- Dignity Health (San Bernardino, CA)
- **Responsibilities** Workers' Compensation Specialist - St. Bernardine Medical Center At St. Bernardine Medical Center, we are committed to the health, ... administrator. + Initiate and oversee timely investigations for all work-related injury claims , including Root Cause Analysis. + Monitor claim progress, ensuring… more
- Sedgwick (Sacramento, CA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist Sr - Commercial Coverage Specialist **PRIMARY PURPOSE** ... **:** To analyze complex or technically difficult medical malpractice claims ; to provide resolution of...and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans… more
- TEKsystems (San Bernardino, CA)
- The Collector 1 performs telephone calls and website checks for claim status from insurance companies, government payers, third party payers, worker's compensation ... payers, medical groups, outside hospitals, and physician's offices to ensure...as needed. Will work with follow up on commercial claims and overpayments/underpayments, refunds, auditing, and contract review. Pay… more
- Dignity Health (Bakersfield, CA)
- **Responsibilities** The Claims Research Specialist will oversee and manage research efforts related to claims overpayments, underpayments, and billing ... for all claim types - Perform an analysis of the claims processing by reviewing contract, system configuration, benefits, financial risk (DOFRs), and manual… more
- Amazon (CA)
- …to help manage our patient inquiries, using CI CARE framework that makes One Medical unique. As a Centralized Support Specialist II Billing Specialist , ... handle inbound calls from One Medical patients (customers) regarding their medical bills, insurance claims , and payment inquiries. Daily activities include… more
- Philadelphia Insurance Companies (Mission Viejo, CA)
- …of Ward's Top 50 and rated A++ by AM Best. We are looking for a Claims Specialist to join our team! Summary: Investigate, evaluate and settle more complex first ... and third party commercial auto insurance claims . A typical day will include the following: Thoroughly...communication as well as results of investigation. Evaluates each claim in light of facts; Affirm or deny coverage;… more
- Public Consulting Group (Chula Vista, CA)
- …+ Assessments and Feasibility Studies PCG is seeking highly motivated and dependable Claims Specialist payment processing clerk with an interest in public ... In addition, PCG provides a range of benefits for this role, including medical and dental care benefits, 401k, PTO, parental leave, bereavement leave. **EEO… more
- Guidehouse (San Marcos, CA)
- …Required** **:** None **What You Will Do** **:** The **Credit Balance Specialist ** will manage credit balance workloads and respond and follow-up on external ... service. + Working knowledge can be of the following: insurance claims , billing, coding, follow-up, finance, accounting or customer service related responsibilities.… more
- Cedars-Sinai (CA)
- …arise. **Department specific responsibilities include:** Analyzes, trends, reports out, and resolves pended claims in PB Claim Edit WQs and PB Payer Rejection ... 19 years in a row for providing the highest-quality medical care in Los Angeles. We provide an amazing...claim submissions and timely reimbursement. Completes special PB claims related projects as assigned. These projects could include… more
- The County of Los Angeles (Los Angeles, CA)
- …exposures, doses and probable biological effects; refers exposure cases to appropriate medical specialist in compliance with State law. Reviews and prepares ... (CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In… more