- CVS Health (Sacramento, CA)
- …each and every day. **Position Summary** The Quality Specialist will audit pre and post payment claims for accuracy and eligibility transactions. They ... identifying errors, necessary corrective measures, and may participate in special audit assignments. **Required Qualifications** + 1+ years of experience working in… more
- Stanford Health Care (Palo Alto, CA)
- …of America) **This is a Stanford Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the ... as excellent analytical and communication skills. The Clinical Government Audit Analyst and Appeals Specialist II will...for clarity and accuracy prior to submission to ensure high- quality presentation. + Audit Response: Ensuring the… 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 ... Specialist III/IV - Behavioral Health Salary $52,216.65 - $73,565.49...IV), performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance… more
- Ventura County (Ventura, CA)
- Medical Billing Specialist II - Patient Financial Services Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4940099) Apply Medical Billing ... Specialist II - Patient Financial Services Salary $49,302.23 -...direction, the incumbent is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance… more
- Allied Universal (Irvine, CA)
- …and eligibility. **Job Description:** Allied Universal(R) is hiring a Senior Benefits Specialist . The Senior Benefits Specialist provides support for Health & ... support. This position will handle vendor management in order to provide high- quality , effective, and compliant benefit programs, administration, and service for all… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Training Specialist II Job Category: Administrative, HR, Business Professionals Department: CSC Appeals & Grievances Location: Los Angeles, ... the right time. Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents… more
- L3Harris (Canoga Park, CA)
- …sea and cyber domains in the interest of national security. Job Title: Specialist , Procurement (Buyer) Job Code: 28921 Job Location: Canoga Park, CA Job Schedule: ... 9/80 Job Description: The Procurement Specialist plans and implements activities related to the procurement...affect prices and to determine lowest cost consistent with quality , reliability, and ability to meet required schedules. Reviews… more
- Cedars-Sinai (CA)
- **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the implementation of the internal auditing and monitoring program ... rules and regulations including but not limited to AB1455 and Medicare Claims Processing Guidelines. This position is responsible for maintaining routine auditing… more
- Cedars-Sinai (Torrance, CA)
- …Research Corporation's Consumer Choice Award 19 years in a row for providing the highest- quality medical care in Los Angeles. We also were awarded the Advisory Board ... Hospitals! **What will I be doing in this role?** The Revenue Cycle Specialist III works under general supervision and following established practices, policies, and… more
- Grifols Shared Services North America, Inc (Los Angeles, CA)
- …authority. Maintains accurate customer notes in the system on a timely basis for audit review. Handling a high volume of outgoing collections calls and emails in ... based on data regarding posting, processing, and verification of receipts, credit claims , refunds, or other similar records. 3. Prepare and share monthly reporting… more
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