- City of Santa Monica (Santa Monica, CA)
- …in adjusting, analyzing, investigating and resolving the City's workers' compensation claims . Representative Duties Reviews, examines and adjusts workers' ... Medical terminology, vocational rehabilitation requirements and procedures of claims management and control. Claim reserving within statutory guidelines. Excess… more
- Sedgwick (West Hills, CA)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr Disability Representative **PRIMARY PURPOSE** : To provide disability case management and claim ... determinations based on complex medical documentation and the applicable disability plan interpretation including determining benefits due and making timely… more
- UCLA Health (Los Angeles, CA)
- Description As a Hospital Collections Representative for Inpatient Behavioral Health, you will manage a designated portfolio of inpatient and outpatient claims , ... 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
- Robert Half Accountemps (Los Angeles, CA)
- …dedicate Regional Medical Center is seeking a Hospital Patient Account Representative . The Medical Regional Center offers a comprehensive range of healthcare ... looking for a diligent, empathetic, and knowledgeable Hospital Patient Account Representative to manage patient accounts, work with insurance carriers and patients… more
- Elevance Health (Los Angeles, CA)
- **Utilization Management Representative I** **Location:** This position will work a hybrid model (remote and office) and participate in health plan sponsored events. ... time - holidays and weekends may be required The **Utilization Management Representative I** is responsible for coordinating cases for precertification and prior… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Enrollment Services Representative II Job Category: Customer Service Department: Enrollment Services Location: Los Angeles, CA, US, 90017 ... achieve that purpose. Job Summary The Customer Solution Center Enrollment Services Representative II is responsible to audit, research, update and maintain the… more
- UCLA Health (Los Angeles, CA)
- Description The Hospital Senior Collections Representative - Medi-Cal HMO manages a specific portfolio of inpatient and outpatient claims to maximize collection ... + Thorough understanding of UB04 requirements and advanced knowledge of medical billing processes, including proficiency in navigating Medicare and Medicaid… 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
- City of Santa Monica (Santa Monica, CA)
- …performs technical work adjusting, analyzing, investigating, and resolving Workers' Compensation claims cases. The division provides medical and indemnity ... files are properly documented and all appropriate data has been entered into the claims management system. Reviews, examines and adjusts medical only and future … more
- NBC Universal (Universal City, CA)
- …The role ensures compliance with the OSHA recordkeeping requirements, regulatory Medical Surveillance programs, Worker's Compensation, OSHA injury & illness logs, ... carrier, Occ Health Clinics, Risk Management, and HR related to worker's comp claims . Participates in injury case review meetings and works with Health Services to… 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
- The County of Los Angeles (Los Angeles, CA)
- …accessing, receiving, or maintaining generally available County services. + Acts as a representative of the Chief Executive Officer (CEO). + Leads a team assigned to ... as spam/junk/clutter mail. Los Angeles County will not consider claims of not viewing or receiving notification to be...not pay into Social Security, but do pay the Medical Hospital Insurance Tax portion of Social Security at… more
- Medtronic (Northridge, CA)
- …in the Life** Medtronic is at the forefront of innovation in the medical device industry, dedicated to improving patient outcomes and enhancing healthcare worldwide. ... thrive and contribute to meaningful cases and advancements in medical technology. We are seeking a highly skilled and...responsible for managing a variety of IP litigation matters, claims , and disputes on behalf of Medtronic. The IP… more
- Veterans Benefits Administration (Los Angeles, CA)
- …(VRC), and within the scope of assigned responsibilities, serves as VA representative to resolve issues presented by Veterans. Assists VRC's with Chapter 31 ... award as independent reviewer. Authorizes Chapter 31 subsistence awards using Claims Authorization (CAUT) command. Solves payment inquiries, possesses a basic… more
- Kiewit (Los Angeles, CA)
- …review process + Manage Change Order process + Manage any claims and/or operational/construction issues; coordinate discussions regarding same with the Client, ... managing other team members + Experience managing complex technical issues such as claims , change orders, contract changes , etc. to successful resolution + Work as… 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
- 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
- The County of Los Angeles (Los Angeles, CA)
- …+ Assigns service referrals received from social workers, eligibility workers, medical case workers, and other professional staff to assist clients/patients in ... obtaining food stamps, housing, medical services, mental health services, substance use care, and...and provides suggestions for improvement. + Serves as program representative to internal and external partners. + Supervises applicable… more
- Gilead Sciences, Inc. (Los Angeles, CA)
- …events, and other miscellaneous external expenditures. + Partnering with Medical Scientists, National Account Managers, Therapeutic Center Specialists, Marketing, ... and Drug Administration's implementing regulations, the Federal Anti-Kickback Statute, the False Claims Act, PhRMA, Corporate Code of Business Conduct and the Office… more