- Molina Healthcare (Oceanside, CA)
- …or exceed the Plan's monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with the provider and staff to ... as they arise, making an assessment when escalation to a Senior Representative , Supervisor, or another Molina department is needed. Takes initiative in preventing… more
- UCLA Health (Los Angeles, CA)
- …team member to join our dynamic Pediatrics department! As a Patient Service Representative , you will support the Children's Health Center in Westwood by providing ... patients and physicians. You will help guide patients through the health system and collaborate closely with physicians to ensure patients receive comprehensive… more
- Emanate Health (Covina, CA)
- …Places to Work" in 2021, Emanate Health was named the #1 ranked health care system in the United States, and the #19 ranked company in the country. **Job Summary** ... effective customer service, compliant billing and collections, correspondence management, claim follow-up, accurate payment and adjustment reconciliation, correspondence review… more
- Surgery Care Affiliates (Long Beach, CA)
- …a broad spectrum of services, all designed to support physicians, health systems and employers in delivering efficient, value-based care to patients without ... selected for Primary insurance. + Utilize the centers selected vendor for claims and eligibility and/or individual payer websites to obtain eligibility, benefits… more
- Sharp HealthCare (Chula Vista, CA)
- …all registration functions necessary to ensure the processing of a clean claim including but not limited to obtaining and processing patient demographics, visit ... Information Center duties (SCO only):Initiate ED Code calls using the overhead paging system and Code Log Book online.Answer CIC phone lines after business hours and… more
- Ross Stores, Inc. (Shafter, CA)
- …Associates\. * Respond to Talx requests for terminated Associate unemployment claim information\. * Electronically file performance related corrective action in Goal ... Post System \. * Deliver required reporting\. **COMPETENCIES:** * Communicates Effectively * Ensures Accountability & Execution * Collaboration * Business Acumen *… more
- TEKsystems (Chino, CA)
- …calls with utmost professionalism. . Provide comprehensive support and details on claims . . Utilize call center software to efficiently manage interactions and data. ... satisfaction, and resolution rates. . Navigate multiple screens and software systems to assist customers effectively. Your availability is required Monday-Friday… more
- Molina Healthcare (Fresno, CA)
- …member eligibility and covered benefits, Provider Portal, and status of submitted claims . * Ability to effectively communicate in a professionally setting. **Job ... combination of education and experience **PREFERRED EXPERIENCE** : + 1-3 years + Preferred Systems Training: + Microsoft Office + Genesys + Salesforce + Pega + QNXT… more
- USAA (Los Angeles, CA)
- … claim damages including communicating with the insured, internal claims adjusters, and third parties/vendors. May require face-to-face interactions with members ... for handling, if applicable. + Maintain accurate and current claim file documentation throughout the claims process...inspection. + May serve as a subject matter expert representative for disputed claims or trials. Serves… more
- The County of Los Angeles (Los Angeles, CA)
- …responsibility for collecting data and entering patient information into the LEADER Replacement System (LRS), as well as other information systems . Supervises a ... performing patient access functions at the level ofPatient Relations Representative . Withhold & Out of Class information: No...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more