- Humana (Sacramento, CA)
- …responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and expansion into new ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- The County of Los Angeles (Los Angeles, CA)
- …and reports any malfunction or variation to the mammography manager , maintenance, or service provider. Requirements MINIMUM REQUIREMENTS: LICENSE/CERTIFICATION: ... Branch.* -AND- A current certification in accordance with the American Heart Associate 's Basic Life Support(BLS) for Healthcare Providers (CPR & AED) Program.* A… more
- The County of Los Angeles (Los Angeles, CA)
- …examinations and subsequent release at the level of Forensic Attendant**. OPTION II: An Associate of Science (AS) Degree , or higher, in Mortuary Science. LICENSE: A ... to mortuary subsequent to examination. In order to receive credit for an Associate 's degree or higher, youMUSTinclude a legible copy of the official diploma,… more
- Elevance Health (Costa Mesa, CA)
- …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to ... fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related questions as… more
- Financial Partners Credit Union (Downey, CA)
- …and/or collateral. + Recommend accounts for legal action or repossession to the manager for approval. + Assign accounts for field chase when necessary. + ... Documentation and Claims : + Review and follow up on letters of...an equivalent combination of education and experience. + An Associate 's degree is preferred. + Proficiency in Windows, Excel,… more
- CARMAX (San Diego, CA)
- …a liaison between the customer and retail technician (Traditional), or mechanical associate (Flow) on the phone before, during, and after the service/repair ... ♦ Obtain accurate estimates and approvals for Extended Service Policy (ESP) claims . ♦ Consult with customers regarding needed repairs. ♦ Review repair orders… more
- Lowe's (San Leandro, CA)
- …team. This role also engages with associates to assist them through associate relations related issues experienced with the organization and/or with other associates ... near misses and injuries, and equipment incidents; completes accident reports for associate injuries Team Leadership * Assists associates with HR related issues… more
- LA Care Health Plan (Los Angeles, CA)
- …referrals (5%) Performs prospective, concurrent, post-service, and retrospective claim medical review processes. Utilizes clinical judgement, independent analysis, ... Performs other duties as assigned. (10%) Duties Continued Education Required Associate 's Degree in Nursing Education Preferred Bachelor's Degree in Nursing… more
- The County of Los Angeles (Los Angeles, CA)
- …quarterly basis and reports any malfunction or variation to the mammography manager , maintenance, or service provider. + Audits processing sensitometry records and ... Branch.** -AND- A current certification in accordance with the American Heart Associate 's Basic Life Support (BLS) for Healthcare Providers (CPR & AED) Program.**… more
- The County of Los Angeles (Los Angeles, CA)
- …quarterly basis and reports any malfunction or variation to the mammography manager , maintenance, or service provider. Oversees and inspects quality control per MQSA ... Branch.** -AND- - A current certification in accordance with the American Heart Associate 's Basic Life Support (BLS) for Healthcare Providers (CPR & AED) Program.**… more