- Robert Half Accountemps (Los Angeles, CA)
- … Health Insurance Plan based in Los Angeles is in the immediate need of a Medical Claims Representative . The Medical Claims Representative ... and troubleshooting any of the participants bills or claims . The Medical Claims Representative will be tasked with answering inquiries regarding EOBs as… more
- Sedgwick (Pasadena, CA)
- …Workplace(R) Forbes Best-in-State Employer Industry Advancement Program | Workers Compensation Claims Representative Trainee **PRIMARY PURPOSE** **:** To be ... on-the-job training activities including: + Adjusting lost-time workers compensation claims under close supervision. May be assigned medical... claims under close supervision. May be assigned medical only claims . + Adjusting low and… more
- Guidehouse (Gardena, CA)
- **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** The **Insurance ... Patient Account Representative - Hospital A/R Emphasis** is an extension of...Talent Acquisition) at ###_** **Essential Job Functions** + Hospital Claims + Account Review + Appeals & Denials +… more
- Travelers Insurance Company (Diamond Bar, CA)
- …is responsible for handling Personal and Business Insurance Auto Bodily Injury claims from the first notice of loss through resolution/settlement and payment ... multiple state jurisdictions. Claim types include moderate complexity Bodily Injury claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Travelers Insurance Company (Diamond Bar, CA)
- … with lost time to conclusion and negotiate settlements where appropriate to resolve claims . Coordinate medical and indemnity position of the claim with a ... Medical Case Manager. Independently handles assigned claims of low to moderate complexity where Wage loss and the expectation is a return to work to modified or… more
- Travelers Insurance Company (Diamond Bar, CA)
- …and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... not manage staff. **What Will You Do?** + Directly handles assigned severe claims . + Provides quality customer service and ensures file quality and timely coverage… more
- The Hartford (Brea, CA)
- Hearing Representative - LU08BE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... at the center of everything we do. The Hearing Representative position is an in-house fully REMOTE position that...business environment where you will have direct interaction with Claims Partners, insureds, and opposing counsel we want to… more
- UCLA Health (Los Angeles, CA)
- Description As a Medi-Cal Collections Representative , you will manage a designated portfolio of inpatient and outpatient claims , ensuring effective and efficient ... payers to resolve reimbursement discrepancies. + Diligently following up on claims to ensure timely resolution. + Communicate with insurance providers, patients,… more
- Robert Half Accountemps (Los Angeles, CA)
- Description A Hospital in Los Angeles is in need of a Patient Account Representative . The Patient Account Representative will be responsible to manage patients' ... healthcare providers. - Perform billing and collection activities including insurance claims processing. - Respond to patient inquiries regarding billing, insurance… more
- Travelers Insurance Company (Glendale, CA)
- …the interests of the clients in the litigation of disputed Workers Compensation claims . Provides client services as part of a legal team. Independently provides ... participates in special projects and on committees. + Interprets and analyzes medical reports or bills/invoices and provides disability ratings and/or other Official… more
- UCLA Health (Los Angeles, CA)
- Description As the Pre-Registration Representative , you will be responsible for: + Pre-registers and pre-admits patients by telephone and/or in person + Review and ... ICD-10, CPT-4, and HCPCS codes as applied to authorization submission and claims reimbursement + Knowledge of authorization submission and reimbursement for high… more
- Surgery Care Affiliates (Long Beach, CA)
- …selected for Primary insurance. + Utilize the centers selected vendor for claims and eligibility and/or individual payer websites to obtain eligibility, benefits ... rental is included on authorization. + Check insurance company approved procedure lists/ medical policies. If procedure is not payable, notify patient. If patient… more
- Providence (Burbank, CA)
- … representative . + Interacts with legal counsel and insurance claims representatives. Collaborates to determine event causation, claim worth, mediation, ... and readiness programs designed to reduce incidence and magnitude of damage claims made against the hospital and to maintain regulatory compliance. Works to… more
- Fresenius Medical Center (Van Nuys, CA)
- …or other situations change. + Completes and follows up with paperwork when claims are disputed for non-payment. + Collects necessary documents to completed initial ... The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions… more
- LA Care Health Plan (Los Angeles, CA)
- …Oversee overtime work and will produce accurate accounting of each representative work performance. Conducting evaluations of and implementing enhancements to the ... manner and using the approved Authorization Request form with complete medical information ie: Diagnosis (DX) codes, Current Procedural Terminology (CPT) ,Healthcare… more
- The County of Los Angeles (Los Angeles, CA)
- …engaged in legislative affairs activities. + Acts as an official representative /liaison of the CEO/LAIR Division by establishing and maintaining working ... to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be...may be required to submit documentation from a qualified medical provider or other qualified professional to support your… more
- Envista Holdings Corporation (Brea, CA)
- …assigned category and collaborates with Marketing on messaging.** **Develops all product claims and for maintaining product claims matrices.** **Manages product ... where priorities may change rapidly. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may… more
- The County of Los Angeles (Los Angeles, CA)
- …(CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In ... addition to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the County's 911 emergency response system, as well as… more
- Gilead Sciences, Inc. (Los Angeles, CA)
- …sales techniques, interpreting/analyzing data, and an in-depth understanding of the medical field and biopharmaceutical industry. + Demonstrated ability to support ... role, partnering with Marketing in cross-functional meetings with Marketing, Medical Affairs, Managed Markets, Commercial Operations, Human Resources, Legal,… more
- The County of Los Angeles (Los Angeles, CA)
- …(CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In ... its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the County's 911 emergency...may be noted. + Serves as the laboratory organization's representative or liaison with other hospital / ambulatory care… more