- LA Care Health Plan (Los Angeles, CA)
- …acumen transforming complex, multi-domain data (membership, encounters, providers, claims , quality metrics) into interpretable and actionable insights used ... Domain Specific Experience and Skills: Domain Focus: Authorization & Claims Operations Analytics Required: Experience with Utilization Management (UM) authorization… more
- Sysco (Vernon, CA)
- …governmental specifications. Utilize email and electronic monitoring system to submit claims to suppliers on products not meeting product specifications. Follow up ... with suppliers on claims . Work closely with FSQA, Merchandising and/or Accounting Department...appropriate) experience at a federal CFIA/FDA meat and/or seafood processing plant (as appropriate). Knowledge of meat, poultry and/or… more
- The County of Los Angeles (Los Angeles, CA)
- …care. DEFINITION: Supervises a group of central service workers performing processing , sterilization, and distribution of medical and patient care supplies and ... and may participate in the work of subordinates engaged in sterilizing, processing , packaging, and distributing medical and patient care supplies and equipment. +… more
- LA Care Health Plan (Los Angeles, CA)
- …of the application of the Division of Financial Responsibility (DoFR) to claims processing . Knowledge of SDLC procedures in planning system configuration ... Director, Configuration Job Category: Management/Executive Department: Claims Data and Support Services Location: Los Angeles, CA, US, 90017 Position Type: Full Time… more
- LA Care Health Plan (Los Angeles, CA)
- …Domain Specific Experience and Skills: Domain Focus: Authorization & Claims Operations Analytics Required: Experience with Utilization Management (UM) authorization ... workflows and prior authorization metrics. Knowledge of claims operations, including receiving, adjudication, and provider dispute resolution. Knowledge of clinical… more
- Lowe's (Moreno Valley, CA)
- …* Coordinate with 3PL (third-party logistics) partners to resolve customer and cargo-related claims . * Input and manage claims (eg, property damage) into Lowe's ... portal. * Ensure timely updates and resolution of claims to preserve customer trust. * Communicate with Lowe's...Office Suite Preferred Work Experience * Experience with Inventory, processing returns and communicating with vendors * Exposure to… more
- HUB International (Sacramento, CA)
- …needed) the preparation and implementation of transactions, paperwork, and internal processing for assigned accounts. Includes acting as Back-up for other support ... not limited to, Pre-Renewal Strategic Planning, Risk ID Assessments, Contract Reviews, Claims Reviews (in coordination with Claims Management), Market Analysis,… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …is responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial ... + Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing...needs + Prepare and maintain reports and records for processing + Perform other tasks as assigned. + Follow… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …is responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial ... * Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing...needs * Prepare and maintain reports and records for processing * Perform other tasks as assigned. * Follow… more
- University of Southern California (Los Angeles, CA)
- …by the physician as needed. Reviews and codes charge slips, submits insurance claims . Returns patient phone calls. Performs various office and clerical duties. Must ... by the physician as needed. Reviews and codes charge slips, submits insurance claims . Returns patient phone calls. Performs various office and clerical duties. Must… more