- Emanate Health (Covina, CA)
- …the oversight of HCC Program and STAR measures coding related functions. The coding specialist will work with the IPA Director, Health Plan, and MSO personnel on HCC ... achieves or improves upon 4.0 STAR rating. The coding specialist is responsible for education to external physician offices... will be responsible to review medical records and claims data to ensure external physicians are documenting correctly… more
- ICW Group (Woodland Hills, 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
- Prime Healthcare (Ontario, CA)
- …new members to join our corporate team! Responsibilities The Patient Account Specialist is responsible for submitting claims to the appropriate intermediaries ... when assigned. Under the supervision of the Director, the Patient Account Specialist is also responsible for accurate and timely payment analysis of managed… more
- CDM Smith (Rancho Cucamonga, 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
- UIC Government Services and the Bowhead Family of Companies (Corona, CA)
- …AI/ML & LLM (AR/PA IT) Bowhead seeks a Sr. Data Scientist - AI/ML & LLM Specialist to join our team supporting the AR/PA IT Program at Naval Surface Warfare Center - ... California. The Sr. Data Scientist - AI/ML & LLM Specialist will work directly with the client analyzing complex...characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
- Walgreens (Rialto, 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
- L3Harris (Canoga Park, CA)
- …sea and cyber domains in the interest of national security. Job Title: Specialist , Procurement (Buyer) Job Code: 28921 Job Location: Canoga Park, CA Job Schedule: ... 9/80 Job Description: The Procurement Specialist plans and implements activities related to the procurement of raw materials, goods and services. Compiles and… more
- Acosta Group (Corona, CA)
- …to perform the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related injury you ... incur to your direct supervisor as soon as possible following an incident resulting in an injury. **QUALIFICATIONS** _Education/Experience:_ High school diploma or general education degree (GED); or one to three months' related experience and/or training; or… more
- TEKsystems (San Bernardino, CA)
- …that may include: working rejections/denials, calling for status, tracer claims and rebilling. Identifies misapplied payments and requests payments, ... adjustments/transfers or refunds. Required: HS Diploma, hospital collector experience requested Skills collections medical, healthcare reimbursement, collections accounts receivable Top Skills Details collections medical,healthcare reimbursement,collections… more
- CDM Smith (Rancho Cucamonga, CA)
- …of human resources management includes construction representatives and construction specialist jobs. Manages and controls all construction management activities, ... including critical path method (CPM), scheduling and claims administration. Interprets plans and specifications for clients, contractors, and the company's field… more
- Option Care Health (Sun Valley, CA)
- …best and brightest talent in healthcare. **Job Description Summary:** The Specialist , Patient Registration is responsible for facilitating new patient's transition ... Care Health makes it easy to transition care. The Specialist , Patient Registration works in conjunction with Sales to...+ Supports the ongoing activities needed to ensure clean claims on hold and denial management (follow-up on paperwork… more
