- The County of Los Angeles (Los Angeles, CA)
- CREDENTIALING SPECIALIST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3476028) Apply CREDENTIALING SPECIALIST Salary $65,911.68 - ... typically report to a higher-level manager and are responsible for processing and maintaining credentialing documentation for review by the credentialing review… more
- The County of Los Angeles (Los Angeles, CA)
- ENVIRONMENTAL HEALTH SPECIALIST III Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3049497) Apply ENVIRONMENTAL HEALTH SPECIALIST III ... class receive administrative and technical lead from a Chief, Environmental Health Specialist and may receive technical lead from an Environmental Health … more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …advancement to all our team members. JOB SUMMARY: The Prior Authorization Specialist is responsible for managing and identifying a portfolio of rejected pharmacy ... claims to ensure maximum payer reimbursement and timely billing...risks to Polaris and their customers. The Prior Authorization Specialist must be responsive and courteous when addressing our… more
- LA Care Health Plan (Los Angeles, CA)
- …incentives or any additional service needs according to specific program guidelines. Uses claims processing and care management software to look up member ... Care Management Specialist II Job Category: Clinical Department: Care Management...predictive modeling, provider's utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other… more
- University of Southern California (Newport Beach, CA)
- …medical terminology. + Pref Knowledge of the health insurance industry and claims processing . Required Licenses/Certifications: + Req Fire Life Safety Training ... The Clinical Authorization Specialist will take the lead in securing medical...needed. + Coordinate with Director on denied or disputed claims to obtain documentation to support chemotherapy treatment +… more
- TEKsystems (Los Angeles, CA)
- …experience with HMO/Medicare claims , audits, and denials + Familiarity with claims processing systems (EZCap or similar) + Strong analytical, documentation, ... Job Title: Retro Claims Reviewer Location: West Hills/Canoga Park 91305 Compensation:...LVN $38-$40 hourly RN $45-$50 hourly Overview: The Retro Claims Reviewer is responsible for auditing and reviewing medical… more
- Otsuka America Pharmaceutical Inc. (Irvine, CA)
- …everyday health. In its evolved customer engagement model, a Neuroscience Specialist engages healthcare providers (HCPs) using in-person, virtual, and digital tools, ... patient care and provide a superior experience. The Neuroscience Specialist will report directly to the respective Area Business...offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,… more
- Cardinal Health (Sacramento, CA)
- …as required, necessary, or appropriate. + Acts as a subject matter expert in claims processing . + Processes claims : investigates insurance claims ; ... administration customer and vendor pricing, rebates, billing (including drop-ships), processing chargebacks and vendor invoices and developing and negotiating… more
- Cedars-Sinai (Los Angeles, CA)
- …collections. Duties include but not limited to, reviewing and submitting claims to payors, performing account follow-up activities, updating information on patient ... account, reviewing and processing credits, posting payments, and account reconciliations. Positions at...cycle functions and provide back-up coverage. The Revenue Cycle Specialist III: + Independently responds timely and accurately to… more
- LA Care Health Plan (Los Angeles, CA)
- …Excel and Power Point. Requires strong knowledge of regulatory standards and claims processing ; strong analytical, oral, written and presentation skills, able ... Customer Solution Center Appeals and Grievances Specialist II (Temporary) Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles,… more