- Robert Half Accountemps (San Diego, CA)
- …role in ensuring the financial health of the organization. Key Responsibilities: + Claims Oversight: Prepare, review , and submit Medicaid and Medicare claims ... Description Are you a highly skilled and motivated medical billing professional with extensive knowledge of Medicaid...billing team and ensure the accuracy and compliance of claims submissions. This role is ideal for someone with… more
- Sedgwick (West Hills, CA)
- … system. + Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims . + Evaluates and arranges appropriate ... disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining… more
- Nestle (Los Angeles, CA)
- …compliance as pertains to ingredient and product composition, labeling, product claims , and associated communications. This position is expected to master the ... is responsible, with may include dietary supplements, conventional foods, and medical foods. This position is expected to display Nestle leadership attributes… more
- Sharp HealthCare (San Diego, CA)
- …improvement and outcomes studies as directed by the Quality Management Committee, Peer Review Committee and Chief Medical Officer and reports findings in ... management such as provider relations, member services, benefits and claims management, etc. Assists (as determined by the plan...+ Able to manage difficult peer situations arising from medical care review . + Appreciation of cultural… 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 ... strong experience in quality systems within the medical device industry and a proven ability to trace..., and training key stakeholders on the newly developed claims process. Responsibilities + Collect and review … more
- Ken Garff Automotive Group (Long Beach, CA)
- …or distributor. + Maintain Schedules 22 (Kornerstone Svc A/R) 20 (Warranty Claims ) 25 (Extended Warranties). Review schedules weekly (Thursday) with Manager. ... Paid Time Off and 401k with Company match + Medical , Dental, Vision, Short and Long-term disability, AD&D and...Here's what you'll be doing: + Process factory warranty claims + Process extended service contract claims … more
- The County of Los Angeles (Los Angeles, CA)
- …a fair outcome through our consumer protection programs, including Small Claims Advisor, dispute resolution and mediation programs, immigration legal services, ... information and counseling to the public on consumer complaints or small claims court procedures. CLASSIFICATION STANDARDS: Positions allocable to this entry level… more
- Sedgwick (San Diego, CA)
- …and computer skills to perform the job. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Receive and review new claims and maintain data integrity in the claims ... + Apply your adjuster knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- Movn Health (CA)
- Role Summary Movn Health is seeking a highly experienced Senior Medical Biller & A/R Specialist to take full ownership of claims processing and accounts ... (Athenahealth, eCW, Tebra, etc) and QuickBooks, and a strong understanding of medical billing and payer systems is essential. Functional Responsibilities + Submit… more
- USAA (Los Angeles, CA)
- …and framework to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will confirm and analyzes ... technology and desk adjusting for a virtual first approach to inspections and claims handling. USAA also provides a company vehicle to physically inspect losses… more