Claims Auditor Health Source MSOClaims AuditorAlhambra, CAFull timeResponsibilities include, but not limited to: Maintain up-to-date knowledge of procedures for all ICD-10, CPT, HCPC codes including: Contractual agreement rates. Job Description : Claims Auditor will be responsible for auditing claims processed by Claims Examiners.
NewClaims Monitoring Counsel MG+M The Law FirmClaims Monitoring CounselIrvine, CARemoteThe Consulting Group is at the forefront of emerging issues facing design professionals, including the use of AI, alternative construction delivery models such as Progressive Design Build, and project specific risk and insurance frameworks. Experience in one or more of the following practice areas: complex civil litigation preferably in the construction arena, claims management, interaction with insurers, involvement in the design or construction industry.
NewClaims Examiner - Workers Compensation Apidel TechnologiesClaims Examiner - Workers CompensationOntario, CATo analyze complex or technically difficult workers\' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.
NewClaims Examiner - Workers Compensation (Hourly) Apidel TechnologiesClaims Examiner - Workers Compensation (Hourly)Brea, CATo analyze complex or technically difficult workers\' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Analyzes and processes complex or technically difficult workers\' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
NewWorkers Compensation Claims Examiner Imagine Staffing TechnologyWorkers Compensation Claims ExaminerBrea, CARemoteThis role is responsible for analyzing claim exposure, determining benefits due, handling litigated and high-exposure claims, negotiating settlements, and ensuring claims are adjudicated in accordance with client requirements, industry regulations, and best practices. I 443-345-3305 Nature & Scope: Positional Overview We are seeking an experienced Workers Compensation Claims Examiner to manage and resolve complex workers’ compensation claims.
NewWorkers Compensation Claims Examiner Mary Kraft HRWorkers Compensation Claims ExaminerLong Beach, CARemote$33.65–$45 / hourMary Kraft is seeking an experienced Workers Compensation Claims Examiner that can analyze and manage complex or technically difficult workers' compensation claims, including indemnity claims, to determine benefits due. This role involves working with high exposure claims that may include litigation and rehabilitation, ensuring timely adjudication in accordance with service expectations, industry best practices, and client requirements.
NewLead - Claims Examiner Astrana Health, Inc.Lead - Claims ExaminerMonterey Park, CA$27–$32 / hourWork closely with other Company departments and specifically, the Claims QA and Training Specialist to communicate findings of recovery audits and to facilitate accurate adjudication of claims. Ensures that all legal, regulatory and policy requirements are met by keeping informed of changes and by implementing necessary controls and/or programs to meet requirements.
NewSenior Claims Auditor (External Audit) Astrana Health, Inc.Senior Claims Auditor (External Audit)Monterey Park, CA$70,308–$80,000 / yearKnowledge of medical terminology combined with detail knowledge and experience with CPT, HCPCS, DRG, REV, OPS, ASC, ICD10, CRVS, RBRVS, CMS, ICE for Health Plan, DMHC and DHS fee schedules and CMS Medicare regulatory agencies, COB and Third-Party Liability recovery. Detail knowledge and understanding of Industry pricing methodologies, such as Resources-Based Relative Value Scale (RBRVS), Medicare/Medi-Cal fee schedule, All Patient Refined Diagnosis Related Groups (AP-DRG), Ambulatory Payment Classifications (APC), etc.
NewPre-Lit Case Manager JobotPre-Lit Case ManagerTorrance, CA$40–$45 / hourInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners.
NewInsurance Coverage Attorney - (CA) Pernini Recruiting CompanyInsurance Coverage Attorney - (CA)Los Angeles, CA$160,000–$275,000 / yearLocation: Irvine, CA/ Los Angeles, CA/San Franciso, CA HYBRID Our client, a leading international law firm , is seeking a skilled Associate/Senior Associate/Senior Counsel Litigation Associate Attorney to join its dynamic Insurance Coverage Practice Group . For associates looking to build a long-term career at the intersection of litigation and insurance law, this role provides meaningful responsibility, early client interaction, and the opportunity to work on high-profile matters within a supportive and high-performing practice .
NewPharmacy Technician MediQuest StaffingPharmacy TechnicianNewport Beach, CA$21–$24 / hourThe Pharmacy Technician will assist pharmacists with preparing and dispensing prescription medications, accurately entering prescription information into the pharmacy management system, processing prescription refills and insurance claims, and maintaining patient records and pharmacy documentation. The ideal candidate is committed to accuracy, delivers exceptional customer service, and is passionate about providing outstanding patient care.
NewWorkers Compensation Coordinator Kelly ServicesWorkers Compensation CoordinatorTorrance, CAKelly offers eligible employees voluntary benefit plans including medical, dental, vision, telemedicine, term life, whole life, accident insurance, critical illness, a legal plan, and short-term disability. Education Required: GED Required, Bachelor’s Degree Preferred Position Overview We are seeking a detail-oriented and efficient Workers Compensation Coordinator to support our medical enterprise in coordinating administrative aspects of workers compensation claims.
NewRestoration Estimator (Xactimate) IKON BUILDERS, INC.Restoration Estimator (Xactimate)San Clemente, CAThe Restoration Estimator is responsible for creating accurate and profitable estimates, managing scopes of work, and working directly with insurance adjusters and internal teams to ensure successful project outcomes. Xactimate, Symbility, restoration estimating, insurance claims, water damage, fire damage, reconstruction, supplements, mitigation, property damage, adjuster negotiation, scope writing, job costing, residential construction, estimating software.
NewLitigation Associate Attorney Tressler LLPLitigation Associate AttorneyGardena, CA$140,000–$170,000 / yearOur dynamic Litigation Practice Group is known for its comprehensive approach to managing a wide range of complex defense litigation involving personal injury, wrongful death, premises, products liability and transportation. The majority of Tressler attorneys devote their practice to the representation of the insurance industry in coverage analysis and resolution, litigation, underwriting consultation, product development, claims management, and reinsurance.
NewDental and Ortho Insurance Biller Treatment Coordinator Downey Smile CenterDental and Ortho Insurance Biller Treatment CoordinatorDowney, CAJob Description The Dental Office Biller manages patient accounts, processes insurance claims, and ensures efficient billing operations within a dental practice. This role requires a detail-oriented individual with a strong understanding of dental billing procedures and a commitment to providing exceptional patient care.
NewPediatric Dentistry Billing Coordinator Tiny Tooth Co.Pediatric Dentistry Billing CoordinatorCosta Mesa, CAAt Tiny Tooth Co., we're more than a pediatric dental office—we're building a culture where people love coming to work and families love coming back.\r\n\r\nWe're a fast-growing PPO/fee-for-service practice that believes exceptional patient experiences begin with an exceptional team. This position is responsible for managing accounts receivable, insurance claims, patient estimates, collections, and ensuring accurate financial follow-up for all patient accounts.
NewFront Office/Dental Assistant Dental Wellness of Lake ForestFront Office/Dental AssistantLake Forest, CAResponsible for managing a variety of financial duties, including but not limited to conducting financial consultations with patients, filing and billing dental benefit claims, managing patients billing, pre-auth, and collections and tracking the practice’s accounts receivable. Job Description Join us and be a part of our passionate and family-oriented company culture, building community relationships with integrity and excellence as a valued member of our team, while helping to deliver unparalleled dental care for seniors and special needs populations as a premium provider of dental services in California.
NewPatient Relations Liaison Life IVF CenterPatient Relations LiaisonIrvine, CA$25–$30 / hourLocated in Southern California, we specialize in Precision IVF®, offering our patients accessible treatment tailored to their needs and circumstances with high rates of success and reduced reliance on medication. When you notice the same kind of complaint surfacing more than once, you'll trace it back to where it started, whether that's a scheduling gap, a documentation issue, or a handoff that fell through the cracks, and work with that team to close the gap.
NewAssociate Counsel- Real Estate and Corporate Hackman CapitalAssociate Counsel- Real Estate and CorporateCulver City, CA$160,000–$190,000 / yearIn this role, the Associate Counsel will manage, coordinate, support, and advise on the leasing, licensing, acquisition, disposition, financing, joint venture, development, construction, asset management, and other legal matters of and relating to the real estate assets and investments in HCP’s global real estate investment portfolio. · Meaningful experience in commercial real estate leasing and licensing, acquisitions, dispositions, financings, joint ventures, development, construction, and other general real estate and corporate transactional matters, and a general knowledge of real estate, corporate law and business principles.
NewMedical Collector Planned Parenthood of Orange and San Bernardino CountiesMedical CollectorAnaheim, CAThe Revenue Recovery Analyst identifies, collects, and determines root causes of underpaid claims by auditing payor performance and analyzing actual payments of payors to ensure contract compliance, which is operationally critical and sensitive in nature. Ability to judgment independently as to compare actual reimbursement to expected reimbursement, reviewing managed care contract terms, claims billing and clinical information to effectively reconcile underpaid accounts and maintain documentation to support this activity.