- TEKsystems (Chino, CA)
- …ensuring customer satisfaction and timely resolution of issues. * Provided detailed claim information and support to customers, maintaining a high level of accuracy ... exceeded performance targets, including call handling time, customer satisfaction scores, and claim resolution rates * Will use multiple screens, soft wares, and… more
- Graybar (Union City, CA)
- Make a difference. As a Customer Service Representative , you will serve as a key contact and liaison for customers to ensure their total satisfaction. You will ... including order entry, pricing, expediting, billing, order maintenance, credit and claims **Skills & Requirements** + Strong communication skills + Ability to… more
- UCLA Health (Los Angeles, CA)
- Description As a Senior Collections Representative , you will oversee a designated portfolio of inpatient and outpatient claims to maximize collection outcomes. ... In this role, you will conduct thorough and strategic account reviews, lead efforts to resolve reimbursement discrepancies with third-party payers, and implement proactive follow-up strategies to accelerate account resolution. This position requires strong… more
- Graybar (Diamond Bar, CA)
- Are you ready? As an Outside Sales Representative , you will be selling our products and services in a specialized market. You will develop new prospects and maintain ... policies + Handle customer complaints promptly and effectively, and report potential claims + Keep management informed of local competition and market conditions +… more
- Emanate Health (Covina, CA)
- …customer service, compliant billing and collections, correspondence management, claim follow-up, accurate payment and adjustment reconciliation, correspondence ... review within departmental standards. Provide training support to individuals as needed with new processes, or new implementations. Assist with projects as necessary to help assist with staying within Business Office standards. **Job Requirements** a. Minimum… more
- Surgery Care Affiliates (Long Beach, CA)
- …selected for Primary insurance. + Utilize the centers selected vendor for claims and eligibility and/or individual payer websites to obtain eligibility, benefits ... and/or pre-certs and authorization information. + Enter the patient insurance information into patient accounting system ensuring the selection is the appropriate payer and associated financial class. + When the patient's insurance is Out of Network notify the… more
- Sedgwick (Sacramento, CA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Litigated Claims Manager | Staff Attorney | Public Entity Pooling | Hybrid Are you ... **?** Do you bring 8+ years of experience collaborating with outside counsel and claims examiners to oversee litigated claims ? If you're an experienced litigator… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …to prevent fraud and ensure compliance with policy terms. + Resolve Rejected Claims : + Calculate benefit payments and approve claim settlements based on ... SUMMARY: The Adjudication Specialist manages a portfolio of rejected pharmacy claims , ensuring timely billing and maximum payer reimbursement. They prioritize… more
- The County of Los Angeles (Los Angeles, CA)
- …years of experience performing patient access functions at the level ofPatient Relations Representative . Withhold & Out of Class information: No withhold or out of ... acquired. In the County of Los Angeles, Patient Relations Representative is defined as performs complex and specialized patient...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more
- WestCare Foundation (Fresno, CA)
- …DMC-ODS, Enhanced Care Management (ECM), and Community Supports. This position ensures claims are submitted accurately and timely directly to insurance carriers and ... ESSENTIAL JOB FUNCTIONS: + Prepare, submit and track CalAIM claims directly to Medi-Cal Managed Care Plans and insurance...billing. + Reconcile payments and denials; research and correct claim errors or rejections in coordination with fiscal and… more