- Stanford Health Care (Palo Alto, CA)
- …and the American Medical Association (AMA) CPT Assistant. The SPC Coding Specialist II serves as a subject matter expert in hospital and professional coding, and ... job.** **A Brief Overview** The Single Path Coding (SPC) Specialist -Level 2 is an advanced coder position responsible for...modifiers as applicable for both the hospital and professional claim + Validate and process any medical … more
- Molina Healthcare (CA)
- …and prepares written response to incoming provider reconsideration requests related to claims payment, requests for claim adjustments, and/or requests from ... to ensure that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate appeals and… more
- Allied Universal (Lodi, CA)
- …files associated with the program + Assist with the workers' compensation claims management by issuing and obtaining claim paperwork, collecting statements, ... coach individuals through a process Allied Universal(R) is hiring a Branch Support Specialist . The Branch Support Specialist is responsible for being the primary… more
- Sedgwick (Sacramento, CA)
- …Fortune Best Workplaces in Financial Services & Insurance (Remote) EDI Support Specialist - Casualty **PRIMARY PURPOSE** **:** To identify, research, resolve, and ... of related experience to include two (2) years of workers' compensation or claims related experience and three (3) years of EDI technical experience including… more
- HCA Healthcare (Campbell, CA)
- …worth of each individual is recognized. Submit your application for our Contract Specialist opening with HCA Healthcare today and find out what it truly means ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …Accurately document benefit verification results in pharmacy systems. . Troubleshoot rejected claims and perform necessary claim adjustments. . Assist in ... Benefits Verification Specialist Job Details Job Location Polaris Specialty Pharmacy...required . 1-3 years of experience in benefit verification, medical billing, health insurance, or specialty pharmacy. . Familiarity… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II (Temporary) Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, ... purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member and provider complaints and… more
- Guidehouse (San Marcos, CA)
- …Required** **:** None **What You Will Do** **:** The **Cash Applications Specialist ** - Under general supervision and according to established policies and ... years of related experience and general knowledge of payor-specific or medical specialty reimbursement. + Knowledge of CPT and ICD-9/10 coding. \#IndeedSponsored… more
- CDM Smith (San Diego, CA)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes...and make recommendations to FEMA as to whether the claim is eligible. Assists with the development of the… more
- University of Southern California (Los Angeles, CA)
- Disability Accommodation Specialist Office of Institutional Accessibility and ADA Compliance The Office of Institutional Accessibility and ADA Compliance is seeking ... a Disability Accommodation Specialist to join its Interactive Process Center of Expertise. This role is critical to ensure faculty and staff with disabilities… more