- Sharp HealthCare (San Diego, CA)
- …employees. Goal is to ensure department is proactive in decreasing claim rejections, denials and minimize customer billing issues.Effectively trains and orients ... staff on new initiatives and processes. Monitors the effectiveness of the training and provides additional training as needed. + Workflow managementEfficient scheduling of Business Service staff (BSRs) to meet service levels.Monitors productivity to ensure… more
- Gulfstream (Van Nuys, CA)
- …of work and problems as required. . + If required, resolve warranty claim issues with Aircraft/Engine/APU manufactures/vendors . + May review, track and correct ... discrepancies for entire work scope for accuracy of requirements per customer, Gulfstream and FAA specifications . Perform other duties as assigned. Other Requirements: + Must have demonstrated leadership ability, high degree of integrity and possess strong… more
- Sedgwick (Long Beach, CA)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. + High School Diploma or GED required. ... claim activities. Offers technical and jurisdictional guidance on claims adjudication and maintains regular diaries, especially for complex or high-exposure… more
- The County of Los Angeles (Los Angeles, CA)
- …institution*, office building or similar facility at the level of Custodian Supervisor ** *Institutions are defined as but not limited to healthcare facilities, ... steps to view correspondence, and we will not consider claims of missing notices to be a valid reason...building or similar facility at the level of Custodian Supervisor **? *Institutions are defined as but not limited to… more
- Ventura County (Ventura, CA)
- …I) or calculates and analyzes (Accountant II) Incurred but not Reported medical claims based on system generated claim lag reports to provide realistic ... work situations, and referring only non-procedural questions to their supervisor . Senior Accountant - This is the advanced journey...(Accountant I) or reviews and reconciles (Accountant II) bond claims to verify that charges for the project on… more
- Cedars-Sinai (Los Angeles, CA)
- …underpayments from insurance carriers. + Analyzes and validates reimbursement for denied claims . Accurately and consistently document the results of all audits and ... Ensures that the resolution completed meets the department's standards. + Collaborates with Supervisor and EIS to open tickets to load, fix and test managed care… more
- Air National Guard Units (Beale AFB, CA)
- …functions in Tower and Radar facilities as the primary watch supervisor and/or senior controller. Requirements Conditions of Employment Qualifications GENERAL ... Preference you are required to submit all supporting documentation to validate your claim of Veterans Preference eligibility with your application at the time of… more
- The County of Los Angeles (Los Angeles, CA)
- …Incumbents in this senior-level class generally report to an information technology supervisor or manager and are distinguished from the Information Systems Analyst ... complete this questionnaire completely, correctly, and accurately. The experience you claim in this supplemental questionnaire must be consistent with experience… more
- Evolent (Sacramento, CA)
- …for assigned health plan regarding the accurate and timely submission of claims /statements. + Works with management to obtain corporate financial goals and ... plan, line by line, to make sure that the claim is billed to the proper payer source, in...customers in a timely manner. + Researches and resubmits claims without response or denied in established time frame.… more
- LA Care Health Plan (Los Angeles, CA)
- …medical necessity; benefit coverage appeals and reconsiderations, and complex provider claim disputes. The position is further responsible for tracking, trending and ... assignment of cases. Monitors closure of complaints and works with Quality Control Supervisor to resolve all database issues. Prepare and analyze monthly appeal and… more