- 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
- LA Care Health Plan (Los Angeles, CA)
- …Degree in Business or Related Field Experience Required: At least 4 years of claims processing experience in a Health Plan environment. At least 3 years ... claims , Provider Disputes and Adjustments. This position works with the Claims Operations Supervisor to develop procedures ensuring the achievement of goals… more
- Sedgwick (Los Angeles, CA)
- …client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Handling Positions - California Jurisdiction - (Hybrid) Are you looking… more
- Sedgwick (Pasadena, CA)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Workers Compensation - (Hybrid Schedule) **WORK LOCATION:** HYBRID ... OFFICE **PRIMARY PURPOSE** : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims… 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 $43,190.16 ... 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
- ICW Group (Woodland Hills, CA)
- …injured workers. + Communicates with insureds to obtain information necessary for processing claims . + Contacts and/or interviews injured workers, doctors, ... pertinent regulations. This job investigates, reserves, and assesses Workers' Compensation claims within the Company standards and best practices guidelines. This… 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
- Veterans Benefits Administration (Los Angeles, CA)
- …shred receptacles and/or shredders. While VBA continues transitioning to an electronic claims processing environment, the RMO will perform the electronic ... Division (SSD) under the general direction of the Support Services Supervisor . Responsibilities Major Duties: Develop and implement facility policies and procedures… 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
- The County of Los Angeles (Los Angeles, CA)
- …test results portrayed in the form of a digital read-out, and alerts supervisor before proceeding if test result or procedure outcome falls outside a specific ... and reviewing their work to ensure efficient unit operation, and informs supervisor of their performance; trains personnel in the performance of lower-level… more
- IQVIA (Los Angeles, CA)
- …of insurance and adjudication processes + Understanding pharmacy and medical co-pay claims processing + Proficient in cross training in various departments, ... + Five years of relevant work experience. + Call center management/ supervisor experience. + Strong analytical mind with problem-solving aptitude. + Exceptional… more