- Sedgwick (Los Angeles, CA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , Medical Malpractice | Professional Liability | California ... **PRIMARY PURPOSE** : To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury… more
- Illumination Foundation (Santa Ana, CA)
- …Los Angeles County and the Inland Empire. Job Description The CalAIM Senior Claims Specialist is responsible for ensuring accurate and compliant claim ... critical role in supporting the organization's revenue cycle by ensuring claims meet payer requirements, coordinating with internal departments, and maintaining… more
- Providence (Mission Hills, CA)
- **Description** Working under the general supervision of the Claims Director, provide an effective education program to advance the quality and production level of ... the Claims Department by developing and delivery claims ...valued - they're invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused,… more
- TEKsystems (Santa Barbara, CA)
- Professional Summary Detail-oriented and highly organized claims specialist with expertise in D-SNP (Dual Eligible Special Needs Plan) claims processing. ... Skilled in researching, correcting, and resolving pended claims , ensuring compliance with regulatory guidelines, and maintaining accurate documentation. Adept at… more
- Morley (CA)
- …case details? If so, this role could be a perfect fit for you! As a Legal Claims Analyst at Morley, you'll play a key role in managing small automotive claims ... to support the client's defense strategies, including lemon law claims + Serve as the "Person Most Knowledgeable" (PMK)...Apply?_** Live chat with a Morley Talent Acquisition (TA) Specialist ( careers.morleycompanies.com | chat hours: M-F 5 am… more
- Ventura County (Ventura, CA)
- Medical Billing Specialist III/IV - Behavioral Health Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5037514) Apply Medical Billing ... they ensure accuracy, efficiency, and regulatory adherence in all mental health billing operations. Medical Billing Specialist III ( $ 25.99 - $32.99 per hour)… more
- University of Southern California (Los Angeles, CA)
- … Specialist " analyze, investigate, mitigate, and resolve all coding-related ' claims denials' and ' claims rejections,' specific to ICD-10-CM, ICD-10-PCS, ... * Works cooperatively with HIM Coding Support and/or Clinical Documentation Improvement Specialist in obtaining documentation to complete medical records and… more
- The County of Los Angeles (Los Angeles, CA)
- Program Specialist III, CEO - Workers' Compensation Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/5097980) Apply Program Specialist III, ... The Opportunity We are pursuing qualified candidates to fill Program Specialist III, CEO positions within the Chief Executive Office's Workers' Compensation… more
- Robert Half Accountemps (Los Angeles, CA)
- …A Southern California Hospital is in the immediate need of a Hospital Medical Collections Specialist with commercial insurance experience. The Hospital ... Medical Collections Specialist will be tasked with follow up with commercial...and web portals -Sending appeal letters for denied insurance claims -Managed Care, HMO and PPO knowledge -Reviewing EOB's… more
- Sedgwick (Sacramento, CA)
- …**ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs standard clinical reviews of referred medical claims based on client requirements to ensure accurate and ... Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims that require additional review based on medical condition, client… more