- 24 Hour Fitness, INC. (CA)
- …supporting the Legal Department in responding to and managing disputes, claims , subpoenas, and litigation relating to: labor and employment, consumer protection ... and billing, real estate, public accommodation disputes, claims , and litigation. ESSENTIAL DUTIES & RESPONSIBILTIES * Under direction of attorney, provide claims … more
- CVS Health (CA)
- …our efforts to detect, prevent, and combat fraudulent activities in the healthcare system . **This is a remote based, work from home role.** Key Responsibilities: The ... will be responsible for making both pre and post-payment claim payment determinations based on Aetna Clinical Policy and/or...Responsible for peer to peer reviews of SIU related claims based on provider escalation or state/federal requirements +… more
- Robert Half Legal (Walnut Creek, CA)
- …calendars and schedule meetings, court dates, and other important events. * Administer claims and handle all aspects of complaint resolution. * Utilize Adobe Acrobat ... for legal research and case preparation. * Proficient in using a Management System for coordinating and overseeing tasks. * Strong skills in Microsoft Excel for… more
- Travelers Insurance Company (Glendale, CA)
- …Imagine loving what you do and where you do it. **Job Category** Claim , Legal **Compensation Overview** The annual base salary range provided for this position ... local expertise and outstanding client service. We handle litigation arising from claims asserted against policyholders or the company and take cases from inception… 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 ... subsequent adjustments in the hospital information system . + Identifies systemic payment errors and make process improvement recommendations to assure the highest… more
- The County of Los Angeles (Los Angeles, CA)
- …Angeles County Department of Health Services (DHS) is the second largest municipal health system in the nation. Through its unified system of 23 health centers ... runs the Emergency Medical Services (EMS) Agency and the County's 911 emergency response system , as well as Housing for Health and the Office of Diversion and… more
- Highmark Health (Sacramento, CA)
- …to resolve issues and provide advice on new programs. Provides guidance to system entities in response to external coding audits conducted by the Medicare ... the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems , missed secondary diagnoses and procedures and ensures compliance with DRG/APC structure… more
- The County of Los Angeles (Los Angeles, CA)
- …Angeles County Department of Health Services (DHS) is the second largest municipal health system in the nation. Through its unified system of 23 health centers ... Services (EMS) Agency and the County's 911 emergency response system , as well as Housing for Health and the...departments when coordinated effort is required to develop administrative systems , assure the effective management of patient care and… more
- Stanford Health Care (Palo Alto, CA)
- …is responsible for the timely and accurate processing of insurance balance patient claims in accordance with contracts and policies. The PAR works in various ... class. This role requires a strong working knowledge of systems and processes. A PAR II is expected to...payer by phone or via the portal + Resolving claim edits + Reviewing payer variances and pursuing underpayments… more
- The County of Los Angeles (Los Angeles, CA)
- …be assigned to the Division or available in the County, State or Federal system for expert evaluation and counsel in problem areas. Persons appointed to a position ... power, emergency plans, fire drills, fire alarm and smoke detection systems , smoking regulations, automatic sprinkler systems , portable fire extinguishers,… more
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