- Sedgwick (West Hills, CA)
- …system documentation.** **Coordinates investigative efforts to ensure thorough and appropriate claim reviews.** **Identifies when claims require external support ... Fortune Best Workplaces in Financial Services & Insurance Disability Representative Sr. **Senior Disability Representative - Make...do you._** **We're not just a global leader in claims management; we're a team driven by empathy, expertise,… more
- Sedgwick (West Hills, CA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Representative Sr **Our teams connect! We collaborate onsite and have a hybrid ... CA 91304 **PRIMARY PURPOSE** : Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan… more
- Children's Hospital Los Angeles (Glendale, CA)
- …reside in California. **Schedule:** Days **Purpose Statement/Position Summary:** The Billing Representative will collect and submit billing data, enter data into the ... computer database, locate and resolve routine problems, and track claim and billing activity. Ensure that patient accounts are accurately reviewed and prepared for… more
- Volvo Group (Redding, CA)
- Parts Representative BU Location: Redding, CA, US, 96003Sacramento, CA, US, 95826 Position Type: Professional Transport is at the core of modern society. Imagine ... perfect match. **Job Summary and Purpose:** The responsibility of the parts representative will ensure that all customers accurately receive the support and customer… more
- Molina Healthcare (Los Angeles, CA)
- …for a wide variety of inquiries and assistance involving their benefits, claims , premiums, and other areas including very complex issues. Conducts initial research ... needs for a wide variety of inquiries and assistance involving claims , authorizations, appeals, contracting, credentialing and other areas including the most… 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
- Highmark Health (Sacramento, CA)
- …inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly ... and/or assist in addressing denied point of sale prescription claim transitions and coordination of benefits practices/procedures. **ESSENTIAL RESPONSIBILITIES** +… more
- The County of Los Angeles (Los Angeles, CA)
- …do not meet medical necessity and level of care criteria, and for certification of approved hospital days reimbursable under the Medicare and MediCal programs. ... care evaluation studies. + Works with Professional Standards Review Organization representative to orient new staff to Federal laws and regulations pertaining… more
- The County of Los Angeles (Los Angeles, CA)
- …and implementing technical competencies. + Serves as the department's chief representative or liaison with other hospital disciplines or service departments when ... school of radiologic technology in compliance with standards established by State certification and licensing bureaus. LICENSE: + A current, active certification … more
- The County of Los Angeles (Los Angeles, CA)
- …and educational services coalitions. Serves as a committee member, participant, or representative on a variety of committees, task forces, etc. focused on internal ... complete this questionnaire completely, correctly, and accurately. The experience you claim in this supplemental questionnaire must be consistent with experience… more