• Patient Account Representative - Patient…

    Guidehouse (El Segundo, CA)
    **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do:** The **Patient Account ... Representative - Patient Collections (Bilingual Spanish)** is an extension...calling + Patient Collections + EOB knowledge + Account Review + Customer Service + Account Updates + Strong… more
    Guidehouse (11/19/25)
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  • Billing & Collections Representative…

    Rady Children's Hospital San Diego (San Diego, CA)
    …Professional Billing & Coding, the Billing & Collections Rep I is responsible to review and process charges via our EMR system. They are responsible to process the ... incumbent completes daily processing of claim edits or rejected claims processed through the billing system and from electronic...is responsible for pulling medical records to submit with claims and appeals as required by payors. Responsible to… more
    Rady Children's Hospital San Diego (12/04/25)
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  • Patient Service Representative - Westwood…

    UCLA Health (Los Angeles, CA)
    …team member to join our dynamic Pediatrics department! As a Patient Service Representative , you will support the Children's Health Center in Westwood by providing ... limited to: + Obtain prior authorizations + Advocate for patients in insurance claims + Referral processing + Address in-basket messages + Appointment scheduling + … more
    UCLA Health (12/10/25)
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  • Patient Account Representative

    Robert Half Accountemps (Palo Alto, CA)
    …via websites. Works payer denials based on claim process adjudication; Review accounts for possible underpayments; research contracts, guidelines and resolve payment ... and resolves edits; Reviews and resolves electronic acknowledgement payer rejections/denials; Rebills claims based on requests from Follow Up reps due to denials… more
    Robert Half Accountemps (12/12/25)
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  • Insurance Verification Representative…

    Surgery Care Affiliates (Long Beach, CA)
    …selected for Primary insurance. + Utilize the centers selected vendor for claims and eligibility and/or individual payer websites to obtain eligibility, benefits ... guidelines in contacting patient's prior to the date of service to review , Physician Ownership, Advance Directives and Patient Rights. Authorization: + Obtain… more
    Surgery Care Affiliates (09/23/25)
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  • Utilization Review Nurse Supervisor I

    The County of Los Angeles (Los Angeles, CA)
    …information concerning new or revised procedures. + Works with Professional Standards Review Organization representative to orient new staff to Federal laws ... UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply ...steps to view correspondence, and we will not consider claims for missing notices to be a valid reason… more
    The County of Los Angeles (10/06/25)
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  • Utilization Review Nurse Supervisor II

    The County of Los Angeles (Los Angeles, CA)
    …as directed for medical care evaluation studies. + Works with Professional Standards Review Organization representative to orient new staff to Federal laws and ... UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply ...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notifications to be… more
    The County of Los Angeles (09/27/25)
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  • Claim Supervisor - REMOTE

    Ryder System (Sacramento, CA)
    _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **SUMMARY** This ... position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling processes… more
    Ryder System (12/09/25)
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  • Sr. Auto Appraiser - Field CAT Team

    USAA (San Diego, CA)
    …to field provider method of inspection. + May serve as a subject matter expert representative for disputed claims or trials. Serves as a resource to team members ... responsible for the investigation, negotiation, evaluation and appraisal of vehicle damage claims for both repairable and total loss vehicles to ensure estimate… more
    USAA (12/18/25)
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  • Payment Integrity Clinician

    Highmark Health (Sacramento, CA)
    …for the implementation of effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review ... the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the… more
    Highmark Health (11/14/25)
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