- LA Care Health Plan (Los Angeles, CA)
- Manager, Customer Solution Center Appeals and Grievances Job Category: Management/Executive Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... to achieve that purpose. Job Summary The Manager, Customer Solution Center Appeals and Grievances is responsible for the centralized intake, logging and triage… more
- City and County of San Francisco (San Francisco, CA)
- …& DUTIES According to Civil Service Commission Rule 109, the duties specified below are representative of the range of duties assigned to this job class and are not ... and presents summary findings and recommendations to stakeholders by implementing data collection tools, such as Microsoft Forms. + Composes written material,… more
- Highmark Health (Sacramento, CA)
- …supervisory direction and oversight for all enrollment, premium billing, claims and/or customer service telephone and written correspondence inquiries (routine, ... priority Congressional / Department of Defense), and appeals . Ensures that all processes are compliant with requirements and performance standards are consistently… more
- Clay Lacy Aviation (Van Nuys, CA)
- …escalation point for sensitive payroll issues, wage disputes, and labor claims , providing strategic counsel and documentation to mitigate legal and financial ... liabilities to inform funding strategies and annual renewal decisions. + Leverage data analytics and employee feedback to drive continuous improvement and innovation… more
- Banner Health (CA)
- …the best place to work and receive care. The **PFS Insurance Follow-Up Representative (Ambulatory Denials)** is responsible for following up with assigned payer for ... activities in one or more assigned areas of billing, payment posting, collections, payor claims research, and other accounts receivable work. Works as a member of a… more