- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: Division Support Specialist Under the general supervision of the Supervisor, Professional Billing & Coding, responsible for compiling & providing daily, ... monitor & report on work queue activity, encounter management, monitor electronic claims rejections & staff productivity reports. Compile & review monthly billing… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: Reporting to the Director of Claims and Systems Administration and functioning as an independent, the Compliance Specialist 's primary function is to ... of degree. 5 years of Managed Care experience PREFERRED QUALIFICATIONS: The Compliance Specialist is a service oriented individual with a high degree of integrity… more
- ICW Group (San Diego, CA)
- …everyday! Learn more about why you want to be here! **PURPOSE OF THE JOB** This Claims Specialist is responsible for handling complex claims with a focus on ... claims to an equitable resolution within Company standards. The Claims Specialist works with a sense of urgency, understands insurance coverage concepts, and… more
- Scripps Health (San Diego, CA)
- …orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. The Patient Account Specialist is responsible for a variety of billing and follow-up tasks ... relating to claims processing; contacts responsible parties to resolve past-due accounts; investigates account status and initiates collection. Submits claims … more
- Sedgwick (San Diego, CA)
- …Best Workplaces in Financial Services & Insurance Senior Estimate Review Specialist **PRIMARY PURPOSE** **:** To review all estimates and supporting documentation ... services. + Monitors, assists, tracks, and provides approval for all claims that are re-inspected by the Carrier. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES**… more
- CDM Smith (San Diego, CA)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs… more
- Sedgwick (San Diego, CA)
- …in Financial Services & Insurance Bill Review Trainer - Hearing Specialist **This position will be responsible for negotiating California Worker's Compensation ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- Robert Half Accountemps (San Luis Rey, CA)
- …Our healthcare client in San Luis Rey is seeking a proactive Collections Specialist to manage outstanding patient and insurance balances within the revenue cycle ... environment. Key Responsibilities: + Follow up on unpaid insurance claims and patient balances to ensure timely reimbursement. +...billing and posting teams to correct errors and resubmit claims . + Review EOBs and identify opportunities to improve… more
- Walgreens (Escondido, 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
- Sleep Data (San Diego, CA)
- Fulfillment Specialist - HST Lincoln, RI (http://maps.google.com/maps?q=6+Blackstone+Valley+Place+Lincoln+RI+USA+02865) Apply Job Type Full-time Description Are you ... the complex process from diagnosis to treatment. The Fulfillment Specialist - HST is responsible for setting up home...+ Responsible for troubleshooting issues with shipping including filing claims with shipping carriers such as USPS, UPS, and… more
- Magellan Health Services (San Diego, CA)
- …(RAPIDS) sites. + Serves as ID Card/Common Access Card (CAC) customer service specialist trained and certified by the Defense Manpower Data Center (DMDC). + Delivers ... in one of the following disciplines: Military Pay, Military Personnel, Travel Claims or Navy Transportation. Substitutions for HR background can be from similar… more
- Defense Logistics Agency (Coronado, CA)
- …Conditions of Employment Qualifications To qualify for an Inventory Management Specialist , your resume and supporting documentation must support: A. Specialized ... You MUST provide transcripts or other documentation to support your educational claims . Unless otherwise stated: Unofficial transcripts are acceptable at time of… more
- Molina Healthcare (San Diego, CA)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... and FQHC/RHC reports. + Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER,… more
- Sharp HealthCare (San Diego, CA)
- …facilitate monthly payer calls in conjunction with management and Contract Reimbursement Specialist in reviewing claims processing and rejection issues that ... and resolve denied/underpaid accounts, and escalated payer trends/issues to ensure claims are processed and paid per the insurance contract.Other duties as… more
- Sharp HealthCare (San Diego, CA)
- …1 **Shift Start Time** **Shift End Time** Certified Clinical Documentation Specialist (CCDS) - Various-Employee provides certificate; Other; Certified Health Care ... DRG coding and CPT coding classification. + Certified Clinical Documentation Specialist (CCDS) - Various-Employee provides certificate -PREFERRED + Certified Health… more
- UIC Government Services and the Bowhead Family of Companies (San Diego, CA)
- …Engineer, Master + Network Engineer + C2 Network Engineer + Lab Management Specialist + Automated Cloud Services Specialist + Project Manager Bowhead seeks ... and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more
- Scripps Health (San Diego, CA)
- …and professional visits using appropriate systems. Conducts concurrent and/or retrospective claims data reviews for physician services, coding and abstracting all ... * Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) from American Health Information Management Association (AHIMA). *Preferred… more
- Philips (San Diego, CA)
- …product line at luminary sites in North America. + Will be the expert MRI specialist in an assigned technical or clinical application area, build a network in the ... solutions, and IP for product development and generate evidence to support claims through scientific publications. + Be hands-on, be able to independently run… more
