Claims Adjuster - Workers Compensation Apidel TechnologiesClaims Adjuster - Workers CompensationPasadena, CAContractorTo 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.
Claims Adjuster - Workers Compensation MindlanceClaims Adjuster - Workers CompensationPasadena, CARemote$49–$50 / hourPRIMARY PURPOSE: 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.
Claims Adjuster Senior - Injury The Progressive CorpClaims Adjuster Senior - InjuryWoodland Hills, CA$36–$47 / hourFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/ . Investigating complex and high-risk claims - which may be attorney represented or have additional litigation features - you'll consult with police officers, medical professionals, claimants and others involved in the accident.
Claims Adjuster Senior - Litigation The Progressive CorpClaims Adjuster Senior - LitigationPasadena, CA$36–$47 / hourFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/ . Investigating complex and high-risk claims - which may be attorney represented or have additional litigation features - you'll consult with police officers, medical professionals, claimants and others involved in the accident.
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.
CalAIM Billing & Accounts Receivable (AR) Specialist LibertanaCalAIM Billing & Accounts Receivable (AR) SpecialistSherman Oaks, CA$27–$29 / hourThis role requires hands-on experience with CalAIM and Medi-Cal managed care, with a focus on submitting clean claims, resolving billing issues promptly, and helping maintain consistent cash flow. Submit and track claims to MCPs; verify authorizations; resolve denials related to medical necessity, prior authorizations, referrals, and program eligibility; and prepare professional appeal letters and retro-authorization requests when applicable.
Legal Specialist Dine Brands Global IncLegal SpecialistPasadena, CA$65,000–$75,000 / yearThe following is a list of all material job duties which Dine Brands reasonably believes that criminal history may have a direct, adverse, and negative relationship, potentially resulting in the withdrawal of a conditional offer of employment: comply with applicable laws, mitigate risk, provide competent legal advice, and securely obtain, store, and handle employees and third parties personal, financial, and medical information. Based in Pasadena, California, Dine Brands Global, Inc. (NYSE: DIN), through its subsidiaries and franchisees, supports and operates restaurants under the Applebees Neighborhood Grill + Bar, IHOP, and Fuzzys Taco Shop brands.
Workers' Compensation Specialist Ultimate Staffing ServicesWorkers' Compensation SpecialistMonrovia, California$28–$32 / hourThis role oversees incident reporting, analyzes claims data, and supports safety initiatives, including return-to-work programs, safety committees, and safety awareness campaigns. The Workers' Compensation Specialist manages and administers all workers' compensation claims, ensuring timely review, evaluation, and compliance with regulatory requirements.
NewRevenue Cycle Specialist (Athena EMR) Privia Health Group, IncRevenue Cycle Specialist (Athena EMR)CA$24–$26.45 / hourThe Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers. Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings.
Risk Adjustment Coding Specialist II - Remote Astrana Health, Inc.Risk Adjustment Coding Specialist II - RemoteMonterey Park, CaliforniaRemote$70,000–$85,000 / yearPerform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines. Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements.
Litigation Specialist (Collections Support) LoanMartLitigation Specialist (Collections Support)Van Nuys, CAFull timeCalifornia Applicant Privacy Notice: The California Applicant Privacy Notice ("Applicant Privacy Notice") describes the types of personal information that we may collect about our California job applicants through Wheels Financial Group, LLC's online recruitment system and careers pages which link to this Applicant Privacy Notice (collectively, the "Recruitment System") and how it may be used. Hybrid work schedule: usually three days at home (if preferred) and two days in-office (Tuesdays and Wednesdays, with some variance for training, performance, and month-end).
Senior Litigation Specialist, SLU Tokio Marine America Insurance CompanySenior Litigation Specialist, SLUPasadena, CA$130,000–$140,000 / yearThe job requires you be client focused, and develop strong partnerships that include communications and interactions with insureds, brokers and other internal business unit contacts to ensure smooth claims settlement, negotiations and resolutions. We provide unique insurance and risk management tools from our experienced staff of account executives, underwriters and loss prevention engineers and fair and timely claim settlement from a skilled team of claim professionals.
Quality Tech III, Quality Specialist Howmet Aerospace IncQuality Tech III, Quality SpecialistCA$25–$35 / hourOur products are used nose to tail on commercial and military aircraft, as well as on jet engines, industrial gas turbines, automobiles, commercial transportation vehicles, wind turbines, solar power systems, and construction and industrial equipment. Born from many well-known and long-standing brands, Howmet Fastening Systems, headquartered in Torrance, California, is the premier designer and manufacturer of aerospace and industrial fasteners, latches, fluid fittings and installation tools.
Loss Control Specialist Marathon Petroleum CorpLoss Control SpecialistCarson, CA$93,000–$160,300 / yearDevelops functional knowledge e.g., MPC Loss Control SOP, API, interpret/analyst data, reconcile system balance, MPC operation (e.g., Marine, Pipeline and/or Refinery), software and tools. At MPC, we're committed to being a great place to work - one that welcomes new ideas, encourages diverse perspectives, develops our people, and fosters a collaborative team environment.
Healthcare Revenue Cycle Billing Specialist II (SNF) Wipfli LLPHealthcare Revenue Cycle Billing Specialist II (SNF)Irvine, CARemote$23–$30 / hourAs a Specialist II in Wipfli's Healthcare Consulting Practice, you'll work independently with a variety of healthcare clients, skilled nursing facilities, independent living, and assited living, delivering services such as financial and operational analysis, regulatory readiness, and strategic support. Under the direction of a Senior Consultant, the Specialist II provides business services independently for the firm''s more complex clients, ensuring delivery is timely, accurate and serves the client''s needs in accordance with company policies and procedures.
Specialist, Appeals & Grievances Remote Molina Healthcare IncSpecialist, Appeals & Grievances RemoteCARemoteRequests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina guidelines. Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory timelines are met.
Charge Capture Specialist Career StrategiesCharge Capture SpecialistLos Angeles, CaliforniaWe encourage candidates who meet these qualifications to apply for this exciting opportunity to contribute to our dedicated team in the healthcare field. Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification (preferred).
Auto Major Case Specialist The Travelers Companies IncAuto Major Case SpecialistDiamond Bar, CA$99,100–$163,400 / yearAs a Major Case Specialist, you are responsible for investigating, evaluating, reserving, negotiating, and resolving complex, serious and severe claims typically with full damage value for average claim $500,000 to over a multi-million dollar value. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.
Senior Litigation Specialist, SLU Tokio Marine GroupSenior Litigation Specialist, SLUPasadena, CaliforniaThe job requires you be client focused, and develop strong partnerships that include communications and interactions with insureds, brokers and other internal business unit contacts to ensure smooth claims settlement, negotiations and resolutions. We provide unique insurance and risk management tools from our experienced staff of account executives, underwriters and loss prevention engineers and fair and timely claim settlement from a skilled team of claim professionals.
Advocacy Coordination Team Specialist Sedgwick Claims Management Services, Inc.Advocacy Coordination Team SpecialistWest Hills, CA$23–$25 / hourProvides excellent customer service displaying care and empathy to callers regarding claims and executes technical and jurisdictional requirements for accurate claims processing, benefit review and interpretation of regulations, financial payment processing, and error correction of complex or high exposure claims. PRIMARY PURPOSE: Actively researches, resolves, and administers escalated inquires for all lines of business, including but not limited to Family Medical Leave (FMLA), complex paid and unpaid state, military, and company-specific leaves, accommodations, disability and statutory claims.
Administrative Specialist - Substitute Glendale Community CollegeAdministrative Specialist - SubstituteGlendale, CAMaintains specialized information related to department programs and/or operations; maintains complex interrelated files; searches databases and record systems to gather, compile and report information of a technical, specialized or sensitive nature; researches internal and external data, methods, mechanisms and processes; performs technical data summaries and comparisons; develops and runs database queries; tabulates and summarizes data; identifies trends and concerns; prepares summary reports. • Coordinates and/or performs technical bookkeeping duties in support of departmental fiscal operations; computes, collects and receipts monies and fees; processes accounts payable invoices; maintains ledgers, accounts, spreadsheets and/or databases; monitors budgets for assigned functions; initiates appropriation, expenditure and revenue transfers and budget revisions; monitors expenditures to ensure fiscal integrity; compiles, analyzes, calculates and retrieves budget reports.
Customs Specialist, File Initiation, Billing Coordinator DSV ASCustoms Specialist, File Initiation, Billing CoordinatorTorrance, CA$22.50–$30.50 / hourDSV provides a comprehensive package of health benefits including: medical, prescription, dental, vision, and life insurance, along with flexible and health spending accounts, short and long-term disability coverage, and wellness resources to support your overall well-being. Actual base compensation will be determined based on various factors including job-related knowledge, skills, experience, geographic location and other objective business considerations.
Contract Specialist Parker Hannifin CorpContract SpecialistIrvine, CA$100,300–$159,400 / yearBenefit & Retirement Plans: Parker offers competitive benefit programs including: Comprehensive coverage for medical, prescription drugs, dental, vision, voluntary optional life, accident insurance, hospital indemnity insurance, and critical illness insurance with competitive premium cost. Administers highly competitive major contract requirements by analyzing performance requirements and customer purchase order requirements, including those issued against Basic Contract Agreements and/or Long-Term Agreements.
NewAuto Major Case Specialist TravelersAuto Major Case SpecialistDiamond Bar, California$99,100–$163,400 / yearAs a Major Case Specialist, you are responsible for investigating, evaluating, reserving, negotiating, and resolving complex, serious and severe claims typically with full damage value for average claim $500,000 to over a multi-million dollar value. This role is eligible for a sign-on bonus of up to $20,000Be the Hero in Someone's StoryWhen life throws curveballs - storms, accidents, unexpected challenges - YOU become the beacon of hope that guides our customers back to stability.
Lead PFS Insurance Specialist Ambry Genetics CorpLead PFS Insurance SpecialistCA$32–$33 / hourThe Lead Collector should have the ability to work any claim, regardless of aging, and must work with both commercial and government payers, review EOB's and medical policy to evaluate and submit for appeals, as well as perform in-depth research to appropriately obtain coverage for any denied claims. The Lead Collector will also develop and deliver reports to management to summarize payer and claims issues, and contribute suggestions for policy and process improvements; additionally, the Lead Collector will take point on implementing process changes within their team.
NewExperienced Aerospace Quality Specialist Align Aerospace LLCExperienced Aerospace Quality SpecialistChatsworth, CA$34–$37 / hourComputer Skills: Confident navigating inspection software, SAP/ERP systems, and Microsoft Excel Tool Guru: Expertise with tools like micrometers, calipers, ring/thread gauges, CMM, and optical comparators Quality Expert: Deep familiarity with AS9100, AS9102, ISO 9001, FAI's and customer quality requirements Decision Maker: A sharp eye and decisive judgment – you’ve led FAIs and made tough calls with confidence Strong organizational skills – from paperwork to multitasking electronically in a fast-paced environment Focus and grit – you’ll be seated at a desk, inspecting in a warm, active warehouse environment. Ongoing career development opportunities The Environment Fast-paced, high-volume aerospace warehouse Hands-on inspection work—not stuck behind a desk Team that values accuracy, speed, and accountability A place where your work directly impacts aircraft safety and customer trust What This Role Requires Ability to lift 30–50 lbs (with assistance when needed) Standing, inspecting, and moving throughout the day Working in a non-temperature-controlled environment High focus—this is precision work, not guesswork Apply now.
STATIONARY ENGINEER CONTROLS SPECIALIST Los Angeles CountySTATIONARY ENGINEER CONTROLS SPECIALISTLos Angeles, CAVeteran's Credit: Pursuant to the County Charter and County policy, in all open competitive examinations (i.e., examinations open to everyone), the County of Los Angeles will add a credit of 10 percent of the total credits specified for such examination to the final passing score of an honorably discharged veteran, as well as the spouse of a deceased or disabled veteran, who served in the Armed Forces of the United States under specific conditions. What does a Stationary Engineer Control Specialist do: Inspects, maintains and repairs various control, indicating and recording instruments used in the monitoring and operation of high and low pressure heating plants and refrigeration plants; and as a Stationary Engineer, operates and maintains heating and refrigeration plants.
CONSULTING SPECIALIST, M.D. Los Angeles CountyCONSULTING SPECIALIST, M.D.Los Angeles, CAVeteran's Credit: Pursuant to the County Charter and County policy, in all open competitive examinations (i.e., examinations open to everyone), the County of Los Angeles will add a credit of 10 percent of the total credits specified for such examination to the final passing score of an honorably discharged veteran, as well as the spouse of a deceased or disabled veteran, who served in the Armed Forces of the United States under specific conditions. Information pertaining to the completion of residency program: Applicants who will successfully complete their medical residency program approved by an American Specialty Board within 6 (six) months of filing may compete in this examination; however, the names of such candidates will be withheld from the certification list pending receipt of certification for completion of the required residency program.
Managed Care Compliance Specialist - Managed Care Cedars-Sinai Medical CenterManaged Care Compliance Specialist - Managed CareCalifornia, CAThe Managed Care Compliance Specialist is responsible for assisting with the implementation of the internal auditing and monitoring program within the Managed Care department by ensuring compliance with applicable rules and regulations, including but not limited to AB1455 and Medicare Claims Processing Guidelines. • Provides mentorship to various departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contract language for Commercial, Medicare, and Medi-cal managed care.
Sales Order Processing Specialist Staffmark Group LlcSales Order Processing SpecialistIrvine, CA$23–$24 / hourThe Sales Order Processing Specialist supports daily business operations by performing responsibilities that help organizations serve customers, produce products, or deliver services efficiently. Duties may include operating equipment, working with customers, handling materials, preparing documentation, supporting administrative activities, using technology, collaborating with team members, or completing other responsibilities appropriate to the position.
Contract Specialist Belcan LLCContract SpecialistIrvine, CA$115,000–$125,000 / yearESSENTIAL FUNCTIONS: Administers highly competitive, major contract requirements by analyzing performance requirements and customer purchase order requirements including those issued against Basic Contract Agreements and/or Long-Term Agreements. Determines technically and commercially compliant complex proposal packages for major customers in response to customer or contract requirements.
NewSpecialist, Quality Compliance (Label) Herbalife LtdSpecialist, Quality Compliance (Label)Torrance, CAGroup Health Programs include Medical, Dental, Vision, Health Savings Account (HSA), Flexible Spending Accounts (FSA), Basic Life/AD&D; Short-Term and Long-Term Disability, and an Employee Assistance Program (EAP). DETAILED RESPONSIBILITIES/DUTIES: Provide Food, Dietary Supplement and Cosmetic (including OTC) label guidance through collaboration, cross functionally, with Regulatory Affairs, Legal, Marketing, Product Science and Product Development.
NewSr. Field Safety Specialist | West Region Camping World Holdings IncSr. Field Safety Specialist | West RegionCARemote$87,400–$134,000 / yearThis position works closely with field and location leadership to advance Camping World's "True North" safety culture, maintain regulatory compliance, reduce operational risk, and drive timely completion of corrective actions through regular field engagement, coaching, inspections, training, and incident follow-up. Claims and Recovery Support: Support coordination with Human Resources, Risk Management, claims partners, and operations leaders for workers' compensation follow-up, return-to-work coordination, and injury prevention efforts.
NewRevenue Cycle Specialist Behavioral Health ServicesRevenue Cycle SpecialistGardena, CA$24–$28 / hourJob Details Level: ExperiencedLocation: Gardena, CA 90249Position Type: Full TimeEducation Level: 4 Year DegreeSalary Range: $24.00 - $28.00 HourlyJob Shift: DayJob Category: AccountingJob Summary Research and follow up on billing and payment Denials, Helds and other irregularities in a Behavioral Health SettingDuties & Responsibilities Ongoing process improvement analysis and implementation of system improvements. Collaborate 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.
E-Commerce Sales Operations Specialist (HYBRID) InBodyE-Commerce Sales Operations Specialist (HYBRID)Cerritos, CAFull timeFrom class-leading body composition analyzers to user-friendly automated blood pressure monitors, our goal is to equip health and wellness professionals with the tools they need to help clients and communities improve their well-being. Analyze marketplace data, including conversion rates, fee fluctuations, and competitor pricing, to identify trends and support strategic decision-making.
Remote Physician Pro Fee Coding Specialist-Cardiology/Electrophysiology Community Health Systems IncRemote Physician Pro Fee Coding Specialist-Cardiology/ElectrophysiologyCARemoteEnsures compliance with governmental regulations, third-party payer policies, and corporate coding protocols, following National Correct Coding Initiative (NCCI) edits, Local Coverage Determinations (LCDs), and National Coverage Determinations (NCDs). The Physician Coder plays a key role in revenue cycle accuracy by identifying documentation gaps, ensuring coding integrity, and working collaboratively with internal teams to support physician coding compliance and reimbursement.
Eyecare Billing Specialist Ultimate Staffing ServicesEyecare Billing SpecialistLong Beach, California$24–$27 / hourAccounts Receivable & Collections: Monitor and follow up on outstanding balances, work aging reports, and coordinate with patients, payers, and third-party agencies to resolve accounts. Responsible for supporting the full lifecycle of the revenue cycle, ensuring accurate, timely, and compliant financial processes from patient access through final payment resolution.
NewRevenue Cycle Specialist II (Commercial Collections) Cedars-SinaiRevenue Cycle Specialist II (Commercial Collections)Los Angeles, CAWhat you will be doing in this role:Under general supervision and following established practices, policies, and guidelines, provides commercial collections support to Patient Financial Services, performing duties which may include reviewing and resubmitting claims to third party payors, performing account follow-up activities, updating information on account, etc. Cedars Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles.
NewRevenue Cycle Specialist III (Emergency) Cedars-SinaiRevenue Cycle Specialist III (Emergency)Torrance, CAPrimary duties include:Develops and maintains excellent working relationships with Cedars-Sinai Clinical Departments, external clients, and patients, performing duties that include identifying, analyzing, resolving, and responding to our client's inquiries, concerns, and issues, and following up on accounts to ensure resolution. Duties include but are not limited to, reviewing and submitting claims to payors, performing account follow-up activities, updating information on patient account, reviewing and processing credits, posting payments, and account reconciliations.
Revenue Recovery Specialist, Clinical Denials RSource LLCRevenue Recovery Specialist, Clinical DenialsCARemoteWhat you bring: A high level of professionalism Adherence to all debt collection rules and regulations Adherence to HIPAA requirements Moderate computer proficiency including working knowledge of MS Excel, Word, and Outlook Organization and documentation skills to ensure timely follow-up and accurate record keeping Mathematical ability to calculate rates using addition, subtraction, multiplication, and division Familiarity with CPT, ICD coding preferred. This Specialist must be able to multi-task, prioritize as necessary to timely resolve accounts for payment, and maintain a high level of professionalism when communicating with payers and patients daily.
Revenue Integrity Specialist Privia Health Group, IncRevenue Integrity SpecialistCA$55,000–$60,000 / yearThe Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers. Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings.
Hybrid Benefits Specialist Ultimate Staffing ServicesHybrid Benefits SpecialistIrvine, California$45–$50 / hourAnnual Open Enrollment: Supports the annual benefits open enrollment process, including communications, system configuration, vendor coordination, and partnering closely with payroll to ensure proper benefits setup. LOA administration: Communicates the LOA process to requesting employees, initiates leaves in Sparrow, monitors LOA-related emails, and reviews and approves the semi-monthly LOA payroll report.
Patient Care Billing & Authorization Specialist Ultimate Staffing ServicesPatient Care Billing & Authorization SpecialistFullerton, California$26As the Patient Care Billing & Authorization Specialist , you will play a pivotal role in ensuring the seamless operation of our practice, supporting both the financial and administrative aspects of patient care. This role bridges the gap between patients, providers, insurance carriers, and third-party billing partners, helping to create an engaging and efficient office environment.
NewCentral Support Account Management Specialist Edison InternationalCentral Support Account Management Specialistirwindale, CAThe position assists Account Managers and Customers resolve a broad range of customer care issues that include Billing, Credit, data in SAP, Electric Transportation and special project work in support of account management activities and SCE's strategic goals. Strong oral and written communication skills; be customer-centric to understand and appropriately respond to internal and external client's business needs, and interface effectively and/or collaborate with customers.
[HVAC / CUSTOMER ADVOCACY] HVAC Technical and Field Support Specialist TTE Technology Inc[HVAC / CUSTOMER ADVOCACY] HVAC Technical and Field Support SpecialistIrvine, CA$75,000–$100,000 / yearFull timeThis role plays a critical part in elevating the customer and partner experience by resolving complex technical issues, strengthening field capabilities, and driving continuous product and service improvements across TCL's HVAC and consumer electronics portfolio. As a key bridge between customers, field partners, and internal engineering teams, this individual will lead advanced troubleshooting efforts, support technical training initiatives, and contribute to root cause analysis and product feedback loops.
Clinical Documentation Improvement Specialist (CDI) II - Full Time, Days (Hybrid-Hollywood) NOR Healthcare SystemsClinical Documentation Improvement Specialist (CDI) II - Full Time, Days (Hybrid-Hollywood)Culver City, CAFull timeThe CDI Specialist Level II is responsible for conducting clinically based concurrent and retrospective reviews of inpatient medical records to evaluate if clinical documentation is reflective of medical necessity, quality of care outcomes and reimbursement compliance for acute care services provided. Reviews inpatient medical records, meeting all department productivity goals, for identified payor populations as directed on admission and throughout hospitalization and identifies potential gaps in physician documentation.
Clinical Documentation Improvement Specialist (CDI) II - Full Time, Days (CBO-Culver City) NOR Healthcare SystemsClinical Documentation Improvement Specialist (CDI) II - Full Time, Days (CBO-Culver City)Culver City, CAFull timeThe CDI Specialist Level II is responsible for conducting clinically based concurrent and retrospective reviews of inpatient medical records to evaluate if clinical documentation is reflective of medical necessity, quality of care outcomes and reimbursement compliance for acute care services provided. Reviews inpatient medical records, meeting all department productivity goals, for identified payor populations as directed on admission and throughout hospitalization and identifies potential gaps in physician documentation.
NewCorporate Paralegal and Compliance Specialist Griswold Industries CoCorporate Paralegal and Compliance SpecialistCosta Mesa, CALength of time performing these physical requirements may vary from day to day and task to task; Requires grasping, writing, sitting, standing, walking, repetitive motions, pulling, pushing, listening, hearing ability, and visual acuity; Ability to operate office equipment such as computers, printers, filing cabinets, and other office equipment as applicable; Ability to occasionally lift and/or carry up to 15 lbs. Physical Requirements: Most work tasks are performed indoors where temperature is moderate and controlled by office environment systems; Ability to work (sit and/or stand) at a desk for the majority of the work day; walking and/or standing may be required for the remainder of the work day.
Senior Patient Biller & Appeals Specialist University of CaliforniaSenior Patient Biller & Appeals SpecialistLos Angeles, CA$30.49–$40.20 / hourWe're seeking detail-oriented, self-directed professional with: Minimum two years of recent medical billing experience in physicians' office or clinic with Medi-Cal, Medicare, Managed Care, and PPO insurances - Required. As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer.
Patient Registration Specialist - Hybrid Sun Valley Option Care Health IncPatient Registration Specialist - Hybrid Sun ValleySun Valley, CA$22.55–$32.63 / hourJob Description Summary: The Specialist, Patient Registration is responsible for facilitating new patient's transition to Option Care Health services with the goal of delivering a consistent onboarding experience where patients and referral partners feel Option Care Health makes it easy to transition care. Secures patient's upfront payment including assisting patients to find avenues for payment where needed (identifies opportunities and directs patient to financial assistance program).