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.
Claims Supervisor Health Source MSOClaims SupervisorAlhambra, CAFull timeProviding expertise or general claims support to teams in reviewing, researching, investigating, negotiating, process, and adjusting claims. Responsibilities include, but not limited to: • Maintain up-to-date knowledge of procedures for all ICD-10, CPT, HCPC codes including: Contractual agreement rates.
Claims Examiner - Workers Compensation (Hourly) IconmaClaims Examiner - Workers Compensation (Hourly)Brea, CA$43–$48 / hourResponsibilities: 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. Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
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.
NewClaims Coordinator I AxelonClaims Coordinator ITorrance, CAProficiency with computers, including email, PDF editing, and fax/eFax methods. Ability to work 40 hours per week for the next several months with minimal to no planned PTO.
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.
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.
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.
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.
NewWorkers Compensation Claims Examiner Imagine Staffing TechnologyWorkers Compensation Claims ExaminerLong Beach, CAI 443-345-3305 Nature & Scope: Positional Overview We are seeking an experienced Workers Compensation Claims Examiner to manage complex California workers’ compensation claims, including indemnity and litigated cases. Role & Responsibility: Tasks That Will Lead to Your Success Analyze and process complex workers’ compensation claims by investigating facts, gathering documentation, and evaluating claim exposure.
NewQuality Control Supervisor JobotQuality Control SupervisorLos Angeles, CA$75,000–$110,000 / 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. Corrective Actions and Continuous Improvement: Identify non-compliant practices on the production floor, propose corrective actions, and collaborate with production leaders to implement improvements.
NewMedical Billing Specialist JobotMedical Billing SpecialistLos Angeles, CA$25–$29 / 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. This role is responsible for preparing, reviewing, and submitting claims, resolving denied or unpaid claims, and maintaining compliance with local, state, and federal billing regulations.
Customer Service Representative Health Source MSOCustomer Service RepresentativeAlhambra, CAFull timeAbility to work regularly scheduled shifts within our hours of operation including the training period, where lunches and breaks are scheduled, with the flexibility to adjust daily schedule, and work over-time as needed. Review and research incoming healthcare claims from members and providers(doctors, clinics, etc) by navigating multiple computer systems and platforms and verifies the data/information necessary for processing (e.g.
NewRisk Manager Vaco LLCRisk ManagerLos Angeles, CA$90,000–$105,000 / yearDetermining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. RISK MANAGER Location: Los Angeles, CA, The Valley Schedule: Full-Time- Onsite Pay: $90,000 - $105,000/year Type: Direct Hire Overview: A well-established nonprofit institution is seeking a Risk Manager to join their Finance team.
Sr. Medical Claims Processor Ultimate Staffing ServicesSr. Medical Claims ProcessorPasadena, California$24–$29 / hourEnsure accuracy of claim details, including patient information, coding (ICD-10, CPT, HCPCS), and billing data prior to submission. Investigate and resolve denied, rejected, or pending claims by working with providers, payers, and internal departments.
NewLitigation Paralegal - 2315904 JBA InternationalLitigation Paralegal - 2315904Beverly Hills, CA$85,000–$100,000 / yearDraft correspondence and regularly communicate with clients, experts, and defense counsel in an effective and courteous manner. Assist with pre-trial preparation, including drafting trial documents and preparing exhibits.
NewPractice Lead/Supervisor VSP Ventures Optometric Solutions LLCPractice Lead/SupervisorManhattan Beach, CAOversee the work of the practice staff and the daily workflow including patient care and retention through effective accurate scheduling, communication with patients in person and over the phone using professional etiquette and delivery of the highest patient experience. Applicants who live in the following jurisdictions should not respond to the race or gender self-identification request, so please select “Prefer not to say, I Don’t Wish to Answer, I decline to self-identify, or I decline to identify my race and ethnicity” for the questions: • Washington D.C. • Hawaii.
NewAssociate Attorney Desai Law APCAssociate AttorneyLos Angeles, CAManage all aspects of workers' compensation cases from initial consultation to resolution, including gathering evidence, preparing legal documents, submitting reconsiderations, amending depositions, and coordinating with medical professionals. This role involves providing expert legal counsel, representing clients in workers' compensation claims, and ensuring that they receive the compensation and benefits they are entitled to under the law.
Claims Processor ArsenaultClaims ProcessorLos Angeles, CaliforniaThrough our dedicated associates, Arsenault delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments creating exceptional outcomes for our clients and the millions of people who count on them. It is essential to have a good understanding of EOBs, FSAs, how to read receipts, doctor bills, and basic medical paperwork.
Collections Representative AxelonCollections RepresentativeLos Angeles, CA$28–$32 / hourDocument billing activity, claim details, expected reimbursement, payments, and account actions clearly and accurately. Submit required supporting documentation, including authorizations, medical records, consent forms, and payer-specific forms.