- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Customer Solution Center Appeals and Grievances Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los ... required to achieve that purpose. Job Summary The Supervisor, Customer Solution Center Appeals...independently. Ability to solve complex issues and identify creative solutions . Computer ease and literacy with Microsoft Office (Word,… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los ... to support the safety net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los ... support the safety net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Nurse Specialist… more
- Insight Global (Los Angeles, CA)
- Job Description The Supervisor of the Customer Solution Center Appeals and Grievances is responsible for directly supervising and supporting the team ... -At least 3 years in a healthcare setting in Grievances and Appeals , Compliance, Claims or Call Center . -At least 2 years of leading process, program, or staff… more
- Insight Global (Los Angeles, CA)
- Job Description The Customer Solution Center Appeals and Grievances Specialist I will support the Appeals and Grievances team to receive, investigate ... (20%) -Supports the identification, investigation and resolve administrative complaints, simple appeals while adhering to Center for Medicare and Medicaid… more
- LA Care Health Plan (Los Angeles, CA)
- …Preferred Required Training Physical Requirements Light Additional Information Department Specifics: Customer Solution Center Appeals and ... matter expertise in functional area to bridge business requirements and IT solutions ; provide technical direction and ensure compliance with best practice … more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Audit Readiness Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, ... net required to achieve that purpose. Job Summary The Customer Solution Center (CSC) Audit...minimum of 5 years of experience in regulatory auditing ( Appeals & Grievances, Call Center , Enrollment) in… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Quality Auditor II Job Category: Customer Service Department: Even MORE Quality Location: Los Angeles, CA, US, 90017 Position ... net required to achieve that purpose. Job Summary The Customer Solution Center Quality Auditor...Outreach, Ansafone, Web Inquiries, MRU (Member Relations Unit), and Appeals and Grievance, performance against key performance indicators and… more
- LA Care Health Plan (Los Angeles, CA)
- …Certification Required Training Physical Requirements Light Additional Information Skills: For Customer Solution Center Required: Demonstrated ability in ... deliverables to support any of the following 3 health plan functions: Call Center Operations, Enrollment Services Operations, Appeals & Grievance Operations For… more
- Robert Half Accountemps (Reseda, CA)
- Description A Regional Medical Center in Reseda is in the need of a Medical Collections Specialist. The Medical Collections Specialist will be responsible for ... as requested in a timely manner. * Submits timely appeals and follows up on claims at various stages...Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to… more
- LA Care Health Plan (Los Angeles, CA)
- …analysis, management reporting and operational reporting specific but not limited for Customer Solutions Center , which includes Enrollment Services, Even ... Report Writer III Job Category: Customer Service Department: Even MORE Quality Location: Los...MORE, Call Center and Appeals & Grievances. Collaborates with end users to gather… more
- Robert Half Accountemps (Los Angeles, CA)
- Description A dedicate Regional Medical Center is seeking a Hospital Patient Account Representative. The Medical Regional Center offers a comprehensive range of ... a hospital billing position. Extensive experience managing medical denials and appeals . Knowledge of billing procedures and insurance policies. Knowledge of medical… more