- WALGREENS (Redding, CA)
- …the unique communities we serve as requested by Store Manager, Healthcare Supervisor , or District Manager. Operations * Counsels patients and answers questions ... and federal controlled substance laws when filling prescriptions. The Product Review /Retail Fill Process Pharmacist is responsible for ensuring that elements of… more
- WALGREENS (Walnut Creek, CA)
- …Quality Improvement Program. * Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with ... one's own performance, solicits for constructive feedback, and leverages Healthcare Supervisor as mentor and coach. Communication * Communicates with pharmacy team,… more
- US Tech Solutions (Whittier, CA)
- …care. 4.Assist the Claims Director in the training and education of the Claims department staff 5.Coordinate the generation and review of claims audit, ... **Next Start date: Immediately** **Contract length: 3 months** **POSITION SUMMARY** The Claims Auditor assists in the Claims Department by analyzing procedures,… more
- Sedgwick (Sacramento, CA)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and… more
- Sedgwick (San Francisco, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Advisor, Environmental | Professional Liability | REMOTE **Job Description Summary** ... To analyze complex or technically difficult environmental claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case… more
- Cedars-Sinai (Los Angeles, CA)
- …Professional Fee billing and collections. Duties include reviewing and submitting claims to payors, performing account follow-up activities, updating information on ... may act in the absence of the lead and/or supervisor . This position may be cross trained in other...department and properly uses activity codes. Accurately bills multispecialty claims within established timelines and initiates dialog with payors,… more
- Carrington (Anaheim, CA)
- **Come join our amazing team and work remote from home!** The Sr Claims &Recovery Analysis Loss Specialist is responsible for ensuring the proper incurred losses ... this position is $23.00/hr - $26.50/hr. **What you'll do:** Review reconciliation of all loan advances once the GSE...manual processes and activities. + Keep Team Lead and Supervisor informed of all trends and problems including, but… more
- Cedars-Sinai (Los Angeles, CA)
- …role?** The Coding Auditor works under the general direction of the Coding Supervisor . A Coding Auditor is responsible for reviewing encounters in either a prebill ... content to the coding newsletter, provide basic level trending or data review for opportunities. + Evaluate codes through data reports and trended opportunities,… more
- Guidehouse (San Marcos, CA)
- …is not resolved in two business days it should be given to the Supervisor for follow up. + Research payments posted to unapplied invoices to identify location ... to refund. + Verify with the Lead or Supervisor before putting payments on an unapplied invoice. + Review of statements. + Review billing statements in… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply UTILIZATION REVIEW NURSE ... regarding County employee benefits. DHS is seeking dedicated Utilization Review Nurse Supervisors to join our team. Whether you're...implemented for compliance, as needed. + As a unit supervisor at the LA General Medical Center: + Has… more
