- Providence (Anaheim, CA)
- **Description** Manage the claims internal audit functions, which includes audit process for adjudicated claims and encounters. Monitor check run process for ... accuracy. Develop policies and procedures for periodic claims audits and ensure compliance with affiliated health plans, client groups, and administrative… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Quality Specialist is responsible for ensuring the accuracy and quality of claims processing within a managed ... improve overall claims accuracy and efficiency. The Claims Quality Specialist will work closely with...of scale across provider types and geographies and will lead the effort in developing Dignity Health's Medicaid population… more
- Cedars-Sinai (Los Angeles, CA)
- …environment that fuels innovation. **Req ID** : 13216 **Working Title** : Revenue Cycle Specialist III (PB Claims ) **Department** : CSRC PB - Group 3 CSMCF ... 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
- 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 ... identified during the Quality Review Process, communicating findings to Loss Specialist for remediation. Ensure Loss Specialist provides corrections as… more
- Carrington (Anaheim, CA)
- **Come join our amazing team and work remote from home!** The Claims Recovery & Loss Analysis Specialist is responsible for performing financial reconciliation ... costs and eliminate non-essential and manual processes and activities. + Keep Team Lead and Supervisor informed of all trends and problems including, but not limited… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Examiner III is an advanced-level role responsible for the detailed and accurate processing, review, and adjudication ... of complex healthcare claims . This position requires expert knowledge of ...work experience will be considered. + Certified Medical Reimbursement Specialist (CMRS), or similar certification is preferred. + CPC… more
- University of Southern California (Alhambra, CA)
- … Specialist " analyze, investigate, mitigate, and resolve all coding-related ' claims denials' and ' claims rejections,' specific to ICD-10-CM, ICD-10-PCS, ... the denial management process for coding-related denials, triage denied claims to distinguish coding-related denials versus clinical-related denials, evaluating … 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
- Guidehouse (San Marcos, CA)
- …Required** **:** None **What You Will Do** **:** The **Cash Applications Specialist ** - Under general supervision and according to established policies and ... posted to unapplied invoices to identify location to refund. + Verify with the Lead or Supervisor before putting payments on an unapplied invoice. + Review of… more
- Defense Logistics Agency (Coronado, CA)
- …personnel. Requirements Conditions of Employment Qualifications To qualify for a Lead Inventory Management Specialist , your resume and supporting documentation ... You MUST provide transcripts or other documentation to support your educational claims . Unless otherwise stated: Unofficial transcripts are acceptable at time of… more