- Marriott (Chula Vista, CA)
- …school diploma or GED; 3 years experience in the human resources, management operations , or related professional area. OR * 2-year degree from an accredited ... or related major; 1 year experience in the human resources, management operations , or related professional area. **CORE WORK ACTIVITIES** **Managing Recruitment and… more
- Public Consulting Group (Sacramento, CA)
- …Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies ... through claim issue research. Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist… more
- LA Care Health Plan (Los Angeles, CA)
- …or claims review. Applies subject expertise in evaluating business operations and processes. Identifies areas where technical solutions would improve business ... Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition… more
- University of Southern California (Alhambra, CA)
- …Collector Appeal Specialist is responsible for accurately processing inpatient and out-patient claims to third party payers and private pays, following all mandated ... guidelines are met; provided quality control checks on paper and electronic claims ; process tracers, denial and related correspondence; initiate appeals; compose and… more
- VetsEZ (CA)
- …care teams, payers, and providers to improve how patients experience care, how claims are processed, and how care coordination is managed across the continuum. By ... we enable smarter decisions, seamless patient engagement, and more efficient claims management. Together, we are shaping a healthcare ecosystem that delivers… more
- Owens & Minor (Torrance, CA)
- …Experience: I. High school diploma or equivalent; II. Experience in Third Party Claims processing; III. Knowledge in pharmacy operations and products utilized by ... a pharmacist and is responsible for assuring the pharmacy operations are compliant, efficient and meet the needs of...Individual should have basic computer knowledge related to Pharmacy Operations . Must be able to fully learn and have… more
- The County of Los Angeles (Los Angeles, CA)
- …which have the potential to negatively impact the County's programs, policies or operations or might result in serious monetary losses. Candidates are expected to ... of Los Angeles in the defense of workers' compensation claims before the California Workers' Compensation Board, the California...County of Los Angeles in defense of workers' compensation claims . Approves contract law firms request for payment of… more
- Ventura County (Ventura, CA)
- …(III, IV), performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, ... efficiency, and regulatory adherence in all mental health billing operations . Medical Billing Specialist III ( $ 25.10 -...incumbents perform program administrative duties to assure that all claims are billed timely. WHAT WE OFFER The County… more
- CDM Smith (Walnut Creek, CA)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...of the disaster on the applicant's assets, inventory, and operations . * Expert Testimony and Litigation Support: In cases… more
- Cardinal Health (Sacramento, CA)
- **_What Customer Service Operations contributes to Cardinal Health_** Contracts and Billing is responsible for finance related activities such as customer and vendor ... or appropriate. + Acts as a subject matter expert in claims processing. + Processes claims : investigates insurance claims ; properly resolves by follow-up &… more