Support + Type: Full time + ... WOBURN + MA, NEWTON 55 CHAPEL ST **Description** **eCOB Specialist I** **Location** : Remote, within 50 miles of...identify the correct formulas in order to adjudicates impacted claims , using multiple COB Formulas for the various product… 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
- Robert Half Accountemps (Covina, CA)
- …A Hospital Medical Center is in the need of a Medical Billing Collections Specialist to join its revenue cycle team. The Medical Billing Collections Specialist ... up and insurance denials management. The right person will be ensuring that claims are processed accurately and efficiently. You will work closely with healthcare… 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
- UIC Government Services and the Bowhead Family of Companies (Los Angeles, CA)
- **Overview** **IT Helpdesk Specialist (HHSIT-2023-17976):** Bowhead seeks an IT Helpdesk Specialist to provide support via the IT Help Desk to FDA employees ... + 2+ years of experience as IT Help Desk Specialist + CompTIA A+ Certification a plus Target salary...characteristics EOE/AA/M/F/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… 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