- City of Long Beach (Long Beach, CA)
- …managing employee leave programs, return-to-work processes, workplace accommodations, injury claims , payroll and timekeeping, and implementation of benefit plans. ... a team of 3, this role ensures that time-off, payroll, accommodations, and injury claims are handled accurately and in compliance with labor laws. You will serve as… more
- Prime Therapeutics (San Diego, CA)
- …analytics and professional knowledge to identify educational trends and select claims for audit in alignment to department procedures and objectives + Leverage ... and is responsible for the selection and auditing of claims , educating Prime's network pharmacies and driving contract compliance,...professional pharmacy technician knowledge to validate claim documentation and… more
- Robert Half Office Team (San Diego, CA)
- Description Are you an experienced medical billing professional looking to grow your career in a senior-level role? Our client is seeking a Senior Medical Billing ... excellent place to advance your career in medical billing. Key Responsibilities: + Claims Submission: Prepare, review, and submit Medicaid and Medicare claims … more
- Travelers Insurance Company (San Francisco, CA)
- …that requires satisfactory completion of required training to advance to Claim Professional , Outside Property. This position is intended to develop skills for ... investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides...addition, our mental health program provides access to free professional counseling services, health coaching and other resources to… more
- The County of Los Angeles (Los Angeles, CA)
- …contact associated with the financial screening and/or registration of patients or claims billing and collection for hospital or medical services. Option III : ... and home healthcare (ie, healthcare provided at home by a healthcare professional ). **Patient accessexperience includes but is not limited to experience in Patient… more
- Sedgwick (Rancho Cucamonga, CA)
- …+ This role will be primarily responsible for **_Large Complex Property_** claims . **PRIMARY PURPOSE** **:** To investigate losses or claims internationally ... be negotiated. + Attends litigation hearings. + Revises case reserves in assigned claims files to cover probably costs. + Prepares loss experience reports to help… more
- Robert Half Accountemps (San Diego, CA)
- Description Are you a highly skilled and motivated medical billing professional with extensive knowledge of Medicaid and Medicare processes? Our client is currently ... billing team and ensure the accuracy and compliance of claims submissions. This role is ideal for someone with...the financial health of the organization. Key Responsibilities: + Claims Oversight: Prepare, review, and submit Medicaid and Medicare… more
- Towne Park (San Jose, CA)
- …the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover + Manages scheduling, overtime for associates ... have been adequately trained in safety and loss prevention procedures + Ensures claims are reported timely and accurately and cooperates with the Risk Management… more
- Molina Healthcare (San Diego, CA)
- …Analysis** + Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of ... healthcare regulations, managed care claims workflows, and provider reimbursement models to shape recommendations and action plans. + Translates strategic needs into… more
- The County of Los Angeles (Los Angeles, CA)
- …the County of Los Angeles in the defense of workers' compensation claims before the California Workers' Compensation Board, the California Court of Appeals ... County of Los Angeles in defense of workers' compensation claims . Approves contract law firms request for payment of...provide a copy of your resume, which details relevant professional experience. Please DO NOT attach or upload your… more