- UCLA Health (Los Angeles, CA)
- …use of various business applications to perform analysis, obtain information, and enter prior authorization data necessary for claims adjudication. You will use ... urgent, routine, pre-service, and retro authorization requests, as well as process prior authorization requests with accuracy and timeliness. This will involve the… more
- The County of Los Angeles (Los Angeles, CA)
- EMERGENCY PATIENT TRANSFER COORDINATOR (NON-MEGAFLEX) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4447475) Apply EMERGENCY PATIENT ... TRANSFER COORDINATOR (NON-MEGAFLEX) Salary $66,731.04 - $89,930.16 Annually Location Los...services are met and is subject to closure without prior notice NO WITHHOLDS WILL NOT BE ACCEPTED FOR… more
- Sharp HealthCare (San Diego, CA)
- …nursing facility admission including requests for outpatient care, retrospective claim review, medical equipment, medication issues and acquisition, home health ... in accordance with health plan and SCMG guidelines. + Process Referrals for Prior AuthorizationCoordinate, review and process the more complex referrals for prior… more
- The County of Los Angeles (Los Angeles, CA)
- MEDICAL SERVICE COORDINATOR , CCS (Registered Nurse, Pediatrics - Case Management) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4145908) Apply ... MEDICAL SERVICE COORDINATOR , CCS (Registered Nurse, Pediatrics - Case Management) Salary...service are met and is subject to closure without prior notice. DEFINITION: Determines medical eligibility of children referred… more
- The County of Los Angeles (Los Angeles, CA)
- ENVIRONMENTAL HEALTH TRAINING COORDINATOR Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4620694) Apply ENVIRONMENTAL HEALTH TRAINING ... the needs of the service are met and is subject to closure without prior notice. TYPE OF RECRUITMENT Open Competitive Job Opportunity No out-of-class experience will… more
- International Paper (Anaheim, CA)
- HR Coordinator Description: **Position Title:** HR Coordinator **Pay Rate** : $59,900 - $79,900 _Multiple factors, including Individual experience, skills and ... to FMLA, disabilities, and return to work. + Processes all unemployment-related claims ; participates in any appeal hearings or other activities related to… more
- CVS Health (Sacramento, CA)
- …of Microsoft Office products (Word, Excel, PowerPoint, Outlook). **Preferred Qualifications** + Prior experience working with claims . + Prior experience ... with heart, each and every day. **Position Summary** The **Quality Appeal Coordinator ** coordinates reviews and evaluations for complaints and appeals received by… more
- AIG (Los Angeles, CA)
- Senior Multinational Client Coordinator Join us as a Sr. Client Coordinator to grow your career at the forefront of multinational insurance. Make your mark in ... team of experts, including underwriters, risk engineers, and analytics and claims professionals, to design, implement and service multinational insurance programs.… more
- Alameda Health System (Oakland, CA)
- Pharmacy Services Coordinator -Specialty Pharmacy, Per Diem, Varied shift days, 8hoursFeatured Job + Oakland, CA + Highland General Hospital + HGH Pharmacy - Retail + ... of new patient referrals and with initiation of therapy. 5. Ensures pharmacy claims are being submitted accurately and correctly; reviews billing for specialty and… more
- Bowman (Sacramento, CA)
- **Short Description** Bowman has an opportunity for a Project Accounting Coordinator to join our team remotely (Pacific, Mountain or Central time zones only). At ... that may arise as it relates to disputes, or claims + Act as liaison between operations and many...or commensurate relevant experience. + Entry level position, no prior experience required. Any experience in accounting/finance a plus.… more