- Dignity Health (Bakersfield, CA)
- …across multiple areas of the organization to ensure customer resolution is complete - Lead investigations into claims overpayments, underpayments, ... **Responsibilities** The Claims Research Specialist will oversee and...and billing issues, ensuring accurate identification and resolution of discrepancies. - Analyze complex claims … more
- Sedgwick (Sacramento, CA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist Sr - Commercial Coverage Specialist **PRIMARY PURPOSE** ... **:** To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to… more
- Zurich NA (Sacramento, CA)
- Sr. Claims Specialist - Complex Construction 126105 Zurich North America is seeking a skilled and experienced Senior Claims Specialist to join our ... litigated general liability claims with an emphasis on litigated construction claims , from inception to resolution . + Collaborate with your colleagues to… more
- Amazon (CA)
- …our member's billing needs via 1Life's tasking system to provide the best customer service. Investigating claims through insurance to ensure they were processed ... that makes One Medical unique. As a Centralized Support Specialist II Billing Specialist , you'll execute our...when needed and follow up with patients to ensure resolution . Excellent customer service skills, attention to… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II (Temporary) Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los ... to support the safety net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will receive,… more
- Movn Health (CA)
- …manage A/R aging-identify unpaid claims and pursue payer follow-ups until resolution + Generate and customer invoices via QuickBooks; + Handle any ... seeking a highly experienced Senior Medical Biller & A/R Specialist to take full ownership of claims ...underpayments, or payer delays, and escalate with recommendations for resolution + Ensure documentation and coding compliance with CMS… more
- Sharp HealthCare (San Diego, CA)
- …issue management and resolution using diplomacy and dispute resolution techniques.Leads customer relationship engagement activities such as education ... level of service and interaction is provided, including accurate and timely claims processing, issue resolution , performance recognition, education and training… more
- Cedars-Sinai (Los Angeles, CA)
- …daily reconciliation, processing payment transfers, reviewing and submitting claims to payors, performing account follow-up activities, updating information ... of the Revenue Cycle. Incumbents work independently and have a strong Customer Service, analytic and problem-solving skills, and can understand, interpret, and… more
- Elevance Health (Los Angeles, CA)
- …adjustment experience strongly preferred. + Previous experience in high-volume operations ( claims , customer service, enrollment and billing) strongly preferred. ... **Financial Operations Recovery Process Specialist ** **Hybrid 1** : This role requires associates...workflow remains uninterrupted, and handles complex case research and resolution . + May review and monitor associates work for… more
- Prime Healthcare (Ontario, CA)
- …new members to join our corporate team! Responsibilities The Patient Account Specialist is responsible for submitting claims to the appropriate intermediaries ... when assigned. Under the supervision of the Director, the Patient Account Specialist is also responsible for accurate and timely payment analysis of managed… more
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