- Providence (Mission Hills, CA)
- …and production level of the Claims Department by developing and delivery claims training programs that continuously improves the Claims Department ... **Description** Working under the general supervision of the Claims Director, provide an effective education ...processes, etc. + Proficiency and experience in using multimedia training resources and MS Office applications such as Word,… more
- Zurich NA (Sacramento, CA)
- Sr. Claims Specialist (Workman's Compensation) 128616 Zurich is seeking an experienced Senior Workers Compensation Claims Specialist to join our team. We ... arrangement, depending on your location. The Senior Workers Compensation Claims Specialist will handle multi-party commercial line...and/ or Litigation Management area.OR + Completion of Zurich Claims Training Program and 6 or more… more
- Adecco US, Inc. (Ontario, CA)
- …applicable to line of business preferred. . Experience Five (5) years of claims management experience or equivalent combination of education and experience ... Adecco is assisting a local client recruiting for ** Claims Supervisor Workers Compensation** opportunities in **Ontario, CA (Hybrid)** . This is an excellent… 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, ... with accuracy and precision. In addition, this position will provide guidance and training to other HIM Coding Denials Management Specialist , and will assist… more
- The County of Los Angeles (Los Angeles, CA)
- …07 COUNTY OF LOS ANGELESDepartment of Human ResourcesCountywide Talent Assessment Division TRAINING & EXPERIENCE EVALUATIONProgram Specialist III, CEO - Workers' ... Program Specialist III, CEO - Workers' Compensation Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/5097980)...withhold will be allowed for this examination . Required experience/ education must be fully met at the time of… more
- Ventura County (Ventura, CA)
- …and assure neither continuance in the process nor placement on an eligible list. EDUCATION , TRAINING , AND EXPERIENCE Any combination of education and ... Medical Billing Specialist III/IV - Behavioral Health Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5037514) Apply Medical Billing … more
- University of Southern California (Los Angeles, CA)
- …+ Bachelor's degree (combined experience/ education may substitute for minimum education ) + 5 years in leave administration, claims management, or ... as the scope and responsibilities of the role, the candidate's experience, education , training , key skills, internal peer alignment, applicable laws, contractual… more
- Travelers Insurance Company (Sacramento, CA)
- …factors, including the scope, complexity and location of the role; the skills, education , training , credentials and experience of the candidate; and other ... reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices. Provide quality… more
- The County of Los Angeles (Los Angeles, CA)
- CHIEF ENVIRONMENTAL HEALTH SPECIALIST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4260745) Apply CHIEF ENVIRONMENTAL HEALTH SPECIALIST ... management policies and procedures are followed by the environmental health specialist staff and also are responsible for expediting inspection and enforcement… more
- LA Care Health Plan (Los Angeles, CA)
- …safety net required to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills and training to perform essential functions ... Care Management Specialist II, D-SNP Team (12 month Assignment) Job...management to develop a plan for obtaining the necessary training . Performs other duties as assigned. Education … more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …it most, we invite you to grow with us. JOB SUMMARY: The Adjudication Specialist manages a portfolio of rejected pharmacy claims , ensuring timely billing and ... Adjudication Specialist Job Details Job Location Polaris Pharmacy Services...and enhance our services. DUTIES/RESPONSIBILITIES: + Manage and Identify Claims Portfolio: + Review and evaluate insurance claims… 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
- Polaris Pharmacy Services, LLC (Covina, CA)
- Prior Authorization Specialist Job Details Job Location Polaris Specialty Pharmacy LLC - Covina, CA Salary Range $19.00 - $23.00 Hourly Job Category Pharmaceutical ... advancement to all our team members. JOB SUMMARY: The Prior Authorization Specialist is responsible for managing and identifying a portfolio of rejected pharmacy… more
- The County of Los Angeles (Los Angeles, CA)
- …hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In addition, to its ... by-laws and regulatory agencies, to evaluate and verify professional licensure, education , training , experience, competencies and hospital affiliations to ensure… more
- The County of Los Angeles (Los Angeles, CA)
- …availability and time requirements established by the Chief Environmental Health Specialist . Coordinates assignments and interprets and provides training in ... ENVIRONMENTAL HEALTH SPECIALIST IV Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3074682) Apply ENVIRONMENTAL HEALTH SPECIALIST IV… more
- University of Southern California (Newport Beach, CA)
- …the scope and responsibilities of the position, the candidate's work experience, education / training , key skills, internal peer equity, federal, state, and local ... The Clinical Authorization Specialist will take the lead in securing medical...needed. + Coordinate with Director on denied or disputed claims to obtain documentation to support chemotherapy treatment +… more
- The County of Los Angeles (Los Angeles, CA)
- ENVIRONMENTAL HEALTH SPECIALIST I (TEMPORARY) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2892557) Apply ENVIRONMENTAL HEALTH ... SPECIALIST I (TEMPORARY) Salary $57,273.84 - $65,591.04 Annually Location...maximum of two years of extensive formal and on-the-job training in techniques and procedures for conducting environmental health… more
- Stanford Health Care (Palo Alto, CA)
- …based on a variety of factors, including but not limited to, internal equity, experience, education , specialty and training . This pay scale is not a promise of a ... a Stanford Health Care job.** **A Brief Overview** The Pharmacy Billing Specialist supports accurate and compliant billing for pharmacy services by reviewing data,… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II (Temporary) Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, ... purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member and provider complaints and… more
- Hand Family Companies (San Marcos, CA)
- HR Specialist Job Details Job Location San Diego -...or one to two years of related experience and/or training , or an equivalent combination of education ... San Marcos, CA Position Type Full Time Education Level 4 Year Degree Salary Range $25.00 -...Day Job Category Human Resources Description The Human Resources Specialist is a key contributor to the daily operations… more