- Western Mutual Insurance Group (Irvine, CA)
- …career goals of every employee. We are seeking a motivated Data Analyst/Power BI Specialist to work onsite and who will work closely with management and departments ... in *Power BI* to support key business functions: underwriting performance, claims and marketing trends, loss ratios, expense analysis, policy-holder reporting. *… more
- Morley (CA)
- …case details? If so, this role could be a perfect fit for you! As a Legal Claims Analyst at Morley, you'll play a key role in managing small automotive claims ... to support the client's defense strategies, including lemon law claims + Serve as the "Person Most Knowledgeable" (PMK)...Apply?_** Live chat with a Morley Talent Acquisition (TA) Specialist ( careers.morleycompanies.com | chat hours: M-F 5 am… more
- Stanford Health Care (Palo Alto, CA)
- …Health Care job.** **A Brief Overview** The Single Path Coding (SPC) Specialist -Level 2 is an advanced coder position responsible for reviewing clinical ... American Medical Association (AMA) CPT Assistant. The SPC Coding Specialist II serves as a subject matter expert in...modifiers as applicable for both the hospital and professional claim + Validate and process any medical necessity edits… more
- Stanford Health Care (Palo Alto, CA)
- …Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the Revenue Cycle Denials Management ... and communication skills. The Clinical Government Audit Analyst and Appeals Specialist II will collaborate with clinical staff, coding professionals, and external… more
- Stanford Health Care (Palo Alto, CA)
- …a Stanford Health Care job.** **A Brief Overview** The Pharmacy Billing Specialist supports accurate and compliant billing for pharmacy services by reviewing data, ... identifying areas for improvement. This role ensures consistency in charge capture, claims submission, and reimbursement to safeguard revenue and minimize risk. The … more
- Emanate Health (Covina, CA)
- …the oversight of HCC Program and STAR measures coding related functions. The coding specialist will work with the IPA Director, Health Plan, and MSO personnel on HCC ... achieves or improves upon 4.0 STAR rating. The coding specialist is responsible for education to external physician offices... will be responsible to review medical records and claims data to ensure external physicians are documenting correctly… more
- Southland Industries (Garden Grove, CA)
- **Position Summary** The Senior Benefits Specialist supports the design, administration, and continuous improvement of employee benefits programs, with an emphasis ... while maintaining responsibility for day-to-day operations and employee engagement. The Specialist partners with Finance and HR leadership to ensure programs remain… more
- The Clorox Company (Pleasanton, CA)
- …**Your role at Clorox:** The Senior Regulatory Specialist will serve as a strategic regulatory partner ... not limited to ingredient assessments, formula reviews, product dossiers, claims , packaging labels, marketing communication materials. + Translate complex regulatory… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: Division Support Specialist Under the general supervision of the Supervisor, Professional Billing & Coding, responsible for compiling & providing daily, ... monitor & report on work queue activity, encounter management, monitor electronic claims rejections & staff productivity reports. Compile & review monthly billing… more
- Banc of California (Santa Ana, CA)
- …(ACH) transactions, Large on-us & Unusual items, Stop payment, ATM/Mobile/RDC Deposits, Check Claims , Fraud alerts for Wire, ACH & Debit Card, Wire Transfer. + ... Performs all above listed items with higher limits and at times, can approve/verify on behalf of the manager and stays within Operational Transactional Signing Authority. Can be cross trained and supported other team's functions. + Assists and supports Branch… more
