- Sedgwick (San Diego, CA)
- …and review new claims and maintain data integrity in the claims system. + Conduct claim file activities including evaluations, investigations, litigation ... your adjuster knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...+ Prepare settlement documents and requests payment for the claim and expenses. + Work with external vendors and… more
- USAA (Los Angeles, CA)
- …accurately manages claims outcomes. + Maintains accurate, thorough, and current claim file documentation throughout the claims process. + Advance knowledge ... and framework to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will confirm and analyzes… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …flags to ensure clean claim submission. This position is responsible for pulling medical records to submit with claims and appeals as required by payors. ... needed for accurate reporting of the service. The incumbent completes daily processing of claim edits or rejected claims processed through the billing system and… more
- The County of Los Angeles (Los Angeles, CA)
- …Resources Workeris defined as identifies patients' financial resources to pay for medical and/or mental health care and services; and assists patients in making ... assignments for medical benefits and completes standardized billing forms based upon...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more
- CDM Smith (San Diego, CA)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...potential fraud, and ensure the integrity and fairness of claim settlements. By applying advanced accounting, auditing, and investigative… more
- Actalent (Irvine, CA)
- …team. This role is critical in ensuring the integrity and compliance of marketing claims associated with our medical devices. The ideal candidate will have a ... strong experience in quality systems within the medical device industry and a proven ability to trace...device industry and a proven ability to trace marketing claims to supporting engineering analyses and documentation. This individual… more
- Sedgwick (Sacramento, CA)
- …and industry best practices. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Adjusts medical -only claims and low- to mid-level lost-time workers compensation ... not limited to claimant, client, state agency, managed care organization and appropriate medical contact. + Ensures claims files are properly documented, and … more
- Robert Half Accountemps (Encino, CA)
- …industry. The Medical Billing Specialist must be able to submit claims to the insurance companies for services rendered. DUTIES AND RESPONSIBILITIES -Performs ... Center in Encino is in the need of a Medical Billing Specialist. The Medical Billing Specialist...payer information via CareConnect and Insurance portals prior to claim submission. -Performs all data entry and charge posting… more
- Insight Global (Burbank, CA)
- …Knowledge of medical terminology - Ability to research and verify claims payment, benefits, and eligibility issues - Strong knowledge of benefits plans, policies ... Fund. The Senior Participant Service Specialist/Analyst will process health insurance claims and answers calls from the customer (participant, providers, physicians,… more
- Robert Half Accountemps (Los Angeles, CA)
- …Specialist to join their team. Key Responsibilities + Process, review, and submit medical billing claims specific to surgical procedures using EPIC software. + ... Description Are you an experienced medical billing professional with a background in surgery...Perform insurance verifications and communicate with payers to resolve claim issues or discrepancies. + Manage and monitor accounts… more