- 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
- USAA (Los Angeles, CA)
- …accurately manages claims outcomes. + Maintains accurate, thorough, and current claim file documentation throughout the claims process. + Advance knowledge ... us special and impactful. **The Opportunity** As a dedicated Property Adjuster Specialist , you will work within established guidelines and framework to investigate,… 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
- City and County of San Francisco (San Francisco, CA)
- …Unified School District, or San Francisco City College, working within the Program Specialist (2913) classification. San Francisco is a vibrant and dynamic city, on ... more about what this commitment looks like in action. The 2913 Program Specialist is used by In-Home Supportive Services (IHSS), County Adult Assistance Program… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... 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
- CVS Health (Sacramento, CA)
- …monthly invoices in accounting system. + Enter and process monthly fee claims for ancillary product offerings via claim system. **Required Qualifications** ... each and every day. **Position Summary** The **Senior Accounts Receivable Specialist ** prepares accounting and financial records and reports, including general… 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
- CDM Smith (Rancho Cucamonga, 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
- CVS Health (Sacramento, CA)
- …measuring and monitoring the quality and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical ... both routine and non-routine business support tasks for the Sr Quality Specialist area under limited supervision, referring deviations from standard practices to… more
- Elevance Health (Los Angeles, CA)
- **Financial Operations Recovery Process Specialist ** **Hybrid 1** : This role requires associates to be in-office **1 - 2** days per week, fostering collaboration ... is granted as required by law. The **Financial Operations Recovery Process Specialist ** is responsible for providing technical direction, guidance and resources to… more