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.
Specialized Sr Workers' Compensation Claim Representative The Travelers CompaniesSpecialized Sr Workers' Compensation Claim RepresentativeIrvine, CA$73,900–$122,000 / yearAs a Specialized Senior Claim Rep, you will be responsible for investigating, evaluating, reserving, negotiating, and resolving Workers Compensation claims from Travelers Single Adjuster Model including Constitution State Services (CSS) and Custom Comp claims, which will be the majority of the claims handled, and other Travelers Workers Compensation claims. By providing assurance to our customers during life's rainy days, the Travelers Workers Compensation Claim team is committed to partnering with our business insurance customers to help their injured employees return to work as soon as medically appropriate.
Specialized Sr Workers'''' Compensation Claim Representative The Travelers Companies IncSpecialized Sr Workers'''' Compensation Claim RepresentativeIrvine, CA$73,900–$122,000 / yearAs a Specialized Senior Claim Rep, you will be responsible for investigating, evaluating, reserving, negotiating, and resolving Workers Compensation claims from Travelers Single Adjuster Model including Constitution State Services (CSS) and Custom Comp claims, which will be the majority of the claims handled, and other Travelers Workers Compensation claims. By providing assurance to our customers during life''s rainy days, the Travelers Workers Compensation Claim team is committed to partnering with our business insurance customers to help their injured employees return to work as soon as medically appropriate.
Claim Operations Specialist The Travelers CompaniesClaim Operations SpecialistDiamond Bar, CA$45,400–$74,900 / yearCLAIM OPERATIONAL SERVICE AND PARTNERSHIPS: Partners with claim professionals in multiple departments to assist with the timely resolution of claims, which may include: Properly documents claim files, including notes and diaries, Requests reports and records, and reviews medical bills, mail and wage statements. Designed as an entry point into the claims organization, this role gives individuals direct exposure to how claims are managed across multiple lines of business, including Auto, Property, General Liability, Construction, and Workers' Compensation.
Collision Estimator CSN CollisionCollision EstimatorRancho Cucamonga, CA$80,000–$120,000A Collision Estimator is responsible for accurately and efficiently appraising vehicle damages to determine the cost of repairs for the customer or insurance companies: · Writes complete estimates/supplements in accordance with company and insurance guidelines with an emphasis on repairing versus replacing parts. · Educate the customer about the collision repair process; including insurance claims, processing, payment procedures, repair techniques, repair needs and approximate repair time.
NewField - SIU Adjuster Allstate Insurance CompanyField - SIU AdjusterCA$62,100–$103,950 / yearThe individual performs a thorough investigation including; (1) conducting background searches, scene investigations, and clinic inspections; (2) taking recorded statements; (3) reviewing and analyzing medical notes, bills, and property damage; and (4) conducting witness interviews and social media searches. As a Field SIU Investigator, serving Los Angeles County and the Southern California region, you'll lead complex fraud investigations, conduct surveillance and witness interviews, analyze evidence, and determine fraud exposure.
NewMedical Biller - Multi Specialty Provider Little Scholars ServicesMedical Biller - Multi Specialty ProviderMission Viejo, CAPart timeAs a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information.
Compliance Specialist - Medical Billing Advantage Healthcare ServicesCompliance Specialist - Medical BillingHuntington Beach, CAThis role serves as a key operational partner to Compliance, Pharmacy Operations, Revenue Cycle, and Credentialing teams to support licensing activities, billing compliance, audit readiness, reimbursement requirements, and ongoing regulatory compliance. The ideal candidate combines strong administrative discipline with knowledge of pharmacy operations, licensing regulations, healthcare reimbursement, medical billing, pharmacy claims processing, and regulatory documentation.
Senior AI Automation Engineer Alignment Healthcare IncSenior AI Automation EngineerCA$172,364–$258,547 / yearAI/ML Engineering: Expert-level Python proficiency with deep command of ML frameworks including PyTorch, TensorFlow, scikit-learn, and Hugging Face Transformers; advanced experience designing LLM-based systems including RAG pipelines, vector databases, and multi-agent orchestration frameworks (LangChain, LangGraph, AutoGen, CrewAI). Cloud AI Platforms & MLOps: Expert-level experience with AWS SageMaker, Azure AI / Document Intelligence, Google Cloud Vertex AI, or Databricks; mastery of containerization (Docker, Kubernetes), CI/CD pipelines, and MLOps tooling (MLflow, Kubeflow, or equivalent) at an architecture and governance level.
Billing Support Specialist Ultimate Staffing ServicesBilling Support SpecialistIrvine, California$20–$24Ultimate Staffing is partnering with a Medical Diagnostic Laboratory in Irvine seeking a Patient Information Specialist / Billing Support Specialist to assist through a high-volume period. This is a temporary role (2-3 months) focused on outbound calls to clinics and providers to obtain patient information needed for billing and claims processing.
Product Manager, Revenue Cycle Management Goodrx Holdings IncProduct Manager, Revenue Cycle ManagementCA$128,000–$205,000 / yearGoodRx is the leading prescription savings platform in the U.S. Trusted by more than 25 million consumers and 750,000 healthcare professionals annually, GoodRx provides access to savings and affordability options for generic and brand-name medications at more than 70,000 pharmacies nationwide, as well as comprehensive healthcare research and information. About the Role: We are seeking a technical Product Manager, Revenue Cycle Management to join our team, focused on building and scaling systems that power claims reconciliation, adjudication, and end-to-end payment processing across our pharmacy network.
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.
Sr. Director of Strategic Partnership Development Goodrx Holdings IncSr. Director of Strategic Partnership DevelopmentRemote CA, CARemote$218,000–$350,000 / yearGoodRx is the leading prescription savings platform in the U.S. Trusted by more than 25 million consumers and 750,000 healthcare professionals annually, GoodRx provides access to savings and affordability options for generic and brand-name medications at more than 70,000 pharmacies nationwide, as well as comprehensive healthcare research and information. All GoodRx employees are responsible for reviewing and complying with all Company safety and security policies and procedures, being vigilant and observant of potential security threats (including phishing attempts) and proactively communicating with the Security Team to raise any concerns.
Roofing Sales GpacRoofing SalesAnaheim, CA70000–100000GPAC (Growing People and Companies) is an award-winning search firm specializing in placing quality professionals within multiple industries across the United States since 1990. We’re looking for driven, competitive sales professionals who want to control their income and grow quickly within a roofing company that rewards performance.
Grievance Resolution Specialist Kinetic Personnel Group, Inc.Grievance Resolution SpecialistOrange, CA$25–$37 / hourGathers pertinent information regarding the grievances and appeals received, including, but not limited to, member or provider concerns, supporting information related to initial decision-making, new information supporting the grievance or appeal, or supplemental information required to evaluate grievances and appeals within regulatory requirements. The Grievance Resolution Specialist coordinates the Grievance and Appeal resolution process, responds to verbal and written Grievances and Appeals from members and/or providers relating to member eligibility and benefits, contract administration, claims processing, utilization management decisions, and pharmacy and vision decisions.
["Provider Relations Representative","Provider Relations Representative"] UnitedHealthcare At Home["Provider Relations Representative","Provider Relations Representative"]Corona$60,200–$90,000 / yearResponds timely (within one business day) to provider issues, works with other groups/central departments to resolve issues and updates providers and office staff regularly through to resolution. As a ProviderRelations Representative at Optum, you will act as a direct interface between Optum and the affiliated physicians in Optum's Independent Physician Association (IPA) network and support their operations and performance success.
Warranty Administrator Motive Workforce SolutionsWarranty AdministratorFountain Valley, CAThe Warranty Administrator is responsible for managing warranty claims, processing service documentation, coordinating with dealers and service partners, and ensuring accurate warranty recovery for charger products and related components. This position plays a critical role in customer satisfaction, cost control, and continuous product improvement by ensuring warranty cases are handled efficiently and in compliance with company policies.
Manager, Medical Economics - REMOTE Molina Healthcare IncManager, Medical Economics - REMOTELong Beach, CARemoteDemonstrated understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRGs), Ambulatory Patient Groups (APGs), Ambulatory Payment Classifications (APCs), and other payment mechanisms. Analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.).
Human Resources/Risk Management Specialist - Part Time City of El MonteHuman Resources/Risk Management Specialist - Part TimeEl Monte, CAParticipates in coordinating and planning recruitment and selection processes; develops recruitment plans; prepares job announcements; places advertisements; schedules, proctors, and scores employment tests; coordinates testing with hiring departments; prepares interview rating notebooks, schedules interviews, and compiles interview rating forms. Participates in the administration of employee and retiree benefit programs including group life, health, and disability insurance programs; coordinates claim processing, premium compilation, and invoice payments; counsels employees regarding benefit programs; administers employee leave programs.
QNXT Program Manager Impresiv HealthQNXT Program ManagerLong Beach, CARemoteThis individual will ensure deliverables are completed accurately and on schedule, risks and dependencies are actively managed, teams remain aligned and accountable, and the organization is prepared for testing, cutover, go-live, and stabilization. Ensure claims-related deliverables are accurate, complete, and traceable, including requirements, process designs, configuration inputs, data-conversion needs, test scenarios, defect-resolution plans, readiness criteria, and go-live support materials.