• Claims Quality Auditor II

    LA Care Health Plan (Los Angeles, CA)
    …Degree in Business or Related Field Experience Required: At least 4 years of claims processing experience in a Health Plan environment. At least 3 years ... claims , Provider Disputes and Adjustments. This position works with the Claims Operations Supervisor to develop procedures ensuring the achievement of goals… more
    LA Care Health Plan (09/11/24)
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  • Account Specialist III

    Mendocino County Sheriff's Office (Ukiah, CA)
    …BHRS - Mental Health Services in Ukiah. This position will provide support in the Claims and Billing Unit to ensure all Medi -Cal and other billing is completed ... accounting and clerical functions which include: authorizing payments and processing accounts payable through the financial system; developing various reports… more
    Mendocino County Sheriff's Office (09/20/24)
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  • Customer Solution Center Appeals and Grievances…

    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
    LA Care Health Plan (09/24/24)
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  • Pre-Registration Coordinator- Day Shift

    Guidehouse (Ventura, CA)
    …organization or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, accounting, or ... to the caller and/or having the knowledge when to escalate to their supervisor and ability to provide service recovery when needed.** **Interacts and collaborates… more
    Guidehouse (09/09/24)
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  • Revenue Cycle Specialist II

    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 (08/17/24)
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  • Revenue Cycle Specialist II

    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
    Cedars-Sinai (07/10/24)
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