• Lead, Accounts Receivable Specialist

    Cardinal Health (Sacramento, CA)
    …optimal account receivables performance and client satisfaction. + Resolves complex insurance claims , including appeals and denials, to ensure timely and ... appropriate. + Acts as a subject matter expert in claims processing. + Processes claims : investigates insurance...all Medicaid states on paper and online. + Oversees appeals and denials management to maximize revenue recovery and… more
    Cardinal Health (12/09/25)
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  • Utilization Review Specialist

    TEKsystems (Los Angeles, CA)
    Job Title: Retro Claims Reviewer Location: West Hills/Canoga Park 91305 Compensation: LVN $38-$40 hourly RN $45-$50 hourly Overview: The Retro Claims Reviewer is ... responsible for auditing and reviewing medical claims to ensure accuracy, regulatory compliance, and proper adjudication....Participate in special projects related to claim denials and appeals Required Qualifications: + Active LVN or RN license… more
    TEKsystems (12/31/25)
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  • DRG Coding Auditor Principal

    Elevance Health (Los Angeles, CA)
    …Coding Auditor Principal** is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case ... and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all...may be so complex and advanced that disputes or appeals may only be reviewed by other DRG Coding… more
    Elevance Health (12/24/25)
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