Claims Specialist - Mission Hills, United States - Providence Health & Service

Claims Contract Specialist

2 weeks ago

**Position Summary**: · Provides support in the ongoing maintenance and configuration of Regal Medical Group systems, including but not limited to the data entry of Contracting Database, Providers, Vendors, Fee schedules, Capitation Configuration. Performs system maintenance func ...

Claims Specialist

1 week ago

_SSA is seeking individuals with exceptional customer service skills for a Claims Specialist (CS) position in the Montebello, CA District Office. The CS position is an entry level position for SSA's field offices. This is a career ladder position with promotion potential to the G ...

Claims Specialist

2 weeks ago

_**This is an open call for resumes from Veterans, **_**VRA eligible, 30% or more disabled, VA Training Program, and Military spouses**_**. This is not a guarantee of employment.**_ · For consideration at SSA under non-competitive hiring authorities for veterans, please visit to ...

Claims Specialist

1 week ago

Responsible for comprehensive review, analysis, negotiation, and recommendations for resolution of design and construction claims. · - Also responsible for developing and implementing claims avoidance strategies and claims mitigation measures. · - Responsible for managing a team ...

Edi Claims Specialist

3 weeks ago

**Summary**: · The EDI Claims Specialist is responsible for retrieving, processing, validating, and posting electronic claim data files into MPM's core system, EZ-CAP. Reporting to the Supervisor, EDI Claims, the EDI Claims Specialist will ensure all files are processed timely an ...

Claims Specialist

2 weeks ago

Job Description · Responsible for processing medical claims. Resolves complex, difficult or non-routine claims requiring special handling in accordance with established policy guidelines. Reviews and authorizes payment and final disposition of claims requiring adjustment and cla ...

Claims Review Specialist

1 week ago

Overview: · We are seeking a highly organized and detail-oriented Claims Specialist to join our team. As a Claims Specialist, you will be responsible for processing and managing insurance claims, ensuring accuracy and compliance with relevant regulations and policies. This is a v ...

Claims Review Specialist

2 weeks ago

**99% remote, only the orientation will be onsite and a few meetings when necessary.** · **CPC-H, CPC, or CCS coding certification required.** · Job Summary: · **Responsibilities**: · - Review and process medical claims for accuracy and completeness · - Verify insurance coverage ...

Senior Claims Specialist

3 weeks ago

Job Description · The Senior Claims Specialist is responsible for the processing of complex institutional claims (stop loss, contracted, non-contracted, per diem, case rate etc.) and adjudication and claims research when necessary. Senior Claims Specialist must have knowledge of ...

Claim Specialist

4 weeks ago

Claim Specialist - Property Field Inspection US-CA-Van Nuys Job ID: · Type: Regular Full Time · # of Openings: 1 · Category: Claims and Investigation · Van Nuys, CA Overview Build your career at one of the top companies for professional growth in the U.S. Khakis optional... · ...

Claims Review Specialist

3 weeks ago

**Location: Los Angeles, CA This will be 99% remote, only the orientation will be onsite and a few meetings when necessary)** · - Bachelor's degree in business, finance or related field · - CPC-H, CPC, or CCS coding certification · - Five or more years of experience with hospital ...

Insurance Claims Specialist

2 weeks ago

**General Job Description**: · **Supervises**: · - **None** · **Essential Duties & Responsibilities** · - Gather data and File third party property damage claims, third party injury claims, automobile accident claims, property claims, and workers compensation claims with the carr ...

Claims Specialist I

2 weeks ago

**About C2PM**:C2PM stands at the forefront of the construction consulting landscape, offering a full spectrum of program management, construction management, and specialized engineering services. We pride ourselves on tackling public works infrastructure, transportation, aviatio ...

Senior Claims Specialist

3 weeks ago

SENIOR CLAIMS SPECIALIST · DEPARTMENT: CLAIMS · STATUS: EXEMPT · EMPLOYEE TYPE: FULL-TIME · LOCATION: VAN NUYS · Our not-so-secret sauce. · Award-winning, inclusive, Top Workplace culture doesn't happen overnight. It's a result of hard work by extraordinary people. More than 9,00 ...

Senior Claims Specialist

3 weeks ago

SENIOR CLAIMS SPECIALIST · DEPARTMENT: CLAIMS · STATUS: EXEMPT · EMPLOYEE TYPE: FULL-TIME · LOCATION: VAN NUYS · Our not-so-secret sauce. · Award-winning, inclusive, Top Workplace culture doesnt happen overnight. Its a result of hard work by extraordinary people. More than ...

Senior Claims Specialist

3 weeks ago

SENIOR CLAIMS SPECIALIST · DEPARTMENT: CLAIMS · STATUS: EXEMPT · EMPLOYEE TYPE: FULL-TIME · LOCATION: VAN NUYS · Our not-so-secret sauce. · Award-winning, inclusive, Top Workplace culture doesn't happen overnight. It's a result of hard work by extraordinary people. More than 9,00 ...

Medical Claims Review Specialist

1 week ago

**Position**: Medical Claims Review Specialist · **Location**: 10920 Wilshire Blvd, Los Angeles, CA 90024 · **Duration**: 24 week contract · **SHIFT**: M-F 8-5 · **Note**: This position is 99% remote, with only the orientation and occasional meetings requiring onsite presence. · ...

Claims Specialist

3 weeks ago

The Claims Specialist position requires an experienced P&C claims professional who can advocate for clients, assist the insurance company in obtaining any necessary information from clients when needed and who acts as a liaison between clients and th Claims Specialist, Claims, Sp ...

Senior Claims Specialist

3 weeks ago

Company: · Marsh McLennan Agency · Description: · SENIOR CLAIMS SPECIALIST · DEPARTMENT: CLAIMS · STATUS: EXEMPT · EMPLOYEE TYPE: FULL-TIME · LOCATION: VAN NUYS · Our not-so-secret sauce. · Award-winning, inclusive, Top Workplace culture doesn't happen overnight. It's a ...

Medical Claim Follow-up Specialist

3 weeks ago

Job Title: Medical Claim Follow-Up Specialist (Collections) · Reports to: Claim Follow-Up Supervisor · Employment Status: Full-Time · FLSA Status: Non-Exempt · - Job Summary:_ · - Duties/Responsibilities:_ · - Reviews and works on unpaid claims, identifying and rectifying billing ...