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NewSenior Claims Specialist Macpower Digital Assets Edge Private LimitedSenior Claims SpecialistOrange, CA$110,000–$130,000 / yearJob Summary: Seeking a Senior Claims Specialist to manage a complex caseload of medical malpractice claims, supervise junior claims specialists, and contribute to ongoing training efforts. Key Responsibilities: Manage medical malpractice claims , including assigning and directing defense counsel, following Claims Technical Manual, Defense Attorney Guidelines, and MPT Agreement.
Clinical Authorization Specialist (Hospital) - Prearrival - Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaClinical Authorization Specialist (Hospital) - Prearrival - Full Time 8 Hour Days (Non-Exempt) (Non-Union)Los Angeles, CA$25–$39.69 / hourWhen extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations. The Clinical Authorization Specialist will take the lead in securing medical authorizations from third party payers (commercial and government) for outpatient clinic, inpatient admission, ancillary services and/or chemotherapy and other infused treatments as needed in assigned service line.
Patient Collections Specialist Your Behavioral HealthPatient Collections SpecialistTorrance, CAAt YBH, we pride ourselves on being a centralized hub teeming with resources designed to aid clients and their families in pinpointing the optimal support tailored to their distinct needs and aspirations for well-being. -Answering questions from patients, clerical staff and insurance companies, -Compiling and tracking outstanding balances owed to our providers.
Insurance Collections Specialist Your Behavioral HealthInsurance Collections SpecialistTorrance, CA$21–$24At YBH, we pride ourselves on being a centralized hub teeming with resources designed to aid clients and their families in pinpointing the optimal support tailored to their distinct needs and aspirations for well-being. Answering questions from patients, clerical staff and insurance companies, Compiling and tracking outstanding balances owed to our providers.
Program Lead, QNXT Implementation - SCAN Temp SCAN Health PlanProgram Lead, QNXT Implementation - SCAN TempLong Beach, California$51.06–$73.90 / hourThis role directs end-to-end planning, execution, governance, and delivery across claims-related workstreams and coordinates closely with supportingproductmanagers for Claims, Provider Data, and Configuration (including provider contracts, benefits, UM/business rules, and capitation), future state design, internal subject matter experts, and external consultants. The roleis responsible forensuring all deliverables are completed with quality and on schedule, risks and dependencies are actively managed, teams are coached and aligned, and the organization is operationally ready for testing, cutover, and go-live.
Mgr, Plan Partnerships PDS HealthMgr, Plan PartnershipsIrvine, California$103,000–$133,000 / yearFull timeOverview: The Mgr, Plan Partnership manages strategic relationships with dental and medical insurance payors to support reimbursement performance, operational efficiency, provider experience, and patient access. This role partners closely with internal teams and health plan contacts to resolve issues, support contract initiatives, and advance overall payer strategy.
Claims Coordinator I Axelon Services CorporationClaims Coordinator ITorrance, CA$25 / hourProficiency 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.
GLOVIS: Analyst - Vehicle Logistics ITR Temp Elevated ResourcesGLOVIS: Analyst - Vehicle Logistics ITR TempIrvine, CaliforniaThey will work to resolve all vendor and customer issues related to claims, track transportation data and trends while providing analysis to help improve ITR/Claims process. Position Summary: This position will be responsible for ensuring all in-transit damaged units are repaired and ready to ship in a timely manner.