- Providence (Mission Hills, CA)
- …the supervision of staff and for overseeing the day-to-day operations of the Claims Processing and UM Denial Letter Units. Additional responsibilities include ... Schedule:** Full time **Job Shift:** Day **Career Track:** Leadership **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Mission Hills… 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
- Robert Half Accountemps (Long Beach, CA)
- …skills, and the ability to multi-task. EZ CAP software is a must. * Audit claims processing quality, develops, maintains and runs standard reports * Assist the ... Claims Supervisor /Director in reviewing the quality auditing...assist claims examiners I, and II * Claims processing to ensure quality (in/out patient… more
- Sedgwick (Los Angeles, CA)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist, Professional Liability (Medical Malpractice) **PRIMARY PURPOSE** **:** To ... analyze complex or technically difficult long term care and medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims… more
- Sedgwick (Los Angeles, CA)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner Workers Compensation - Hybrid Schedule **PRIMARY PURPOSE** : To ... analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and… more
- Sedgwick (Los Angeles, CA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner Workers Compensation Are you looking for an opportunity to join ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- LA Care Health Plan (Los Angeles, CA)
- …services organization. Skills Required: Advanced knowledge of QNXT or comparable claims processing system. Advanced knowledge of the healthcare domain, ... Supervisor , Quality Configuration Assurance Job Category: Information Technology...focusing on claims processing , membership, contracts, and benefits. Advanced… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor , Authorization Technician Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... the safety net required to achieve that purpose. Job Summary The Supervisor , Authorization Technician supports the Utilization Management (UM) Specialist by handling… more
- The County of Los Angeles (Los Angeles, CA)
- CENTRAL SERVICE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3836374) Apply CENTRAL SERVICE SUPERVISOR I Salary $44,579.04 ... care. DEFINITION: Supervises a group of central service workers performing processing , sterilization, and distribution of medical and patient care supplies and… more
- The County of Los Angeles (Los Angeles, CA)
- LABORATORY SUPPORT SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4461151) Apply LABORATORY SUPPORT SUPERVISOR I Salary ... class work under the technical and administrative direction of a medical technology supervisor , a public health microbiology supervisor in the public health… more
- UCLA Health (Los Angeles, CA)
- …simple and complex patient/provider issues related to the authorization and claims process. You will also conduct performance evaluations, counsel employees, and ... years of managed care or health plan experience preferred + Experience processing ambulatory commercial, Medicare Fee for Service, and Medicare Advantage prior… more
- The County of Los Angeles (Los Angeles, CA)
- …the operation of a small central service unit performing supply, processing , sterilization, and distribution of patient care supplies and equipment. Essential ... demand for supplies and equipment and adjusts ordering and processing accordingly. + Makes suggestions for substitution of items...OPTION I: One year's experience as a Central Service Supervisor II in the service of Los Angeles County.… more
- The County of Los Angeles (Los Angeles, CA)
- …CLASSIFICATION STANDARDS: Positions allocable to this class report to a higher-level supervisor and are distinguished by their responsibility for leading a crew or ... to subordinate work crew members. + Communicates orally with supervisor , work crew members, property owners, vendors, other agencies,...a personal computer, an iPad, a camera, and word processing software in order to document all work performed,… 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...may act in the absence of the lead and/or supervisor . This position may be cross-trained in other revenue… more
- Cedars-Sinai (Torrance, 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...may act in the absence of the lead and/or supervisor . This position may be cross-trained in other revenue… 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 ... assignment of cases. Monitors closure of complaints and works with Quality Control Supervisor to resolve all database issues. Prepare and analyze monthly appeal and… more
- Restaurant Depot (Pasadena, CA)
- …21.84 Position Title: Administrative Assistant Department: Administrative (Branch Level) Supervisor : Branch Manager FLSA: Non-exempt Position Summary: Performs Human ... required documents to Human Resources/Payroll. 2. Assists in the processing of payroll, by ensuring all entries for the...carrier and assists Corporate in the resolution of the claims . 4. Maintains OSHA Records 5. Manages Leaves of… 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 ... may act in the absence of the lead and/or supervisor . This position may be cross-trained in other revenue...and properly uses activity codes. + Accurately bills multispecialty claims within established timelines and initiates dialog with payors,… more
- The County of Los Angeles (Los Angeles, CA)
- …Checks ballot cards for extraneous material or chads that would inhibit processing by computer and removes material. Receives computer processed ballot cards and ... precinct so as to facilitate prompt location. Refers problems to supervisor . Participates in voter outreach activities by distributing voter information materials… more
- Medtronic (Northridge, CA)
- …Group + Extensive related knowledge with Government Payors (Medicare / Medicaid), processing of insurance claims and reading EOB's (explanation of benefits) ... within our team, managing responsibilities such as account reconciliation and processing refunds. This position requires maintaining a professional company image… more