- 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 ... and accounts. The successful candidate will be responsible for evaluating claims , initiating appeals for underpayments, reviewing and completing payor and patient… 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, ... eligibility verification, accuracy of client information. In addition, the Claims Specialist is also responsible for keeping...+ Associate's Degree + Bachelor's degree + Experience in Medical Billing and Primary Care Billing + Medical… more
- Crawford & Company (Brea, CA)
- …the processing of the claim. + Identifies wage loss expenses and wage exposures on medical claims . + Documents receipt and contents of medical reports. ... not exceeding, $2,500 after compensability has been determined. + Evaluates medical claims for potential fraud issues, loss control and recovery in accordance… more
- Axis (Los Angeles, CA)
- …contributor directly reviewing primary and excess Financial Institutions and Management Liability claims to determine nature of loss, coverage provided, and scope of ... claim and to make recommendations regarding settlement/disposition of claims . Responsible for severity inventory. Please note this role can be based in any Axis… 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 ... west coast employer groups. _Background details_ As a Group Claims Specialist , you will support our Short...requests relating to Short Term Disability, the Family and Medical Leave Act (FMLA), the Americans with Disabilities Act… 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: ... net required to achieve that purpose. Job Summary The Claims Documentation Specialist II is responsible for...Off (PTO) + Tuition Reimbursement + Retirement Plans + Medical , Dental and Vision + Wellness Program + Volunteer… more
- Conduent (Los Angeles, CA)
- …experience** The Insurance/Collections Specialist is responsible for analyzing medical claims data, seeking reimbursement, and recovering overpayments from ... results. Insurance-Collections Specialist will handle the collection/recovery of medical claims with identified overpayments through various audits.… 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
- Robert Half Accountemps (Covina, CA)
- …Regional Medical Group in the San Gabriel Valley is looking to add Medical Insurance Collections Specialist to its Regional Business Office. The Medical ... have experience with CMS1500, alongside comprehensive multispecialty experience. The ideal Medical Insurance Collections Specialist must have at least 2 years… more
- Robert Half Accountemps (Los Angeles, CA)
- …A Hospital Business Office is currently seeking a dedicated and detail-oriented Medical Insurance Collections Specialist . The successful candidate will be ... initiate refunds when necessary. + Review accounts for unpaid claims and take necessary actions to collect. + Resolve...have at least 3 years of experience in a Medical Biller/Collections Specialist role or similar in… more
- Elevance Health (Woodland Hills, CA)
- **Plan to Plan Service Specialist I** **Location :** Ideal candidates will live within 50 miles of an Elevance Health PulsePoint office location. The Plan to Plan ... Service Specialist I is responsible for serving as a single...of contact in responding to all Plan to Plan claims inquiries and resolving related issues. Plan to Plan… more
- Robert Half Accountemps (Temple City, CA)
- …A Laboratory based company in Temple City is in the need of a Medical Biller/Collections Specialist . The Medical Biller/Collections Specialist will ... patients. The right candidate for this position will bring a solid understanding of medical billing, collections, and appeals procedures, and will play a key role in… 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 ... administrative and technical lead from a Chief, Environmental Health Specialist and may receive technical lead from an Environmental...not pay into Social Security, but do pay the Medical Hospital Insurance Tax portion of Social Security at… 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
- 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 ... be part of a dedicated team, including attorneys, case managers, and medical coordinators, all committed to fast-tracking our clients' recovery in every aspect.… more
- The County of Los Angeles (Los Angeles, CA)
- …essential functions. CERTIFICATION: Successful certification as a Certified Provider Credentialing Specialist issued by the National Association of Medical Staff ... "No Experience" 03 Do you possess certification as a Certified Provider Credentialing Specialist issued by the National Association of Medical Staff Services… 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...not pay into Social Security, but do pay the Medical Hospital Insurance Tax portion of Social Security at… more
- Travelers Insurance Company (Diamond Bar, CA)
- …direct supervision, this position is responsible for: Reviewing/evaluating, approving and processing Medical Only claims with: No lost time beyond statutory ... the injured worker is on modified duty and/or total medical paid generally not to exceed $5,000. No attorney...+ Identify red flags or other issues, such as medical treatment in excess of 180 days or $5,000… more