- 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
- Banc of California (Santa Ana, CA)
- …(ACH) transactions, Large on-us & Unusual items, Stop payment, ATM/Mobile/RDC Deposits, Check Claims , Fraud alerts for Wire, ACH & Debit Card, Wire Transfer. + ... Performs all above listed items with higher limits and at times, can approve/verify on behalf of the manager and stays within Operational Transactional Signing Authority. Can be cross trained and supported other team's functions. + Assists and supports Branch… more
- Southland Industries (Garden Grove, CA)
- **POSITION SUMMARY** The Senior Benefits Specialist supports the design, administration, and continuous improvement of employee benefits programs, with an emphasis ... while maintaining responsibility for day-to-day operations and employee engagement. The Specialist partners with Finance and HR leadership to ensure programs remain… 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
- Illumination Foundation (Santa Ana, CA)
- …Angeles County and the Inland Empire. Job Description The role of a Billing Claims Specialist involves overseeing the billing process for customers or patients, ... ensuring accurate billing and claims submissions. In addition, the Claims specialist is also responsible for keeping account receivables for CalAIM current,… more
- Southern California Edison (Rosemead, CA)
- …with defined criteria, practices, or protocols related to timekeeping, including disability claims . The Senior Specialist will also lead various projects on ... Join the Clean Energy Revolution Become a Payroll Senior Specialist at Southern California Edison (SCE) and build a...behalf of her leader.. As a Payroll Senior Specialist , your work will help power our planet, reduce… more
- Robert Half Accountemps (Alhambra, CA)
- … must be successful with investigating, tracking, and resolving denied medical insurance claims . The Medical Collections Specialist must have 2 years medical ... Description A Hospital in Los Angeles is seeking a Medical Collections Specialist with experience in credit balances. The Medical Collections Specialist… 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
- Prime Healthcare (Anaheim, CA)
- …imaging. For more information visit www.westanaheimmedctr.com. Responsibilities The Patient Account Specialist is responsible for submitting claims to the ... 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 (Lakewood, 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
- Carrington (Anaheim, CA)
- …Bankruptcy Ledger Experience Required to be Considered!** The Bankruptcy Ledger Specialist will be responsible for completing and monitoring ledgers through the ... high degree of accuracy, for all Bankruptcy processes including Acquisitions, Proof of Claims , Notice of Final Cures, Motions for Relief, Agreed Orders, Notices of… more
- Carrington (Anaheim, CA)
- …join our amazing team and work on-site in Anaheim!** The Loss Mitigation Specialist will be responsible for educating borrowers on CMS' Loss Mitigation alternatives ... home ownership and avoiding foreclosure, including Loan Modifications, Partial Claims , Repayment Plans, Forbearances and Reinstatements. Perform all duties in… more
- Robert Half Accountemps (Los Alamitos, CA)
- Description We are looking for an experienced AR Collections Specialist to join our team in Los Alamitos, California. In this role, you will manage key accounts ... a detail-oriented environment. Responsibilities: * Process and review third-party claims , including invoicing, negotiations, collections, and aging analyses. *… more
- Southern Glazer's Wine and Spirits (Cerritos, CA)
- …via telephone and email regarding paid and unpaid leaves of absence, and claims issues primarily related to Workers Compensation. * Assist employees with the appeal ... process when claims are denied. * Work with People Operations issues requiring Master Data changes and correction between internal HRIS and third-party vendor… more
- Financial Partners Credit Union (Downey, CA)
- …for approval. + Assign accounts for field chase when necessary. + Documentation and Claims : + Review and follow up on letters of guarantee with insurance companies. ... + File GAP claims and process cancellations of warranties when applicable. Education and Experience: + 1-2 years collections experience, preferably in consumer loan… 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
- Dairy Farmers of America (Santa Ana, CA)
- …timely manner and attend monthly DairyU coordinator meetings . Complete unemployment claims in required timeframe . The requirements herein are intended to describe ... the general nature and level of work performed by employee, but is not a complete list of responsibilities, duties, and skills required. Other duties may be assigned as required **Requirements** . High school diploma or equivalent . Undergraduate degree and/or… more
