- Providence (Mission Hills, CA)
- …best people, we must empower them. **Required qualifications:** + 2 years HMO claims processing experience in a managed care environment, preferably PMG/IPA ... Full time **Job Shift:** Day **Career Track:** Admin Support **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Mission Hills 11165… more
- Crawford & Company (Brea, CA)
- …members of the medical profession and other persons pertinent to the investigation and processing of claims . + Verifies policy coverage for submitted claims ... 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… more
- Conduent (Los Angeles, CA)
- …overpaid claims . + Possess strong analytical skills, medical billing or claims processing knowledge and collections background. + Basic knowledge of ... procedures, working with insurance carriers, Medicare, and Medicaid. + Required to have claims processing knowledge so they can speak to providers in medical… more
- Elevance Health (Woodland Hills, CA)
- … for all lines of business. + Requires some supervision with claims processing /adjustments and inquiry resolution. **Minimum Requirements:** + Requires a ... **Plan to Plan Service Specialist I** **Location :** Ideal candidates will live...of contact in responding to all Plan to Plan claims inquiries and resolving related issues. Plan to Plan… more
- UCLA Health (West Hills, CA)
- …o Works with electronic billing vendor to resolve any e-billing issues, denied claims , etc. o Generates and processes all insurance claims . o Researches ... bills secondary Insurance carrier. o Inputs charges to create claims in AdvantX. o Sends electronic insurance claims...invoices, match PO and delivery confirmation o Responsible for processing all the invoices for a company and … more
- TORKLAW (Los Angeles, CA)
- …Experience in property damage or a related field + Familiarity with insurance claims processing and requirements + Excellent communication and negotiation skills ... 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… more
- LA Care Health Plan (Los Angeles, CA)
- …incentives or any additional service needs according to specific program guidelines. Uses claims processing and care management software to look up member ... Care Management Specialist II Job Category: Clinical Department: Care Management...predictive modeling, provider's utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other… 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 - ... typically report to a higher-level manager and are responsible for processing and maintaining credentialing documentation for review by the credentialing review… 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
- 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 ... Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC...complaint and appeals issues, including eligibility, access to care, claims , benefit, and quality of care concerns. Experience working… more
- Cedars-Sinai (Los Angeles, CA)
- …collections. Duties include but not limited to, reviewing and submitting claims to payors, performing account follow-up activities, updating information on patient ... account, reviewing and processing credits, posting payments, and account reconciliations. Positions at this level require expert knowledge, skill and proficiency in… more
- Cedars-Sinai (Los Angeles, CA)
- …may include preparing, indexing, and posting payments, performing daily reconciliation, processing payment transfers, reviewing and submitting claims to payors, ... department and properly using activity codes. + Accurately billing multispecialty claims within established timelines and initiating dialog with payors, patients and… more
- Defense Contract Management Agency (Carson, CA)
- …of Employment Qualifications To qualify for an Industrial Property Clearance Specialist , your resume and supporting documentation must support: A. Specialized ... for the purpose of quantity, condition, description, and special processing requirements, as well as the technical and quantitative...at the time of application) to support your educational claims . Or, if you are using education to qualify… more
- 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 ... reimbursements. You will be in charge of monitoring and processing accounts that are both straightforward or may need...**Req ID** : HRC1268782 **Working Title** : Revenue Cycle Specialist II **Department** : MNS PBS Huntington Hospital **Business… more
- UCLA Health (Los Angeles, CA)
- Description As the Credit and Refunds Specialist , you will be responsible for: * Reviewing inpatient and outpatient claims /balances to ensure maximum collection ... providing appropriate follow-up and documenting actions taken * Reviewing and processing refunds/credit balances in each liability bucket regardless of the services… more
- 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 ... reimbursements. You will be in charge of monitoring and processing accounts that are both straightforward or may need...**Req ID** : 1640 **Working Title** : Revenue Cycle Specialist II **Department** : CSRC PB - Group **Business… more
- Banc of California (Santa Ana, CA)
- …Colorado, and Durham, North Carolina, as well as full-stack payment processing solutions through its subsidiary, Deepstack Technologies. The bank is committed ... small business support, affordable housing, and more. **Job Summary** The Benefits Specialist is responsible for assisting the Benefits Team with daily duties… more
- LA Care Health Plan (Los Angeles, CA)
- …Common Procedure Coding System (HCPCs) codes. Technical Support to UM Specialist : Processing of time sensitive authorization and pre-certification requests ... Summary The Supervisor, Authorization Technician supports the Utilization Management (UM) Specialist by handling all administrative and technical functions of the… more
- The County of Los Angeles (Los Angeles, CA)
- …care. DEFINITION: Supervises a group of central service workers performing processing , sterilization, and distribution of medical and patient care supplies and ... and may participate in the work of subordinates engaged in sterilizing, processing , packaging, and distributing medical and patient care supplies and equipment. +… more
- The County of Los Angeles (Los Angeles, CA)
- …Instrument Specialist (CIS) certificate issued by the Healthcare Sterile Processing Association (HSPA)? If yes, please be sure to complete the Certificates ... the operation of a small central service unit performing supply, processing , sterilization, and distribution of patient care supplies and equipment. Essential… more