- Amazon (San Francisco, CA)
- …workflow and mail operations at our corporate office. The Correspondence Specialist handles the essential task of processing and mailing secondary insurance ... claims with primary EOBs, preparing and submitting insurance appeals,...Follow HIPAA guidelines and compliance requirements for handling protected health information * Monitor and maintain adequate supplies for… more
- The County of Los Angeles (Los Angeles, CA)
- CHIEF PROGRAM SPECIALIST , CEO - REAL ESTATE Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4905644) Apply CHIEF PROGRAM SPECIALIST , CEO - ... vital public services as diverse as law enforcement, property assessment, public health protection, water conservation, cultural activities and many more. We are… more
- City National Bank (Los Angeles, CA)
- *PAYMENTS CLAIM SPECIALIST * WHAT IS THE OPPORTUNITY? The Payment Claims Specialist is responsible for the investigation and processing of payment fraud ... claims and disputes with precision and quality. They must...of miss/near miss opportunities etc. A successful Payment Claim Specialist will be able to navigate multiple technologies while… more
- Option Care Health (Bakersfield, CA)
- …feel Option Care Health makes it easy to transition care. The Specialist , Patient Registration works in conjunction with Sales to prepare patients for OCH ... provider, there is no limit to the growth of your career.** Option Care Health , Inc. is the largest independent home and alternate site infusion services provider in… more
- Travelers Insurance Company (Sacramento, CA)
- …evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life cycle ... **What Will You Do?** + Directly handle assigned severe claims . + Full damage value for average claim (without...the job. **What Is in It for You?** + ** Health Insurance** : Employees and their eligible family members… more
- Travelers Insurance Company (Sacramento, CA)
- …and/or complex Life Science medical products, clinical trial and pharmaceutical bodily injury claims , as well as General Liability Coverage B claims and E&O ... quality claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly...the job. **What Is in It for You?** + ** Health Insurance** : Employees and their eligible family members… more
- UCLA Health (Los Angeles, CA)
- Description As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment, you will be an expert in risk adjustment coding and ... closely with physicians, IPA coders, and risk adjustment teams associated with the health plan. You will: + Conduct medical record audits for physicians (MD, DO,… more
- Magellan Health Services (San Diego, CA)
- …(RAPIDS) sites. + Serves as ID Card/Common Access Card (CAC) customer service specialist trained and certified by the Defense Manpower Data Center (DMDC). + Delivers ... in one of the following disciplines: Military Pay, Military Personnel, Travel Claims or Navy Transportation. Substitutions for HR background can be from similar… more
- Alameda Health System (San Leandro, CA)
- Patient Financial Services Denial Specialist + San Leandro, CA + Finance + Patient Financial Svcs - Pro + Services As Needed / Per Diem - Day + $35.26 / Hour + Req ... + FTE:0.01 + Posted:May 15, 2025 **Summary** **SUMMARY:** The PFS Denial Specialist is responsible for validating dispute reasons following Explanation of Benefits… more
- Sharp HealthCare (San Diego, CA)
- …of service and interaction is provided, including accurate and timely claims processing, issue resolution, performance recognition, education and training programs, ... communications, as needed.Recommends and/or drafts provider communications relative to health plan policies and procedures.Develops a communication plan for… more