- Rose International (Torrance, CA)
- …customers and supporting New model activities.In addition, this position supports quality claims processing and coordinates with the quality team for inspections ... CBOs, and on-time delivery of assigned customers. The entry-level supply specialist is responsible for customers with moderate complexity and sales.The coordinator… more
- Providence (Mission Hills, CA)
- …best people, we must empower them. **Required qualifications:** + 2 years HMO claims processing experience in a managed care environment, preferably PMG/IPA ... Schedule:** Full time **Job Shift:** **Career Track:** Admin Support **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Mission Hills… more
- Providence (Anaheim, CA)
- …+ Bachelor's Degree or equivalent education/experience. + 10 or more years HMO claims processing and/or auditing experience in a managed care environment, ... Full time **Job Shift:** Day **Career Track:** Admin Support **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Anaheim 200 W… more
- Crawford & Company (Brea, CA)
- …members of the medical profession and other persons pertinent to the investigation and processing of claims . + Verifies policy coverage for submitted claims ... is not a job post. Position Summary Administers and resolves non-complex short term claims of low monetary amounts, including medical only claims . Documents and… more
- LA Care Health Plan (Los Angeles, CA)
- …Degree Experience Required: 1 year of experience in healthcare insurance coordination, claims processing , or data validation. Experience in Customer Service. ... experience in Managed Health Care. Skills Required: Solid understanding of standard claims processing , COB guidelines and data analysis. Must have knowledge… more
- Elevance Health (Woodland Hills, CA)
- …+ Requires a HS diploma or equivalent and a minimum of 2 years of claims processing and customer service and 2 years COB experience that required using ... **Anticipated End Date:** 2024-09-20 **Position Title:** eCOB Specialist II **Job Description:** **eCOB Specialist II** **Location:** Hybrid, within 50 miles of… more
- Elevance Health (Woodland Hills, CA)
- …+ Requires a HS diploma or equivalent and a minimum of 1 year of claims processing and/or customer service and a minimum of 1 year coordination of ... **Anticipated End Date:** 2024-09-13 **Position Title:** eCOB Specialist I **Job Description:** **eCOB Specialist ...identify the correct formulas in order to adjudicates impacted claims , using multiple COB Formulas for the various product… more
- Blackstone Consulting (Los Angeles, CA)
- …Agile, ability to work in a fast-paced, deadline or + Responsible for the timely processing of all LOA/FMLA claims . + Ensures all unemployment claims are ... Description/Job Summary Job Description-Human Resources Specialist The HR Specialist (HRS) with...time limits proscribed by each State. + Manages unemployment claims and leave of absence logs. + Provides assistance… more
- The County of Los Angeles (Los Angeles, CA)
- CREDENTIALING SPECIALIST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3476028) Apply CREDENTIALING SPECIALIST Salary $63,840.00 - ... typically report to a higher-level manager and are responsible for processing and maintaining credentialing documentation for review by the credentialing review… more
- Robert Half Accountemps (San Fernando, CA)
- …services team. This role involves managing patient insurance documentation, processing insurance claims , obtaining pre-authorizations and verifying patient ... currently seeking a dedicated and experienced Hospital Medical Insurance Specialist to join our team. This is an outstanding...insurance coverage and benefits for all patients. Process insurance claims and follow up on any denied claims… more
- Robert Half Finance & Accounting (Torrance, CA)
- …and distribution operations. * Demonstrable experience in handling chargebacks and related claims processing . * Proficiency in using Microsoft Excel for data ... Description We are in search of a Logistics/Chargebacks Specialist to join our team in the Manufacturing industry, based in Torrance, California. This role involves… 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
- LA Care Health Plan (Los Angeles, CA)
- …Excel and Power Point. Requires strong knowledge of regulatory standards and claims processing ; strong analytical, oral, written and presentation skills, able ... Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC...complaint and appeals issues, including eligibility, access to care, claims , benefit, and quality of care concerns. Experience working… 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 ... account, reviewing and processing credits, posting payments, and account reconciliations. Positions at this level require expert knowledge, skill and proficiency in… more
- Cedars-Sinai (Los Angeles, CA)
- …may include preparing, indexing, and posting payments, performing daily reconciliation, processing payment transfers, reviewing and submitting claims to payors, ... department and properly using activity codes. + Accurately billing multispecialty claims within established timelines and initiating dialog with payors, patients and… 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 ... the department and properly uses activity codes. + Accurately bills multispecialty claims within established timelines and initiates dialog with payors, patients and… more
- Elevance Health (Woodland Hills, CA)
- …within the enterprise. Included are processes related to enrollment and billing and claims processing , as well as customer service written and verbal inquiries. ... **Anticipated End Date:** 2024-09-09 **Position Title:** Pharmacy Quality Assurance Specialist **Job Description:** **Pharmacy Quality Assurance Specialist **… more
- Randstad US (Costa Mesa, CA)
- loa specialist consultant. + costa mesa , california + posted 2 days ago **job details** summary + $27 - $30 per hour + temporary + associate degree + category ... administrative support occupations + referenceAB_4602286 job details Leave of Absence Specialist for a 3-month onsite role. You'll manage employee leave requests,… 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 ... reimbursements. You will be in charge of monitoring and processing accounts that are both straightforward or may need...**Req ID** : HRC1268782 **Working Title** : Revenue Cycle Specialist II **Department** : MNS PBS Huntington Hospital **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 ... reimbursements. You will be in charge of monitoring and processing accounts that are both straightforward or may need...**Req ID** : 1640 **Working Title** : Revenue Cycle Specialist II **Department** : CSRC PB - Group **Business… more
