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 CounselLos Angeles, 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 IconmaClaims Examiner - Workers CompensationRancho Cucamonga, CA$45–$50 / hourResponsibilities: To 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.
NewMedical Claims Examiner InsperityMedical Claims ExaminerLos Angeles, CA$24–$30 / hourThrifty Management Services , the dedicated MSO for Preferred IPA of California, seeks a skilled and compassionate Medical Claims Examiner to help us deliver exceptional healthcare support. Extensive familiarity and experience in planning benefit and co-payment determination, division of financial responsibility determination, claims policies and procedures, adjudication processes, and claim review and analysis involving NCCI rules.
NewSenior Counsel, Claims & Litigation C.R. EnglandSenior Counsel, Claims & LitigationColton, CAWorking under the Associate General Counsel, this attorney directly conducts hands-on litigation work, particularly in early stages, with oversight of matters transitioned to outside counsel, focusing on strategy, risk management, and efficient resolution. England was honored with a ‘2020 Glassdoor Top Places to Work’ award, the ‘Achievers 50 Most Engaged Workplaces™ Award’ and by Deloitte Private and The Wall Street Journal as a ‘2021 US Best Managed Company’.
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.
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.
Claims Specialist PRSH Holdings Inc.Claims SpecialistRiverside, CAThe Claims Specialist is responsible for evaluating, processing, and managing liability, property, auto, general liability claims, and employment claims in compliance with state regulations; documenting activities; conveying information regarding claims and/or benefits; and providing testimony in benefit disputes while exercising discretion, independent judgment, critical thinking skills and demonstrate exemplary customer services skills. Serve as the face of the company in providing frequent, proactive verbal communication with our claimants, customers and/or their representatives demonstrating empathy and active listening while providing clear updates, direction and explanations regarding the claim process, benefits, and other pertinent policy provisions.
NewWorkers' Compensation Defense Attorney JobotWorkers' Compensation Defense AttorneyLos Angeles, CARemote$165,000–$210,000 / yearInformation 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. Well-known for being aggressive, detail-oriented, and providing cost-effective managed litigation with a strong ethical core- we believe in innovation, teamwork, and pushing for excellence in every case.
NewOB/GYN Medical Billing / Coding Specialist ABS Consulting, Inc.OB/GYN Medical Billing / Coding SpecialistHesperia, CAAs our Medical Biller, your daily duties will include maintaining billing software, appealing denied claims, and recording late payments. The ideal candidate must also be able to demonstrate excellent written and verbal communication skills, as communicating with clients and various insurance agents will form a large part of the job.
NewPharmacy Technician MediQuest StaffingPharmacy TechnicianHuntington 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.
NewPersonal Injury Case Manager The Dominguez Firm, LLP.Personal Injury Case ManagerLos Angeles, CAWith a team of over 120 legal professionals and a record of delivering outstanding results, we are driven by a mission to advocate for injured clients and their families with integrity, compassion, and excellence. Job Description The Dominguez Firm is seeking a Bilingual (English/Spanish) Personal Injury Case Manager to join our high-performing team in Los Angeles.
NewLitigation Associate Attorney Tressler LLPLitigation Associate AttorneyLos Angeles, 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.
NewAssociate Attorney The Advocates - Driggs, Bills & DayAssociate AttorneyLos Angeles, CA$120,000–$200,000 / yearLos Angeles Office Growth: Work alongside firm leadership to help establish and develop The Advocates' presence in Los Angeles, including contributing ideas, identifying opportunities, and helping build a strong local reputation. Our Pacific Coast team includes more than 20 personal injury attorneys, along with experienced legal assistants, paralegals, and support staff who share a deep commitment to guiding clients through some of the most difficult periods of their lives.
NewMedical Biller Specialist MARC H SHOMER MD PHD INCMedical Biller SpecialistUpland, CAnCompany Description We are a speciality practice located in Upland and looking for an experienced medical biller familiar with submitting claims, claims follow ups and submitting letters of appeal. We are a speciality practice located in Upland and looking for an experienced medical biller familiar with submitting claims, claims follow ups and submitting letters of appeal.
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.
NewProperty Damage Specialist Wilshire Law FirmProperty Damage SpecialistLos Angeles, CA$25–$33 / hourYou will work side by side on a team of dynamic, collaborative, and client-focused professionals who are committed todelivering onour founding core values: Excellence, Teamwork, and Integrity. Wilshire Law Firm is a distinguished, award-winning legal practice with over 18 years of experience, specializing in Personal Injury, Employee Rights, and Consumer Class Action lawsuits.
NewMedical Biller Foothill Dermatology Medical CenterMedical BillerGlendora, CAVerify that claims contain accurate patient demographics, insurance information, provider information, diagnosis codes, procedure codes, modifiers, units, and required documentation. Reponsibilites include and not limited to: Review patient accounts and billing information for accuracy before claim submission.
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.