- LA Care Health Plan (Los Angeles, CA)
- …assignment of cases. Monitors closure of complaints and works with Quality Control Supervisor to resolve all database issues. Prepare and analyze monthly appeal and ... and provider complaint and appeals issues, including eligibility, access to care, claims , benefit, and quality of care concerns. Experience working with firm… more
- City and County of San Francisco (San Francisco, CA)
- …to the general duties above: + Detects, investigates, and prevents fraudulent claims for public assistance to avoid welfare fraud and other financial crimes. ... compliance with federal requirements. + Reviews targeted tasks, phone calls, and supervisor quality assurance forms to ensure quality of customer service. +… more
- Dignity Health (Rancho Cordova, CA)
- **Responsibilities** **Position Summary:** Under the direction of the A/R Billing Supervisor the A/R Payment Rep is responsible for the timely and accurate posting ... Requires: + Knowledge of physician billing regulations + Understanding of professional claims and billing procedures + Knowledge of Federal and State regulations… more
- Carrington (Anaheim, CA)
- …Recovery Advances ("MRA"). Assists with clearing Title issues related to Partial Claims . Provide reporting as requested by Manager/ Supervisor on loan status. ... Perform all duties in accordance with the company's policies and procedures, all US state and federal laws and regulations, wherein the company operates. The approved pay for this position is $20.50. **What you'll do:** + Receive, review, and assign… more
- University of Southern California (Los Angeles, CA)
- …care services rendered and/or surgeries performed. Develops supporting documentation for insurance claims and submits claims to insurance carriers. + Maintains ... mail. Handles or routes as appropriate. + Maintains calendar for supervisor . Schedules meetings, depositions, etc. Makes arrangements for travel and lodging,… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: Under the supervision of the Utilization Management (UM) Operations Supervisor , the UM Coordinator I's primary job function is to support UM operations ... the phone (including all provider calls regarding authorization processing, claims related phone calls, and any other calls received...codes, CPT Codes, HCPC Codes, Health Plan benefits, or claims **The current salary range for this position is… more
- ABM Industries (Tustin, CA)
- …and costs associated to area of direct responsibility. Assumes responsibility for supervisor vacation and holiday replacement coverage. . Assists in Safety programs ... of accidents involving personnel, vehicles, public liability, property damage and fidelity claims . Assists in reviewing workers compensation claims relevant to… more
- Utilities Service, LLC (Redding, CA)
- …the crew after receiving/interpreting orders from a General Foreperson/Line Clearance Supervisor . + Conducts field training/retraining, instructing crew on new or ... be delegated the authority to investigate incident reports, damage claims , etc., and to settle minor damage claims... claims , etc., and to settle minor damage claims . + Maintains accurate records, timesheets, and reports related… more
- Utilities Service, LLC (Milpitas, CA)
- …work for the crew after receiving/interpreting orders from a General Foreperson/ Supervisor . + Conducts field training/retraining, instructing crew on new or revised ... be delegated the authority to investigate incident reports, damage claims , etc., and to settle minor damage claims... claims , etc., and to settle minor damage claims . + Maintains accurate records, timesheets, and reports related… more
- Walgreens (San Bruno, CA)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more