- University of Southern California (Arcadia, CA)
- …within the institution. + It is the responsibility of the Patient Access Representative to uphold the highest service standards regarding patient care. + Making ... Medi-Cal and indigent service programs and requirements for timely processing of claims . + Offering assistance promptly, cordially, and completely + Patient care is… more
- Alameda Health System (Alameda, CA)
- …**Summary** **SUMMARY:** The AHD Admitting Clerk interviews incoming patient or representative and enters information required for admission into computer. Performs ... performed by each individual in the classification. 1. Interviews patient or representative to obtain and record name, address, age, religion, persons to notify… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …access to specialty medications. This role is essential in verifying insurance coverage, identifying payer requirements, and facilitating prior authorizations. The ... document benefit verification results in pharmacy systems. . Troubleshoot rejected claims and perform necessary claim adjustments. . Assist in obtaining overrides… more
- Children's Hospital Los Angeles (Glendale, CA)
- …for commercial and managed care payers. Familiarity with medical billing processes, insurance claims , and understanding of medical coding (such as ICD-10, ... 1 day on-site, 4 days remote **Purpose Statement/Position Summary:** The Collection Representative is responsible for the billing and follow-up related to HMO's,… more
- The County of Los Angeles (Los Angeles, CA)
- …new or revised procedures. + Works with Professional Standards Review Organization representative to orient new staff to Federal laws and regulations pertaining to ... provided to patients are appropriate and covered by the insurance payer. They are responsible for ensuring that patient...steps to view correspondence, and we will not consider claims for missing notices to be a valid reason… more
- Highmark Health (Sacramento, CA)
- …medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior ... of benefit billing practices through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. + Serve as a… more
- Medtronic (San Diego, CA)
- …Clinical Expert + Translates complex technical messaging, dispels competitive claims , resolves complex technical issues, and maintains customer relationships through ... within the responsibilities section of this job description are representative of those that must be met by an...Must have a valid driver's license and active vehicle insurance policy. In addition, your driving record will be… more
- ITW (Buena Park, CA)
- …indirect supervisory responsibilities. **QUALIFICATIONS** The requirements listed below are representative of the knowledge, skill, and/or ability required to ... write-offs for time and materials (T&M) and + warranty claims . + Review COD Invoices: Contact customers for payment...to the corporate lockbox for processing. + Certificates of Insurance /W9: Manage and maintain certificates of insurance … more
- Horizon Services, Inc. (Hayward, CA)
- …fees. Responsible for coordinating with Finance Department for submission of third-party insurance claims . Personnel Recruitment & Management: + Coordinates with ... CCO. + Leverages the service line's Compliance Manager as the Safety Representative for assigned program location(s) and ensure attendance in monthly Safety… more
- ASM Global (San Diego, CA)
- …general employee concerns. + Partnership in the processing of worker's compensation claims , leaves of absences and benefits administration. + Facilitates new hire ... duty with energy and enthusiasm. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may… more