- University of Southern California (Alhambra, CA)
- …Denials Management Specialist" analyze, investigate, mitigate, and resolve all coding-related ' claims denials' and ' claims rejections,' specific to ICD-10-CM, ... the denial management process for coding-related denials, triage denied claims to distinguish coding-related denials versus clinical-related denials, evaluating … more
- The Walt Disney Company (Glendale, CA)
- …resorts, and media networks. Now is your chance to join our talented team that delivers unparalleled creative content to audiences around the world. This position ... with each option + Assist with the management of claims and litigation + Draft, update, and improve contract...skills, with the ability to work well in a team environment and build interdepartmental relationships at all levels… more
- City and County of San Francisco (San Francisco, CA)
- …the Worker's Compensation Supervisor assists and provides first-line oversight of claims adjusting and processing teams for the Workers' Compensation Division. ... supervising the review, analysis, investigation and disposition of workers' compensation claims and reports. Provides claims supervision of confidential complex… more
- Walmart (South Gate, CA)
- …in accordance with company policies and procedures by properly handling claims and returns; zoning the area; stocking, arranging and organizing merchandise; ... If none are listed, there are no preferred qualifications._ Leading a team , Supervising experience to include hiring, evaluating, mentoring, developing, and managing… more
- Acosta Group (Fullerton, CA)
- …as needed. * Assist Supervisor by always providing leadership and knowledge to the team . * Possesses the aptitude and ability to gain adequate knowledge of the ... to perform the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related injury you… more
- Ventura County (Ventura, CA)
- …Program, Life Insurance, Tuition Reimbursement, and Wellness Program. + Work Schedule: Our team operates on a regular, in-office schedule: 8 hours per day, Monday ... this role, you will support the Senior Deputy Executive Officer and other team members in identifying, assessing, and mitigating risks that could impact the… more
- LA Care Health Plan (Los Angeles, CA)
- …collaboratively to achieve the goals of the team , and provides feedback to the team lead on any issues identified during research or claims review. ... Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition… more
- Oracle (Sacramento, CA)
- …and regulatory knowledge (eg, medical necessity, level of care, clinical validation) to lead the appeals initiative to review denied claims , create write-ups for ... coding by applying power of generative AI. Our diverse team of creators and inventors are building the future...this exciting arena. We are looking for a Senior Claims Denial Prevention and Appeals Specialist for providing clinical… more
- Towne Park (San Diego, CA)
- …day and make an impact. When we see a customer, a client or one of our own team members smile, we know we made an impact. It's why we do what we do. Towne Park ... the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover + Manages scheduling, overtime for associates… more
- AON (Los Angeles, CA)
- Are you seeking to be a part of an international team working on large, complex multinational clients? As part of an industry-leading team , you will be engaged ... organization, we are united through trust as one inclusive team and we are passionate about helping our colleagues...writing and verbal presentation skills. + Establish understanding of claims administration process and utilize the claims … more