Claims Appeals & Collections Specialist
University of Southern California
The University of Southern California is seeking a Collector Appeal Specialist responsible for accurately processing inpatient and outpatient claims while ensuring compliance with billing guidelines. This role includes analyzing billing procedures and resolving billing issues to maintain customer satisfaction. Required qualifications include a high school diploma and experience in medical services collections. Candidates must possess excellent communication skills and detailed knowledge of medical billing standards. #J-18808-Ljbffr
- ...the Management Services Office. The role focuses on processing claims and engaging with healthcare payors to ensure timely payments.... ...skills, knowledge of medical terminology, and experience in collections. High school diploma is a must, with preference given to those...ClaimsWork at office
$29 - $33 per hour
...Lead Billing Collections Specialist (South Pasadena) Who We Are: We are a premier provider dedicated... ...of mental and behavioral health claims to the Los Angeles County Department of... ...and unpaid claims through follow-up and appeals Review, prepare, and submit higher-level...ClaimsHourly payLocal areaFlexible hours$29 - $33 per hour
...Hillsides in South Pasadena seeks a Lead Billing Collections Specialist to ensure accurate, timely submission of mental health claims. This role requires a strong understanding of billing processes, and the ability to manage multiple priorities effectively. We offer a...ClaimsHourly pay$29 - $33 per hour
...Hillsides in South Pasadena is seeking a Lead Billing Collections Specialist responsible for ensuring accurate submission of mental and behavioral health claims. This role requires strong experience in medical billing and knowledge of CPT, ICD-10, and DMH guidelines....ClaimsHourly pay$22.59 - $29.8 per hour
...assigned customer accounts with open balances, collection of Invoices, submitting adjustments to... .../backup for department Cash Application Specialist. This includes daily check deposits, ACH... ...all essential job functions of a Claims & Cash Analyst, including reconciliation...ClaimsHourly payTemporary workFor contractorsWork at officeMonday to FridayFlexible hours$27.65 - $39.27 per hour
...A leading healthcare provider in Los Angeles is seeking a Medi-Cal Collections Representative to manage a portfolio of inpatient and outpatient claims. Key responsibilities include reviewing accounts, communicating with payers, and following up on claims. The role offers...ClaimsHourly pay- ...Academy of Managed Care Pharmacy in Los Angeles is seeking a Medi-Cal Collections Representative to manage a portfolio of patient claims. Responsibilities include conducting account reviews, communicating with third-party payers, and resolving payment issues efficiently...ClaimsWork at office
- ...Collections Specialist Remote Job Duties: Meet the defined productivity metric of a minimum of 30 daily claim touches while maintaining a high quality standard of collection efforts performed Complete high volume phone calls and web portal inquiries to assigned payors...ClaimsRemote work
$18 - $23 per hour
...detail-oriented Dental Billing Specialist to join our team and manage... ...billing operations, insurance claims, and patient accounts. This... ...insurance claim rejections and appeals Follow up on pending... ...processing. - Familiarity with collections and patient financing options...ClaimsHourly payFull timeShift work- ...hospital collector based in Los Angeles. This role involves managing claims reimbursements, focusing on Blue Cross accounts, and ensuring... ...candidates will have over 3 years of hospital commercial collections experience and technical skills for remote work, including...ClaimsRemote job
- ...Description Job Description Please note that this role requires collections experience. The purpose of this role is to support and... ...accounts for field chase when necessary. Documentation and Claims: Review and follow up on letters of guarantee with...ClaimsLocal area
- ...Irwindale is seeking a Collector to manage accounts and ensure timely reimbursement for services. Responsibilities include resolving claims, verifying payments, and collaborating with patients and insurance companies. Ideal candidates will have a high school diploma and...Claims
- ...Academy of Managed Care Pharmacy in Los Angeles is seeking a Commercial Collections Representative to manage a designated portfolio of inpatient and outpatient claims. You will be responsible for ensuring effective collection efforts and resolving reimbursement discrepancies...Claims
$23 - $27 per hour
...Comprehensive Community Health Centers Inc. is hiring a Medical Biller and Collector in Glendale, CA. The role involves submitting claims to insurance companies, managing billing inquiries, and maintaining precise records. The ideal candidate will have a high school diploma...Claims- ...A prestigious academic institution in Los Angeles is seeking a Commercial Collections Representative to manage inpatient and outpatient claims. The role involves conducting account reviews, communicating with payers, and ensuring timely resolution of claims. Candidates...Claims
$20 - $26 per hour
...• Must be 18 years of age or older. Responsibilities • Monitor and resolve electronic billing and claims submission. • Performs various collection actions including contacting customers by phone to explain our billing system and policies • Review, print,...ClaimsLocal areaNight shift- ...interfacing with other departments including Eligibility, Benefits, Claims and any other departments internally. Learns required... ...regulations. Develops an understanding of the grievance and appeals process available to dissatisfied beneficiaries and providers....ClaimsPermanent employmentTemporary workMonday to Friday
$132.6k - $176.9k
...Tpsww is seeking a Claims Litigation Attorney to represent policyholders and provide legal counsel during trial and arbitration. The role requires a JD and 7-9 years of experience in insurance defense law. Responsibilities include analyzing cases, developing legal theories...Claims- A leading insurance claims adjusting firm in California is looking for Independent Insurance Claims Adjusters. This role offers the flexibility to work autonomously while making a profound impact on clients’ lives during their recovery from unforeseen disasters. Candidates...ClaimsFlexible hours
$88.85k
...Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 Position... ...makes accurate judgment on appeal, grievance, Provider Claim Disputes, medical records or other issues and follows...ClaimsFull timeRemote workShift workWeekend work- A leading claims adjusting firm is seeking Licensed Claims Adjusters to join their dynamic team in Monterey Park. The role offers flexibility, competitive compensation, and the opportunity to assist clients in recovering from disasters. Applicants should ideally have experience...Claims
- ...Collector Appeal Specialist The Collector Appeal Specialist is responsible for accurately processing inpatient and out-patient claims to third party payers and private pays, following all mandated... ...outside vendors: i.e. CMRE/RSI Collection Agencies to reporting manager...ClaimsFull timeWork at officeLocal areaImmediate start
- Independent Insurance Claims Adjuster Join MileHigh Adjusters Houston as an Independent Insurance Claims Adjuster. This role offers flexibility, autonomy, and competitive compensation. Why This Opportunity Matters Demand for claims adjusters is growing due to increased...Claims
$23 - $25 per hour
The Appeals Tech QI under the supervision of the QI Department Manager processes appeals in accordance with State, Federal, and NCQA regulations... .... Knowledge of contracted health plans, benefits and claims. Has strong professional writing skill that is grammatically correct...ClaimsHourly payTemporary workRelocation package$28 - $37 per hour
...First Insurance Company Of Hawaii is seeking a Claims Administrator to manage and process insurance claims. The role involves reviewing, approving claims, and interacting with claimants and distributors. This position requires a college degree and strong communication...ClaimsHourly pay- ...Manage customer accounts and update information in the database. Assist customers with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate with underwriters to ensure timely policy issuance. Qualifications Strong...ClaimsFlexible hours
$27.65 - $39.27 per hour
...Description As a Medi-Cal Collections Representative, you will manage a designated portfolio of inpatient and outpatient claims, ensuring effective and efficient collection efforts. Your primary responsibilities include: Conducting regular account reviews to identify outstanding...ClaimsHourly pay- A leading insurance adjustment firm is seeking Independent Insurance Claims Adjusters ready to embark on a rewarding career path. With opportunities for growth and comprehensive training, you can make a real difference in people's lives. Enjoy flexibility and competitive...Claims
- MileHigh Adjusters Houston is seeking an Independent Insurance Claims Adjuster in Temple City, California. This position offers flexibility and autonomy, as well as a rewarding career path in a growing field. Candidates should be licensed claims adjusters with a proven...ClaimsFlexible hours
- ...be admitted to the CA Bar and have 5-10 years of litigation experience, with an interest in professional liability and employment claims. The firm is recognized for its collaborative culture and commitment to excellence in legal defense, handling numerous cases in professional...Claims
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