• Claims Specialist Sr - Commercial…

    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
    Sedgwick (07/10/25)
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  • Claims Research Specialist

    Dignity Health (Bakersfield, CA)
    **Responsibilities** The Claims Research Specialist will oversee and manage research efforts related to claims overpayments, underpayments, and billing ... and working collaboratively with providers and internal departments to enhance claims processes and improve financial outcomes. **Essential Functions:** - To… more
    Dignity Health (08/28/25)
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  • Credit Balance Specialist - Hospital…

    Guidehouse (San Marcos, CA)
    …Required** **:** None **What You Will Do** **:** The **Credit Balance Specialist ** will manage credit balance workloads and respond and follow-up on external ... service. + Working knowledge can be of the following: insurance claims , billing, coding, follow-up, finance, accounting or customer service related responsibilities.… more
    Guidehouse (06/23/25)
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  • Claims Specialist 1

    Public Consulting Group (Chula Vista, CA)
    …+ Assessments and Feasibility Studies PCG is seeking highly motivated and dependable Claims Specialist payment processing clerk with an interest in public ... PCG provides a range of benefits for this role, including medical and dental care benefits, 401k, PTO, parental leave, bereavement leave. **EEO Statement:** Public… more
    Public Consulting Group (08/30/25)
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  • Medical Billing Specialist III/IV…

    Ventura County (Ventura, CA)
    Medical Billing Specialist III/IV - Behavioral Health Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5037514) Apply  Medical Billing ... Specialist III/IV - Behavioral Health Salary $52,216.65 - $73,565.49...IV), performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance… more
    Ventura County (08/27/25)
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  • Property Adjuster Specialist (Field)

    USAA (Los Angeles, CA)
    …us special and impactful. **The Opportunity** As a dedicated Property Adjuster Specialist , you will work within established guidelines and framework to investigate, ... evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will...in compliance with all state regulatory requirements. Property Adjuster Specialist focus on using technology and desk adjusting for… more
    USAA (08/13/25)
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  • MSO Healthcare Contract Specialist

    HCA Healthcare (Campbell, CA)
    …worth of each individual is recognized. Submit your application for our Contract Specialist opening with HCA Healthcare today and find out what it truly means ... services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts,… more
    HCA Healthcare (07/26/25)
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  • Revenue Cycle Specialist III (Remote)

    Cedars-Sinai (CA)
    …care in Los Angeles. We provide an amazing benefits package that includes health care, dental , vision, paid time off and a 403(b). Discover why US News & World ... Hospitals! **What will I be doing in this role?** The Revenue Cycle Specialist III works under general supervision and following established practices, policies, and… more
    Cedars-Sinai (08/02/25)
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  • Lead Prior Authorization Specialist

    Polaris Pharmacy Services, LLC (Covina, CA)
    Lead Prior Authorization Specialist Job Details Job Location Polaris Specialty Pharmacy LLC - Covina, CA Salary Range $28.00 - $29.00 Hourly Job Category ... to all our team members. JOB SUMMARY: The Lead Prior Authorization Specialist is responsible for managing and identifying a portfolio of rejected pharmacy… more
    Polaris Pharmacy Services, LLC (08/23/25)
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  • Care Management Specialist II

    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
    LA Care Health Plan (09/06/25)
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