- Elevance Health (Costa Mesa, CA)
- …fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Fraud Investigator II** is responsible for… more
- Southland Industries (Garden Grove, CA)
- …record of industrial equipment training. + Report and manage all company vehicle claims . + Assist in reporting workers compensation claims . + Update Material ... + Annual incentive program based upon performance, profitability, and achievement + ** Medical , Dental, Vision Insurance - 100% Paid for Employee** + Term Life,… more
- Southland Industries (Garden Grove, CA)
- …record of industrial equipment training. + Report and manage all company vehicle claims . + Assist in reporting workers compensation claims . + Update Material ... + Annual incentive program based upon performance, profitability, and achievement + ** Medical , Dental, Vision Insurance - 100% Paid for Employee** + Term Life,… more
- Elevance Health (Walnut Creek, CA)
- …healthcare analytics, and/or financial services highly preferred. + Comprehensive understanding of medical claims data. + Intermediate to Advanced expertise with ... Analytics Analyst Senior) measures financial performance of core Carelon products leveraging claims , authorization, and membership data to tell a detailed story to… more
- Children's Hospital Los Angeles (Glendale, CA)
- …and or outpatient billing for commercial and managed care payers. Familiarity with medical billing processes, insurance claims , and understanding of medical ... Summary:** The Collection Representative is responsible for the billing and follow -up related to HMO's, PPO's, Medi-Cal, CCS, GHPP, PCCM's Managed Care… more
- The County of Los Angeles (Los Angeles, CA)
- …portable power equipment, lift heavy loads of debris for removal, and follow applicable safety procedures and regulations when applying pesticides for pest ... to take the above steps to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be a valid reason for late… more
- BrightView (Anaheim, CA)
- …Contact customers to confirm payment status, update notes in the AR system, and follow up as needed. + Send invoices, collection letters, or legal documentation as ... (POs), ensuring proper documentation, authorization, and recordkeeping. + Match invoices to POs, follow up on purchases without POs, and maintain the PO binder and… more
- Sutter Health (Antioch, CA)
- …work queue defects which include but are not limited to charge review defects, claim edit defects, follow up defects, router review, and credit balance work ... are interested in joining Sutter Health! **Organization:** SDMC-Sutter Delta Medical Center **Position Overview:** Hospital outpatient coding experience or… more
- Ventura County (Ventura, CA)
- …hospitalizations or alternative care options when necessary, and coordinating follow -up services to support clients' recovery. These roles demand adaptability, ... regarding the 6 year rule: California Associates may only claim hours earned within six (6) years of the...and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information,… more
- Caris Life Sciences (Sacramento, CA)
- …protected health information (PHI). + Engages with on-site hospital billing department to follow -up on specific claim details to support proper hospital payment, ... Precision Medicine Initiatives will be expected to interact with Laboratory Medical Directors, Pathologists, and Laboratory Professionals as necessary, and this… more