- CoreCivic (California City, CA)
- …professionalism and a responsibility to better the public good. CoreCivic is currently seeking a ** Case Processing Specialist ** . Come join a team that is ... dedicated to making an impact for the people and communities we serve. The Case Processing Specialist provides case processing and administrative… more
- LA Care Health Plan (Los Angeles, CA)
- Care Management Specialist II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 12721 ... to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills and training to perform...service needs according to specific program guidelines. Uses claims processing and care management software to look up member… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II (Temporary) Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, ... purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member and provider complaints and… more
- UCLA Health (Los Angeles, CA)
- …and assisting with appropriate documentation strategies. Partnering with Medical Coding, Case Management and the Quality team, you will gather/analyze information to ... improve documentation quality while providing key support to medical coders, case managers and Quality staff. Salary Range: $95,400.00 - $208,300.00/year… more
- University of Southern California (Alhambra, CA)
- The Collector Appeal Specialist is responsible for accurately processing inpatient and out-patient claims to third party payers and private pays, following all ... Refund Collector is responsible for accurately reviewing credit balances and processing adjustments, transfers and refunds as needed. Helps in billing operations… more
- LA Care Health Plan (Los Angeles, CA)
- …duties as assigned. Duties Functional Elements: Technical Support to UM Specialist : Processing of time sensitive authorization and pre-certification requests ... Reports. In addition, the position performs data entry and processing of referrals/authorizations in the system, authorizes request consistent...dates for each file. Inform nurses of a new case received from Grievance and Appeals Specialist .;… more