Education and Training Specialist - CLAIMS PROCESSING
$29.62 - $45.31 per hourProvidence
Description Working under the general supervision of the Claims Director, provide an effective education program to advance the quality and production level of the Claims Department by developing and delivery claims training programs that continuously improves the Claims Department performance to meet the NSS strategic goals. Coordinate, plan, prepare, schedule, deliver, and evaluate staff education, manuals, and materials. Assist with the orientation, education and integration of new employees in the Claims Department. Description Working under the general supervision of the Claims Director, provide an effective education program to advance the quality and production level of the Claims Department by developing and delivery claims training programs that continuously improves the Claims Department performance to meet the NSS strategic goals. Coordinate, plan, prepare, schedule, deliver, and evaluate staff education, manuals, and materials. Assist with the orientation, education and integration of new employees in the Claims Department. Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications Bachelor's Degree -or- equivalent educ/experience Any combination of experience or equivalent background: 5 years experience of acquired in-depth technical knowledge of functional area i.e., claims operations, HMO products, industry claims processing procedures, contracts, billing and overall managed care processes, etc. Proficiency and experience in using multimedia training resources and MS Office applications such as Word, PowerPoint and Excel, etc. Experience in design, development and facilitation of educational programs in a corporate setting a plus. Ability to create computer-based learning programs a plus. Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. About The Team Providence Clinical Network (PCN) is a service line within Providence serving patients across seven states with quality, compassionate, coordinated care. Collectively, our medical groups and affiliate practices are the third largest group in the country with over 11,000 providers, 900 clinics and 30,000 caregivers. PCN is comprised of Providence Medical Group in Alaska, Washington, Montana and Oregon; Swedish Medical Group in Washington's greater Puget Sound area, Pacific Medical Centers in western Washington; Kadlec in southeast Washington; Providence's St. John's Medical Foundation in Southern California; Providence Medical Institute in Southern California; Providence Facey Medical Foundation in Southern California; Providence Medical Foundation in Northern and Southern California; and Covenant Medical Group and Covenant Health Partners in west Texas and eastern New Mexico. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Job Category: Learning & Development Job Function: Human Resources Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 7520 CLAIMS PROCESSING CA HERITAGE SERVICES Address: CA Mission Hills 11165 N Sepulveda Blvd Work Location: Facey Sepulveda Annex-Mission Hills Workplace Type: On-site Pay Range: $29.62 - $45.31 #J-18808-Ljbffr Providence
- About the job Grievances Training Specialist Job Summary The Customer Solutions... ...training on the core processing system, A&G processing procedures... ...and recommend training/education measures to resolve issues... ...procedure critical to the claims process. What are the 3-4 non...ClaimsTraineeship
$21 per hour
...standard in clinical practice, education, and research.We are seeking... ...slips, develop insurance claim documentation, and submit claims... ...transportation options (buses, trains, free tram service).Discounts... ...of the application or hiring process should contact USC Human...ClaimsHourly payFixed term contractWork experience placementWork at officeLocal area- ...intervention, prevention, and education services are carried out at... ...compensation, and core HRIS processes. The role helps build sustainable... ..., operations, carriers, and claims partners to support... ...configuration, data validation, testing, training, documentation, issue...ClaimsFull timeLocal areaFlexible hours
$7.5k
...middle and high schools that educate nearly 13,000 scholars who make... ..., leaves, exits, required trainings, special assignments or duties... ...refine the onboarding and exiting processes to ensure all staff members... ....) and workers’ compensation claims, including ensuring the...ClaimsWork experience placementSummer workWork at officeWork from homeRelocationHome officeRelocation package- 340B Health in Los Angeles, CA seeks a Claims Manager for the Medicare Advantage Plan to lead a team of claim examiners, auditors, and... ...excellence. You will implement streamlined adjudication processes that use technology to improve payment accuracy. You will foster...Claims
$20 - $23 per hour
Medpoint Management is looking for a Claims Adjuster based in Los Angeles, California. The role involves adjusting claims per regulations... ...obligations, researching problem claims, and suggesting process improvements. Ideal candidates should be high school graduates...ClaimsHourly pay- ...insurance information. Communicate with IPA regarding prescription claim or prior authorization status. Inventory management... ...questionnaires, medical device set-up. Other duties as assigned Education and Qualifications ~ High School Diploma or GED Equivalent...ClaimsLocal area
- ...seeking a Case Management Auditor specialized in Personal Injury to lead review and analysis of claims, ensuring accuracy, compliance, and integrity throughout the process. The role involves auditing files, maintaining detailed records, and coordinating with a team of...Claims
$45.39k - $92.68k
...Healthcare Billing Specialist Review and analyze healthcare claims data to ensure accurate capture of charges. Review and process medical records to ensure accuracy and completeness... ...and errors. Provide education and training to staff members on charge capture...ClaimsFull timeMonday to FridayDay shift$95.4k - $208.3k
...Documentation Integrity Specialist - Medicare Advantage... ...groups. Provide customized education and updating... ...Understanding of RADV and audit processes, Detailed knowledge... ...equivalent experience/training Preferred: Six or more... ...Advantage billing/claims submission and other related...ClaimsWork at office3 days per week- ...responsibilities include managing the employment process for both tax-exempt and non-tax-... ...HR processes related to unemployment claims, wage seizures, and worker... ...opportunities, and may deliver leadership or educational development training for employees and local management...ClaimsLocal area
- Providence has a role focused on developing and delivering claims training programs to advance the quality and productivity of the Claims... ...will coordinate, plan, schedule, deliver, and evaluate staff education, manuals, and materials, and assist with onboarding of new employees...Claims
- Job Overview A law firm seeks an Education Law Attorney in Los Angeles, California. This position... ...civil litigation, with a focus on claims and defenses available to public... ...depositions and manage written discovery processes. Maintain proactive client communication...ClaimsRemote workFlexible hours
$90k - $120k
...direct patient care activities, clinical education, and the continuous improvement (Quality... ...Standard/Code of Conduct, Federal False Claims Act and HIPAA. Effectively plans,... ...Employs a strong Quality Improvement (QI) process for the nursing department and participates...ClaimsFull time- ...Deliver continuous improvement by identifying process gaps, implementing enhancements, and... ...decision-making, and team performance. Education, Licenses, Certifications: College,... ...quotes Ability/experience creating warranty claims Computer literate Knowledge of Cummins QSOL...ClaimsWork experience placement
- ...A leading claims adjusting firm is seeking Independent Insurance Claims Adjusters in California... ...assisting clients through the claims process after disasters. Ideal candidates will be... ...claims. The company offers comprehensive training and support to ensure your success in...Claims
- ...closely to identify and resolve complex issues, provides education and staff training. Provides service and education via onsite visits and... ...policies, procedures, and available resources, referral, claim processing, portal access. Creates educational materials and formal...ClaimsWork at office
- ...for their Glendale, California location. This role supports insurance claims investigations through field and desk assignments, requiring strong communication skills and knowledge of claims processes. Ideal candidates will have at least three years of relevant experience...Claims
$31.26 - $38.8 per hour
...Description The Los Angeles County Office of Education (LACOE) is seeking qualified Registered... ...information, propositions, and claims Decision Making – Choosing optimal courses... ...to drive between sites. Selection Process: Candidates who meet the minimum requirements...ClaimsHourly payFull timeWork at office$145k
...presumptively renewable appointment after three full years and a review process. NTT faculty vote on virtually all issues in faculty meetings,... ...located in the center of Los Angeles. Our mission includes educating lawyers ready to serve clients, the profession, and our society...Full timeContract workPart timeSummer work- ...lot of time and energy in your education. Now you want the chance to... ...Pharmacist licensure exams and processes within 120-days of the... ...rejections and complete any manual claim forms Perform all... ...Coordinate/implement the training and development of Pharmacy Support...ClaimsWork experience placementInternshipNight shift
$145k
...presumptively renewable appointment after three full years and a review process. NTT faculty vote on virtually all issues in faculty meetings,... ...located in the center of Los Angeles. Our mission includes educating lawyers ready to serve clients, the profession, and our society...Full timeContract workPart timeSummer workFlexible hours$5,400 per month
Training Specialist University of California Los Angeles Requisition Number: 40846 Salary: $5,400 - $11,467 monthly Position Description:... ...and every one of them plays a vital role in our mission of education, research, and service. Our high-quality comprehensive benefits...Contract workWork at office- ...statement requests, stop payments, fraud claims, insurance of accounts, and other... ...Assists members with all aspects of the loan process such as gathering necessary documentation... ...interaction with them an engaging, positive and educational experience. Consistently provides a...Claims
$8 - $20 per hour
...assessments, planning, and the evaluation process. May support individuals in preparing for... ...communicate their needs and choices, and educates them in the use of the appropriate tools... ...related to the individuals and the service. Trains individuals in the use of assistive...Hourly payFull timePart timeWork at officeMonday to FridayFlexible hours$100k - $141k
...across healthcare, life sciences, education, gaming, aviation,... ...Manager’s for identification of claims trends and proactive risk management... ...for the proper training of their employees as related... ...change. Respond and adapt to new processes and new ways of looking at old...ClaimsTemporary workFor contractorsWork experience placementFor subcontractorWork at officeLocal area- A leading claims adjusting firm is seeking Independent Insurance Claims Adjusters in California... ...assisting clients through the claims process after disasters. Ideal candidates will be... ...claims. The company offers comprehensive training and support to ensure your success in...Claims
- ...objectives while building the infrastructure, processes, and teams necessary for sustainable... ...—including policy administration, claims operations, customer service, compliance... ...with innovative financing and financial education!**What You’ll Be Doing****Short-term***...ClaimsFull timeTemporary workWork at officeLocal area
$77.27k
...alert: Autism Program Specialist II ALD (1 year term... ...providers and internal UM/claims staff. Perform other duties as assigned. Education Required Master's... ...Detection & Treatment (EPSDT) process and the eligibility... ...License Required Training Physical Requirements...ClaimsFull timeWork at office$129.2k - $157.9k
Job Description:JOBSUMMARY:The Sr. Clinical Training & Education Manager is responsible for leading the execution of Implant Direct's training... ...company policies and applicable industry regulations.Drive process improvements using continuous improvement methodologies (EBS...Full timeContract work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Education and Training Specialist - CLAIMS PROCESSING. Be the first to apply!
- school counselor Los Angeles, CA
- high school counselor Los Angeles, CA
- health education specialist Los Angeles, CA
- special education specialist Los Angeles, CA
- remote education consultant Los Angeles, CA
- student advisor Los Angeles, CA
- education programs consultant Los Angeles, CA
- education specialist Los Angeles, CA
- education consultant Los Angeles, CA
- education advisor Los Angeles, CA



