- Cedars-Sinai (CA)
- …Professional Fee billing and collections. Duties include reviewing and submitting claims to payors, performing account follow-up activities, updating information on ... patient account, reviewing and processing credits, posting payments, and account reconciliations. Positions at...others and may act in the absence of the lead and/or supervisor. This position may be cross trained… more
- Kemper (Cerritos, CA)
- …a Represented Casualty Manager is responsible for the oversight of all claim processing and management activities assigned to claim units. This role is responsible ... provides guidance and support to ensure timely, accurate, efficient claim processing and performance metrics. **POSITION RESPONSIBILITIES:** + Manages the day-to-day… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …+ Serve as the primary technical subject matter expert (SME) for upstream processing (cell culture/fermentation, harvest). + Lead and manage the technical ... Science and Technology (MSAT) for Upstream processes. This critical role will lead our efforts in developing, optimizing, and scaling up upstream bioprocesses for… more
- LA Care Health Plan (Los Angeles, CA)
- …knowledge of claims coding and medical terminology. Solid understanding of standard claims processing systems and claims data analysis. Strong project ... the team lead on any issues identified during research or claims review. Applies subject expertise in evaluating business operations and processes. Identifies… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …Serve as the primary technical subject matter expert (SME) for downstream processing (chromatography, TFF/UFDF, viral clearance/filtration, etc.). + Lead and ... review of batch records, deviation investigations, and change controls. + Lead or significantly contribute to troubleshooting efforts and root cause investigations… more
- Ventura County (Ventura, CA)
- …and financial analysis/reporting duties. At the Senior level, may provide lead supervision to lower level professional, technical or clerical staff. DISTINGUISHING ... financial analysis/reporting requirements; positions may also be assigned direct or lead supervisory duties over lower level staff when such assignments are… more
- Elevance Health (Los Angeles, CA)
- …the Data Team in leading complex data projects, building and scaling processing capabilities, conducting data analysis and expanding reporting. This role will center ... around mining complex claims , diagnosis, eligibility and patient data for valuable insights...findings into high quality, data driven decisions to improve processing capabilities and expand the use of client data… more
- The County of Los Angeles (Los Angeles, CA)
- …policies. Uses software programs associated with administrative functions (eg, word processing , excel spreadsheets). + Oversees and participates in the development ... that identifies unidentified decedents, including the removal, preparation, and processing of fingers, fluoroscopies and dental/body x-rays, and the reconstruction… more
- City of Long Beach (Long Beach, CA)
- …managing employee leave programs, return-to-work processes, workplace accommodations, injury claims , payroll and timekeeping, and implementation of benefit plans. ... a team of 3, this role ensures that time-off, payroll, accommodations, and injury claims are handled accurately and in compliance with labor laws. You will serve as… more
- TEKsystems (Roseville, CA)
- …in person and written correspondence, answers questions regarding the Plans' Benefits, eligibility, claims processing and claims appeal * Obtains all ... liaison between member and provider to communicate plan benefits and facilitate claims processing . * Calculates sick leave banks. * Refers calls, members, union… more