- Cedars-Sinai (Beverly Hills, CA)
- **Job Description** The Case Management Coordinator provides support to the utilization review process. The coordinator works collaboratively with all team ... members of Utilization Management, Patient and Provider Services, Claims Department and other Care Coordination Department staff. In addition, the coordinator … more
- Cedars-Sinai (Beverly Hills, CA)
- …innovation. **A Little More About What You Will be Doing** The Case Management Coordinator provides support to the utilization review process. The coordinator ... 19 years in a row for providing the highest-quality medical care in Los Angeles. We were also awarded...team members of Utilization Management, Patient and Provider Services, Claims Department and other Care Coordination Department staff. In… more
- CVS Health (Sacramento, CA)
- …The ideal candidate will be able to work independently and with others to review claims tied to different overpayment projects in the Overpayment Tracking ... day. **Position Summary** This position will be responsible for utilizing previous ACAS claims experience along with provided guidance to review and validate … more
- ManpowerGroup (Cypress, CA)
- …pm** **What's the Job?** + Accurately input and maintain payer data to support claims processing and billing accuracy. + Review and validate payer contracts, ... in the healthcare industry, is seeking a Payer Maintenance Coordinator to join their team. As a Payer Maintenance...completion of waiting period associates are eligible for:** + Medical and Prescription Drug Plans + Dental Plan +… more
- LA Care Health Plan (Los Angeles, CA)
- …reports by fax, electronic medical records, or on-site visits if needed. (15%) Review medical records, claims , and encounter data to identify key ... Quality and Population Health Coordinator I (ALD) Job Category: Administrative, HR, Business...care gaps. The QPHC also outreaches to providers for medical record pursuit and retrieval. This position supports the… more
- Actalent (Sacramento, CA)
- …coordinating with workers' compensation insurance providers to ensure timely follow-up on all claims . + Review all terminations to ensure the actions comply with ... Employee Relations Coordinator "Our mission is "achieving regional health through...serve the whole person through comprehensive, integrated care, spanning medical , dental, behavioral health, and supportive services across the… more
- Adecco US, Inc. (Fountain Valley, CA)
- …reporting + Identify unbilled claims and obtain repair orders as necessary for review + Review and validate factory warranty claim edits, causal part codes, ... This role is responsible for the timely analysis and submission of invoices and claims , as well as tracking vehicle buyback assets. The ideal candidate will have… more
- Sharp HealthCare (San Diego, CA)
- …requirements for the position, and employer business practices. **What You Will Do** To review more complex requests for medical care and services, if part of ... nursing facility admission including requests for outpatient care, retrospective claim review , medical equipment, medication issues and acquisition, home health… more
- Bowman (Sacramento, CA)
- **Short Description** Bowman has an opportunity for a Project Accounting Coordinator to join our team remotely (Pacific, Mountain or Central time zones only). At ... staff to ensure application of sound techniques and principles. Review work produced by junior staff for quality assurance....that may arise as it relates to disputes, or claims + Act as liaison between operations and many… more
- The County of Los Angeles (Los Angeles, CA)
- …direction, administrative and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one of ... for and the effective conduct of the system to review patients' medical charts to ascertain the...password may erase a candidate's original application record. ADA Coordinator Phone:### California Relay Services Phone: ### DEPARTMENT CONTACT:… more