- Magellan Health Services (San Diego, CA)
- …abandonment rate, talk time). Comfortable adapting to change. General Job Information Title Claims Resolution Specialist Grade 20 Work Experience - Required ... to ensure all pertinent information is recorded both for ease of resolution by the Claims Department and service continuation for the customer . + Processes… more
- 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
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, ... 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
- 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
- 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
- LA Care Health Plan (Los Angeles, CA)
- Care Management Specialist II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 12405 ... safety net required to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills and training to perform essential functions of… 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
- Allied Universal (Irvine, CA)
- …Document and maintain administrative procedures for all assigned benefit duties + Customer service, research and resolution with employee inquiries, carrier/file ... and more. Allied Universal(R) is hiring a Senior Benefits Specialist . The Senior Benefits Specialist provides support...Help maintain benefits website and share drive + Provide customer service for all employees calling into the benefits… more
- Aston Carter (Fresno, CA)
- Job Title: Logistics Specialist - Bilingual-Spanish Must be Bilingual Spanish!! Must have experience with processing Export Shipments preferably to other countries in ... North America!! Job Description The Logistics Specialist is responsible for leading and coordinating international trade...process to ensure timely submission and completion of all claims . + Prioritize and plan shipments to meet agreed-upon… more