- Stanford Health Care (Palo Alto, CA)
- …a Stanford Health Care job.** **A Brief Overview** The Pharmacy Billing Specialist supports accurate and compliant billing for pharmacy services by reviewing data, ... identifying areas for improvement. This role ensures consistency in charge capture, claims submission, and reimbursement to safeguard revenue and minimize risk. The … more
- Dignity Health (Bakersfield, CA)
- …and efficiency. The Claims Quality Specialist will work closely with the Claims Research colleague and other team members to enhance claims processes ... **Job Summary and Responsibilities** The Claims Quality Specialist is responsible for ensuring the accuracy and quality of claims processing within a managed… more
- Cedars-Sinai (Los Angeles, CA)
- …environment that fuels innovation. **Req ID** : 13216 **Working Title** : Revenue Cycle Specialist III (PB Claims ) **Department** : CSRC PB - Group 3 CSMCF ... reputation for excellence! Cedars Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a...I be doing in this role?** The Revenue Cycle Specialist III works under general supervision and following established… more
- Carrington (Anaheim, CA)
- **Come join our amazing team and work remote from home!** The Sr Claims &Recovery Analysis Loss Specialist is responsible for ensuring the proper incurred losses ... identified during the Quality Review Process, communicating findings to Loss Specialist for remediation. Ensure Loss Specialist provides corrections as… more
- Carrington (Anaheim, CA)
- **Come join our amazing team and work remote from home!** The Claims Recovery & Loss Analysis Specialist is responsible for performing financial reconciliation ... mitigate losses for both Carrington Mortgage Services and its clients. Research incurred losses on liquidated loans, determining responsibility and identifying bill… more
- C&S Wholesale Grocers, Inc. (Lathrop, CA)
- **Position Overview** As a Claims Investigator, you will be researching shortage claims based on calls received from our customer locations. These investigations ... Description** **Description** + This position will report directly to the Claims Manager and conduct detailed investigations by recovering all documentation… more
- WTW (Los Angeles, CA)
- …looking for someone with a background in tropical cyclones to join the Model Research team within Willis. You will be responsible for the evaluation of natural ... and models to develop adjustments where necessary. You will also undertake wider research on a range of topics, including non-modelled risks, scenario analysis, and… more
- Ventura County (Ventura, CA)
- Medical Billing Specialist III/IV - Behavioral Health Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5037514) Apply Medical Billing ... Specialist III/IV - Behavioral Health Salary $52,216.65 - $73,565.49...IV), performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance… more
- University of Southern California (Alhambra, CA)
- … Specialist " analyze, investigate, mitigate, and resolve all coding-related ' claims denials' and ' claims rejections,' specific to ICD-10-CM, ICD-10-PCS, ... the denial management process for coding-related denials, triage denied claims to distinguish coding-related denials versus clinical-related denials, evaluating … more
- Guidehouse (San Marcos, CA)
- …Required** **:** None **What You Will Do** **:** The **Cash Applications Specialist ** - Under general supervision and according to established policies and ... in on payment batch log with time completed. + Research payments. + Payments requiring additional information should be...information should be pulled out from the batch for research . If the pullout is not resolved in two… more
- Travelers Insurance Company (Sacramento, CA)
- …reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices. Provide quality ... claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims by completing essential… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …timely billing to eliminate financial risks to Polaris and their customers + Research , analyze and appropriately resolve rejected claims by working with national ... Prior Authorization Specialist Job Details Job Location Polaris Specialty Pharmacy...for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing… more
- The County of Los Angeles (Los Angeles, CA)
- …their impact on the department, the community, and the Environmental Health Specialist staff. + Directs research , special studies, and field evaluations ... CHIEF ENVIRONMENTAL HEALTH SPECIALIST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4260745) Apply CHIEF ENVIRONMENTAL HEALTH SPECIALIST … more
- University of Southern California (Newport Beach, CA)
- The Clinical Authorization Specialist will take the lead in securing medical authorizations from third party payers (commercial and government) for outpatient ... other infused treatments as needed in assigned service line. The Specialist will be instrumental in obtaining written documentation, submitting tracking, reporting… more
- Molina Healthcare (CA)
- …Health Care Services (DHCS) **Essential Job Duties** * Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from ... to ensure that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate appeals and… more
- Cedars-Sinai (Torrance, CA)
- …and system errors. Participate in specialty clinical huddles and problem-solving discussions. Research and resolve denied or underpaid claims ; prepare and submit ... employees. **What will I be doing in this role?** The Revenue Cycle Specialist III works under general supervision and following established practices, policies, and… 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...RMF, STIGs, and DoD cybersecurity compliance practices + Conduct research to identify and assess new technology solutions for… more
- BluePearl (Irvine, CA)
- **BluePearl Pet Hospital is hiring for an Employee Relations Specialist - Veterinary for our** **West** **Division!** **Pay: $84,302 - $114,900** Under the direction ... of the Manager of P&O, West Division, the Veterinary Associate Relations Specialist is primarily responsible for advising and guiding managers, advocating our… more
- Cedars-Sinai (Torrance, CA)
- …that has a reputation for excellence! Cedars Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a row for providing the ... Hospitals! **What will I be doing in this role?** The Revenue Cycle Specialist III works under general supervision and following established practices, policies, and… more
- Charles River Laboratories (San Diego, CA)
- …feel passionate about. **Job Summary** We are seeking an Enironmental Health & Safety Specialist to join our Insourcing Solutions team, located in San Diego, CA. As ... the EH&S Specialist , you will be responsible for: managing EHS programs...in the investigation of injuries resulting in lost time claims and/or safety violations and property damage. Make recommendations… more
