- Providence (Mission Hills, 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, client groups, and administrative… more
- The County of Los Angeles (Los Angeles, CA)
- …CLASSIFICATION STANDARDS: Positions allocable to this class receive administrative and technical lead from a Chief, Environmental Health Specialist and may ... receive technical lead from an Environmental Health Specialist IV. Incumbents perform one of the following two...view correspondence. + Los Angeles County will not consider claims of not viewing or receiving notifications to be… more
- The County of Los Angeles (Los Angeles, CA)
- ENVIRONMENTAL HEALTH SPECIALIST IV Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3074682) Apply ENVIRONMENTAL HEALTH SPECIALIST IV ... No out-of-class experience will be accepted DEFINITION: Provides technical lead to Environmental Health Specialists III and Environmental Health Specialists… more
- Deloitte (Los Angeles, CA)
- Operations & Technology Transformation Specialist Master, Guidewire Data Migration - ETL Developer What we do Operations and Technology Transformation delivers ... on July 31, 2024 Work you'll do As an OTT Insurance Transformation Specialist Master, you will bring considerable technical expertise to deliver effective solutions… more
- Elevance Health (Los Angeles, CA)
- **eCOB Specialist II** **Location:** Hybrid, within 50 miles of an Elevance Health Pulse Point location. **Hours:** Monday - Friday, 6am - 6pm EST The **eCOB ... Specialist II** is responsible for researching and investigating other...enrolling in Medicare. + Reviews claim history to identify claims requiring reconciliation, whether processed or pended, as well… more
- Cedars-Sinai (Los Angeles, CA)
- …collections. Duties include but not limited to, reviewing and submitting claims to payors, performing account follow-up activities, updating information on patient ... (subject matter expert) to others and may act in the absence of the lead and/or supervisor. This position may be cross-trained in other revenue cycle functions and… more
- Walgreens (Santa Monica, 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
- Cedars-Sinai (Torrance, CA)
- …Fee billing and collections. Duties include but not limited to, reviewing claims to payors, updating information on patient account, reviewing and processing ... others and may act in the absence of the lead and/or supervisor. This position may be cross-trained in...and properly uses activity codes. + Accurately bills multispecialty claims within established timelines and initiates dialog with payors,… more
- Elevance Health (Los Angeles, CA)
- …with PulsePoint sites used for collaboration, community, and connection. The **Legal Specialist II** is responsible for providing legal support services for multiple ... **Preferred Skills, Capabilities, and Experiences:** + Familiarity with Elevance Health claims systems. For candidates working in person or remotely in the… more
- Cedars-Sinai (Los Angeles, CA)
- …performing duties which may include reviewing and submitting multi-specialty claims to third party payors, performing account follow-up activities, updating ... others and may act in the absence of the lead and/or supervisor. This position may be cross-trained in...**Req ID** : HRC1268782 **Working Title** : Revenue Cycle Specialist II **Department** : MNS PBS Huntington Hospital **Business… more
- Cedars-Sinai (Los Angeles, CA)
- …collections support, performing duties which may include reviewing and submitting claims to third party payors, performing account follow-up activities, updating ... others and may act in the absence of the lead and/or supervisor. This position may be cross-trained in...**Req ID** : HRC1388706 **Working Title** : Revenue Cycle Specialist IV - Anesthesia **Department** : CSRC PB -… more
- Cedars-Sinai (Los Angeles, CA)
- …collections support, performing duties which may include reviewing and submitting claims to third party payors, performing account follow-up activities, updating ... others and may act in the absence of the lead and/or supervisor. This position may be cross-trained in...**Req ID** : 1466 **Working Title** : Revenue Cycle Specialist IV **Department** : CSRC PB - Group **Business… more
- Cedars-Sinai (Torrance, CA)
- …performing duties which may include reviewing and submitting multi-specialty claims to third party payors, performing account follow-up activities, updating ... others and may act in the absence of the lead and/or supervisor. This position may be cross-trained in...**Req ID** : 1640 **Working Title** : Revenue Cycle Specialist II **Department** : CSRC PB - Group **Business… more
- The County of Los Angeles (Los Angeles, CA)
- …Advises Environmental Health Specialists I on meeting Environmental Health Specialist II registration requirements. Requirements MINIMUM REQUIREMENTS: Four years' ... experience as a Registered Environmental Health Specialist , two years of which must have been at...and investigations of complex environmental health problems; or provides lead supervision to field staff who are enforcing environmental… more
- Elevance Health (Los Angeles, CA)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... HS diploma or equivalent and a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
- MetroLink (Los Angeles, CA)
- …Incumbent possesses considerable latitude to accomplish tasks, which may include lead worker or supervisor duties. SUPERVISION EXERCISED AND RECEIVED + Receive ... Management. + This position has no formal supervisory responsibilities; may lead the work of lower-level staff. ESSENTIAL DUTIES AND RESPONSIBILITIES The… more
- The County of Los Angeles (Los Angeles, CA)
- …of a district office or specialized unit by performing lead supervisory, enforcement and administrative functions. CLASSIFICATION STANDARDS: Positions allocable ... I.* LICENSE: A certificate as a Registered Environmental Health Specialist issued by the California State Department of Health...view correspondence. + Los Angeles County will not consider claims of not viewing or receiving notifications to be… more
- Sevita (Los Angeles, CA)
- …Recommends procedures and courses of action, provides consulting to ER Specialist (s). ER Managers and operations management on employee relations issues. Interfaces ... Partners with legal on researching and responding to agency claims and legal actions. + Works with internal customers...a geographically diverse workforce. + Provides direction to ER Specialist (s), ER Sr. Specialists, ER Manager(s) and serves as… more