- 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 (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
- Lincoln Financial Group (Irvine, 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
- 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
- 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
- TORKLAW (Irvine, 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
- Robert Half Accountemps (Long Beach, CA)
- …for an experienced DMH (Department of Mental Health) Medical Billing Collections Specialist to join our team. We provide state-of-the-art care and treatment options ... organization, investigation, and communication skills. The DMH Medical Billing Collections Specialist will be responsible for managing all aspects of mental health… more
- Robert Half Accountemps (Long Beach, CA)
- …attention to detail? This growing company is hiring a Medical Collections Specialist with strong behavioral health skills. The Medical Collections Specialist ... up with insurance rendered regarding denials and rejections. The Medical Collections Specialist must be well versed with Medi-cal, HMO, PPO and Government insurance.… more
- Walgreens (Aliso Viejo, CA)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- Robert Half Accountemps (Long Beach, CA)
- Description We are seeking an experienced Medical Grievances and Appeals Specialist to join our dynamic team. The successful candidate will be responsible for ... in handling Medical Grievances * Demonstrable knowledge in Medical Claims * Proven ability in managing Insurance Claims... Claims * Proven ability in managing Insurance Claims * Excellent analytical and problem-solving skills * Strong… more
- Gilead Sciences, Inc. (Long Beach, CA)
- …the lives of patients with life-threatening illnesses worldwide. As a **Therapeutic Specialist - HIV** you are responsible for representing Gilead's products and ... freeway, Venice and the Mid-Wilshire area including Cedars. As the **Therapeutic Specialist , HIV Treatment,** you will: + Possess a comprehensive understanding of… more
- Edwards Lifesciences (Irvine, CA)
- …help patients live healthier and more productive lives. As a Leave of Absence Specialist you will provide case management within assigned location as it relates to ... information. + Provide case management of all accommodations and LOA claims within the US location; including conducting and documenting factual investigations,… more
- Carrington (Anaheim, CA)
- …Bankruptcy Ledger Experience Required to be Considered!** The Bankruptcy Ledger Specialist will be responsible for completing and monitoring ledgers through the ... high degree of accuracy, for all Bankruptcy processes including Acquisitions, Proof of Claims , Notice of Final Cures, Motions for Relief, Agreed Orders, Notices of… more
- Allstate Floral Inc. (Cerritos, CA)
- POSITION OVERVIEW The Customer Care Specialist (CCS) at Allstate Floral has a passion for taking care of customers. The Customer Care team processes a large volume ... products and services, including following through to completion on product returns and claims . A reply with solution is expected for most customer requests within… more
- Law Offices of Samer Habbas Inc. PC (Irvine, CA)
- …primary appointments for medical care + Performs necessary tasks to help in establishing claims to assist client needs + Assist with other essential functions of the ... firm Requirements + Associates degree and/or; + 1-3 years of experience in similar Intake role or legal field + Available in the early evenings (9am to 6pm) + Superb verbal and written communication skills + Experience answering and speaking professionally on… more
- Aston Carter (Commerce, CA)
- …COBRA, terminations, changes, beneficiaries, disability, accident and death claims , rollovers, distributions, 401k hardships and compliance testing. 401k ... audit report due to the IRS. Must be able to manage and own the process. Owning benefits questions, LOA, COBRA, Leave policies. Weekly 401k enrollment reports for new adds Computer proficiency and technical aptitude; experience with HRIS and benefits databases… more
- CDM Smith (Irvine, CA)
- …of human resources management includes construction representatives and construction specialist jobs. Manages and controls all construction management activities, ... including critical path method (CPM), scheduling and claims administration. Interprets plans and specifications for clients, contractors, and the company's field… more
- Molina Healthcare (Long Beach, CA)
- …activities with other departments in Molina including Finance, Revenue analytics, Claims and Encounters, and Medical Directors + Maintains professional and technical ... Association** + Certified Professional Coder (CPC) + Certified Coding Specialist (CCS) **Preferred Education** Bachelor's Degree in related field **Preferred… more