- 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: ... to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills and training...additional service needs according to specific program guidelines. Uses claims processing and care management software to look up… 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, US, ... that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member and provider… more
- Cedars-Sinai (Los Angeles, CA)
- …in other revenue cycle functions and provide back-up coverage. The Revenue Cycle Specialist II : + Participates in department meetings and provides feedback to ... that fuels innovation. **Req ID** : 11453 **Working Title** : Revenue Cycle Specialist II (Commercial Collections) **Department** : CSRC HB Follow Up **Business… more
- Cedars-Sinai (Los Angeles, CA)
- …our care the most. **Req ID** : HRC1268782 **Working Title** : Revenue Cycle Specialist II **Department** : MNS PBS Huntington Hospital **Business Entity** : ... performing duties which may include reviewing and submitting multi-specialty claims to third party payors, performing account follow-up activities, updating… more
- The County of Los Angeles (Los Angeles, CA)
- CHIEF ENVIRONMENTAL HEALTH SPECIALIST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4260745) Apply CHIEF ENVIRONMENTAL HEALTH SPECIALIST ... management policies and procedures are followed by the environmental health specialist staff and also are responsible for expediting inspection and enforcement… more
- Amazon (CA)
- …using CI CARE framework that makes One Medical unique. As a Centralized Support Specialist II Billing Specialist , you'll execute our mission of delivering ... needs via 1Life's tasking system to provide the best customer service. Investigating claims through insurance to ensure they were processed according to the patient… more
- The County of Los Angeles (Los Angeles, CA)
- …employee performance evaluations, authorizing time-off requests, and responding to first-level resolution of employee grievances. + Serves as a technical resource to ... plaster and soft casts, tractions orthotic/prosthetic modalities, and emergency splints, -OR- Option II : One (1) year of experience at the level of Senior Orthopedic… more
- Highmark Health (Sacramento, CA)
- …coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure ... + Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses and...change or problems and takes appropriate steps to effect resolution . (10%) + Reviews and interprets medical information, classifies… more
- Mass Markets (CA)
- …complete an easy online application and an informal interview with a talent acquisition specialist . If you do not have your equipment, MCI will provide it. You will ... escalate customer dissatisfaction with managerial team + Ensure first call resolution through problems solving and effective call handling CANDIDATE QUALIFICATIONS… more