Claiming Analyst - Revenue Cycle Management HATHAWAY-SYCAMORES CHILD AND FAMILY SERVICESClaiming Analyst - Revenue Cycle ManagementLos Angeles, CA$23–$26 / hourUse internal communication to track admissions across all programs, in order to accurately create and open consumers financial profile in both EHRS and IBHIS. In collaboration with Claiming and Revenue Manager, claim, track and monitor invoice/EDI claims to other funding entities to ensure timely submission.
Claim Review Specialist - Facility Coding - Certification Required CorroHealth IncClaim Review Specialist - Facility Coding - Certification RequiredCARemoteThe ideal candidate is an experienced outpatient facility coding professional with strong analytical skills, extensive knowledge of revenue cycle operations, and the ability to communicate complex coding concepts clearly to both clients and internal team members. JOB SUMMARY: Support the Director of Health Information Management (HIM) by conducting comprehensive claim audits and reviewing hospital outpatient and professional fee (ProFee) claims for coding accuracy, revenue integrity, and billing compliance.
Senior Workers Compensation Claim Representative The Travelers CompaniesSenior Workers Compensation Claim RepresentativeGlendale, CA$70,400–$116,200 / yearEducation/Course of Study: Work Experience: Analytical Thinking: Identifies current or future problems or opportunities; analyzes, synthesizes and compares information to understand issues; identifies cause/effect relationships; and explores alternative solutions that support sound decision-making. Independently handles assigned claims of low to moderate complexity where Wage loss and the expectation is a return to work to modified or full duty or obtain MMI with no RTW.
Claiming Analyst - Revenue Cycle Management Hathaway-SycamoresClaiming Analyst - Revenue Cycle ManagementLos Angeles, CA$23–$26 / hourUse internal communication to track admissions across all programs, in order to accurately create and open consumers financial profile in both EHRS and IBHIS.In collaboration with eligibility worker, research and resolve consumer eligibility issues. In collaboration with Claiming and Revenue Manager, claim, track and monitor invoice/EDI claims to other funding entities to ensure timely submission.
NewEPL & D&O Liability Claim Counsel The Travelers Companies IncEPL & D&O Liability Claim CounselGlendale, CA$111,600–$184,200 / yearTravelers'' Private/Non-Profit Team provides executive and organizational management liability coverage to privately held companies and non-profit entities of all types and sizes as well as certain governmental public entities. Prepare and present reports for management that accurately reflect loss development, potential/actual financial exposure, reserve adjustments, coverage issues, and claim and recovery strategies.
Analyst, Configuration Oversight COB (Edit Reviews)/Claims/QNXT/ Root Cause analysis Molina Healthcare IncAnalyst, Configuration Oversight COB (Edit Reviews)/Claims/QNXT/ Root Cause analysisCAThis includes but not limited to; deep dive contract review and targeted claim audits related to accurate and timely implementation and maintenance of critical information on all claims and provider databases, validate data housed on databases and ensure adherence to business and system requirements of stakeholders as it pertains to provider contracting, network management, credentialing, benefits, prior authorizations, fee schedules, and other business requirements critical to claim accuracy. Experience independently reviewing and processing simple to moderately complex High dollar claims and knowledge of all claim types of reimbursements not limited to payment methodologies such Stoploss, DRG, APC, RBRVS, FFS applicable for HD Inpatient, Outpatient and Professional claims.
Cash/Claims Processor Assignment ObjectWin Technology IncCash/Claims Processor AssignmentCAResearches and resolves data issues through coordination and communication with internal and/or external clients and team members, ensuring timely application of payments on open receivables. Detailed working knowledge of basic computer operations and systems, i.e. Web-based search engines, Windows, and Microsoft Office products.
Litigation Insurance Adjuster (Remote: Pacific Time Zone) TruStage Financial Group IncLitigation Insurance Adjuster (Remote: Pacific Time Zone)CARemote$93,100–$139,700 / yearClaim Litigation Consultant II will provide credit unions with superior claims service, building and solidifying a strong partnership through proactive professional consultation and delivering optimal solutions to meet their needs on third-party litigated claims. Collaborate with other claims and product experts to ensure the consistent handling of commercial insurance claims and will be accountable for decision-making regarding the appropriate use of investigators, experts and outside legal counsel.
Bilingual Triage Specialist Argo Group International Holdings IncBilingual Triage SpecialistLos Angeles, CA$26.76–$30.80 / hourOur Adjusters and Managers are empowered to exercise their independent discretion and, within broad limits and authority, be creative in developing solutions and treat each case as the unique situation it is. Ability to develop and maintain productive relationships with clients, business partners and organizational peers with a focus on timely and meaningful exchanges of information.
Revenue Cycle Specialist Behavioral Health Services IncRevenue Cycle SpecialistGardena, CACollaborate closely with other departments to contribute to cash reconciliation activities and to assist in the assessment of accounts receivable collectability and validation, including the writing off of bad debts. Includes all activities within the scope of the Billing & Accounting Departments including charge/ data entry, insurance follow up, and billing and collection of client balances.
Legal Counsel ReservLegal CounselCAThis is a unique opportunity to join a fast-moving, venture-backed insurtech at an exciting stage of growth - and to gain broad, hands-on experience across transactional, commercial, and operational legal matters. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022.
Specialty Vehicle Technical Lead Allstate Insurance CompanySpecialty Vehicle Technical LeadCA$37.98–$52.70 / hourThrough our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products. Best, and provides personal and commercial automobile, homeowners, umbrella, recreational vehicle, motorcycle, supplemental health, and other niche insurance products.
SIU Investigator Allied UniversalSIU InvestigatorLos Angeles, California$30–$38 / hourAcquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance . High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud .
Luxury Fleet Operations & Guest Experience Manager Stay Awhile Villas LLCLuxury Fleet Operations & Guest Experience ManagerMalibu, CAFull timeThis person will oversee the complete lifecycle of every vehicle, including daily condition, inspections, cleaning, rental preparation, guest communication, transportation, preventative maintenance, repairs, registrations, insurance claims, warranty management, recalls, fuel cards, tolls, citations, fleet software, service history, vendor contracts, pricing, utilization, and eventual sale or replacement. The right candidate will be equally comfortable inspecting tires, assisting a luxury guest, negotiating with a repair shop, managing an insurance claim, organizing vehicle records, and identifying opportunities to improve rental revenue.
NewAccount Representative - State Farm Agent Team Member Tara Casares - State Farm AgentAccount Representative - State Farm Agent Team MemberLos Angeles, CAFull timeDevelop leads, schedule appointments, identify customer needs, and market products and services to help meet those needs. Service can include responding to inquiries regarding product availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification.
Dental Biller - Front Office A-Team Dental StaffingDental Biller - Front OfficeStudio City, CaliforniaThe Dental Insurance Biller / Patient Care Coordinator is responsible for managing insurance claims, accounts receivable, payment posting, insurance follow-up, and assisting patients with scheduling, answering incoming calls, and coordinating appointments. They are confident with insurance billing and accounts receivable, communicate professionally with patients and insurance companies, thrive in a fast-paced environment, and take pride in keeping both the schedule and collections running smoothly.
Patient Care Coordinator A-Team Dental StaffingPatient Care CoordinatorStudio City, CaliforniaThe Dental Insurance Biller / Patient Care Coordinator is responsible for managing insurance claims, accounts receivable, payment posting, insurance follow-up, and assisting patients with scheduling, answering incoming calls, and coordinating appointments. They are confident with insurance billing and accounts receivable, communicate professionally with patients and insurance companies, thrive in a fast-paced environment, and take pride in keeping both the schedule and collections running smoothly.
Appraisal Specialist Mercury Insurance CompanyAppraisal SpecialistCA$32,363–$56,701 / yearUpon completion of our comprehensive training program, and with ongoing guidance and support, the Appraisal Specialist takes the lead in researching vehicle values and negotiating total loss settlements accurately, efficiently and with excellent customer service. Essential Job Functions: Research actual cash value of vehicles by gathering and analyzing current market information to reach an equitable settlement of damages for losses due to theft and collision, while maintaining good customer service and shop relations.
Risk Manager - Cal State Long Beach Another SourceRisk Manager - Cal State Long BeachLong Beach, California$130,000–$140,000 / yearThis is an opportunity to take on a highly visible role that works across the university, collaborating with campus managers, employees, students, the Chancellor's Office, General Counsel, commercial insurance providers, and fellow CSU risk professionals. Reporting to the Associate Vice President for Financial Management, the Risk Manager leads programs and practices designed to identify , assess, and mitigate risk and potential liability associated with university activities and initiatives.
Investigator Ethos Risk ServicesInvestigatorLos Angeles, CAFull timeCONDITIONS:While we aim to keep assignments within a 2-hour drive of your residence, occasional further travel and overnight stays (covered by the company) may be requiredMost surveillance cases start at 6:00AM. REQUIREMENTS:Previous Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports.