- 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
- Providence (Anaheim, CA)
- **Description** Manage the claims internal audit functions, which includes audit process for adjudicated claims and encounters. Monitor check run process for ... accuracy. Develop policies and procedures for periodic claims audits and ensure compliance with affiliated health plans,...valued - they're invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused,… 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 (Long Beach, CA)
- …Are you motivated, with attention to detail? This growing company is hiring a Medical Collections Specialist with strong behavioral health skills. The Medical ... up with insurance rendered regarding denials and rejections. The Medical Collections Specialist must be well versed...and following up insurance companies daily to resolve outstanding claims issues. - Report any identified billing issues that… more
- Robert Half Accountemps (Irvine, CA)
- …We are offering a contract to permanent employment opportunity for a Medical Collections Specialist in Irvine, California. This role primarily involves ... accounts to identify outstanding balances * Conduct daily follow-up on outstanding claims and patient accounts via phone calls, emails, and written correspondence *… 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 ... 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
- 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
- Emanate Health (Covina, CA)
- …lines of business. HCC Coding specialist will be responsible to review medical records and claims data to ensure external physicians are documenting ... oversight of HCC Program and STAR measures coding related functions. The HCC coding specialist will work with the IPA Director, Health Plan, and MSO personnel on HCC… more
- Option Care Health (Sun Valley, CA)
- …your employment will be contingent upon proof of vaccination, or approved medical or religious accommodation. Proof of vaccination will be required during the ... onboarding process; application for medical or religious accommodations will be required to be...your employment will be terminated. **Job Description Summary:** The Specialist , Patient Registration is responsible for facilitating new patient's… more
- Banc of California (Santa Ana, CA)
- …small business support, affordable housing, and more. **Job Summary** The Benefits Specialist is responsible for assisting the Benefits Team with daily duties ... process and administration. Provides employee with all necessary LOA paperwork, submits claims for Employer portion of State Disability, Short Term Disability and… more
- Travelers Insurance Company (Diamond Bar, CA)
- …bills, mail and wage statements. Prints and prepares claim documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to ... professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and diaries,… more
- Envista Holdings Corporation (Orange, CA)
- …performance and environmental controls. Occupational Health roles that are internally-oriented medical professionals that provide for and deliver health and safety ... personal protective equipment. + With minimal guidance, manages workers' compensation claims and return-to-work programs in collaboration with human resources. +… more
- Law Offices of Samer Habbas Inc. PC (Irvine, CA)
- …Coordinates initial contact and assists in scheduling the client's primary appointments for medical care + Performs necessary tasks to help in establishing claims ... status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity… more
- Travelers Insurance Company (Diamond Bar, CA)
- …with emphasis on early intervention, return to work planning, coordination of quality medical care on claims involving disability and medical treatment ... and ensure compliance with their medical treatment plan. + Contact customer, medical provider and injured parties on claims involving medical treatment… more