- Providence (Mission Hills, CA)
- **Description** The Senior Claims Specialist is responsible for the processing of complex institutional claims (stop loss, contracted, non-contracted, ... adjudication and claims research when necessary. Senior Claims Specialist must have knowledge of compliance...have knowledge of compliance issues as they relate to claims processing and ability to identify and… more
- Sedgwick (Los Angeles, CA)
- …Place 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 … more
- TEKsystems (Los Angeles, CA)
- … resolution, medical collections, eligibility verification, benefits investigation, claims processing , medical insurance, prior authorization, laboratory, ... clinical, explanation of benefits, EOBs, health insurance, provider claims , medical claims processing , health insurance claims , cpc, claims analysis,… more
- LA Care Health Plan (Los Angeles, CA)
- …incentives or any additional service needs according to specific program guidelines. Uses claims processing and care management software to look up member ... Care Management Specialist II Job Category: Clinical Department: Care Management...predictive modeling, provider's utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other… 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 $65,911.68 - ... typically report to a higher-level manager and are responsible for processing and maintaining credentialing documentation for review by the credentialing review… 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 (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...cycle functions and provide back-up coverage. The Revenue Cycle Specialist III: + Independently responds timely and accurately to… more
- The County of Los Angeles (Los Angeles, CA)
- SENIOR INFORMATION RESOURCE SPECIALIST , BOARD OF SUPERVISORS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4535966) Apply SENIOR INFORMATION ... RESOURCE SPECIALIST , BOARD OF SUPERVISORS Salary $118,233.84 - $159,337.20 Annually...and coordination of information systems and applications and work processing systems, including departmental strategic planning required to support… 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 (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 (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
- Robert Half Accountemps (Los Angeles, CA)
- …and healthcare providers. - Perform billing and collection activities including insurance claims processing . - Respond to patient inquiries regarding billing, ... A Hospital in Los Angeles is in need of a Hospital Medical Collections Specialist . The Hospital Medical Collections Specialist will be responsible to manage… more
- UCLA Health (Los Angeles, CA)
- …your expertise to support UCLA Health's commitment to accuracy and quality in claim processing . As an Audit and Appeals Specialist , you will: + Facilitate ... and appeals processes, including methods, tools, and regulatory standards affecting claims submission and payment + Project management skills, including effective… 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
- Robert Half Accountemps (Alhambra, CA)
- …resolution by liaising with patients, insurers, and healthcare providers * Conduct insurance claims processing as part of billing and collection activities * ... Description We are welcoming a Medical Biller/Collections Specialist to be a part of our team in the Healthcare and Social Assistance industry, based in Alhambra,… more
- Robert Half Accountemps (Alhambra, CA)
- …and make necessary appeals. * Conduct billing and collection activities, including processing insurance claims . * Respond to patient inquiries about billing, ... offering a contract to hire employment opportunity for a Medical Biller/Collections Specialist in the healthcare industry. This role is based in Alhambra, California… more
- LA Care Health Plan (Los Angeles, CA)
- …Common Procedure Coding System (HCPCs) codes. Technical Support to UM Specialist : Processing of time sensitive authorization and pre-certification requests ... Summary The Supervisor, Authorization Technician supports the Utilization Management (UM) Specialist by handling all administrative and technical functions of the… more
- The County of Los Angeles (Los Angeles, CA)
- …care. DEFINITION: Supervises a group of central service workers performing processing , sterilization, and distribution of medical and patient care supplies and ... and may participate in the work of subordinates engaged in sterilizing, processing , packaging, and distributing medical and patient care supplies and equipment. +… more