Managed Care Claims Specialist
Cedars-Sinai Medical Center
A prominent healthcare institution in Los Angeles is seeking a Claims Examiner to adjudicate medical claims accurately while adhering to company policies. The ideal candidate will have at least three years of experience in processing various specialty claims and familiarity with automated systems like Epic Tapestry. Key responsibilities include handling correspondence professionally, analyzing claims data, and ensuring timely processing. This position is critical for maintaining quality standards in claims management. #J-18808-Ljbffr Cedars-Sinai
Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Managed Care Claims Specialist in Los Angeles, CA vacancy
- ...seeking a rheumatology-trained Nurse Practitioner (NP) to share patient care with clinician investigators at their Westwood site. The NP will conduct both urgent and routine follow-up visits, manage patient in-basket tasks, and bill all direct patient interactions....SuggestedFlexible hours
$33 - $36 per hour
Managed Care Reconciliation & Payments Specialist Position : Managed Care Reconciliation & Payments Specialist Pay Range : $33 - $36/Hourly Reporting To :... ...expected amounts Investigate discrepancies between claims, remittances, and submitted invoices Identify and resolve...SuggestedHourly pay- A healthcare facility in California seeks a coordinator to manage care services for residents. The role includes maintaining communication with case managers, ensuring quality care, and advocating for residents’ needs. Candidates should have strong communication skills,...Suggested
- A healthcare provider in Los Angeles is seeking a Care Coordinator to manage patient discharge and transition processes. The successful candidate will coordinate care with the healthcare team and facilitate communication with patients and families. This role requires a...SuggestedWork at office
- ...Job Description The Managed Care Compliance Specialist is responsible for assisting with the implementation of the internal auditing and monitoring... ...including but not limited to AB1455 and Medicare Claims Processing Guidelines. This position is responsible for maintaining...SuggestedContract work
Cedars-Sinai
Los Angeles, CA1 day ago - Sage Haus in Valley Village, CA is seeking a House Manager & Family Assistant to support a fun-loving family with newborn twins and a dog... ...meal prep and cleaning. The ideal candidate should have infant care experience, strong communication skills, and a proactive attitude...Full timeMonday to FridayFlexible hours
$35.91 - $44.88 per hour
A leading health service provider located in Montebello, CA, is seeking an Operations Specialist to support managed care functions. The ideal candidate will have a strong background in managed care operations, audit coordination, and regulatory compliance, with at least...Hourly payFull time- A leading insurance provider is seeking a Claims Specialist to investigate and manage claims in Los Angeles. The role involves reviewing first reports, establishing action plans, and negotiating settlements within specified limits. The ideal candidate will possess strong...Local areaRemote work
Liberty Mutual Insurance
Los Angeles, CA2 days ago - ...Claims Management Position Directly handle, manage and/or oversee commercial and financial lines Public and Private D&O, Financial Institutions E&O, EPL, Fiduciary and Crime/Fidelity claims. Handle claims in accordance with Claim Handling Best Practices in all phases...Work at office
Westfield Insurance
Los Angeles, CA4 days ago - ...in Los Angeles is seeking a professional to oversee its Wound Care program. This role involves coordinating care initiatives and providing... ...staff and patients regarding skin complications and wound management. Candidates should have experience in wound care and the...
$90k - $115k
A leading insurance firm is seeking a Senior Workers' Compensation Claims Specialist to manage complex claims in Los Angeles. Candidates should have 5-7+ years of experience in claims adjustment, particularly in California, and possess strong negotiation skills. This remote...Remote workKing's Insurance Staffing
Los Angeles, CA2 days ago- 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...
$18 - $24 per hour
...passionate about supporting their local community with quality in-home care! CareLinx by Sharecare provides in-home care services to... ...written communication skills Able to work independently and manage varying client schedules Tech-savvy and comfortable with...Hourly payLocal areaShift workWeekend workAfternoon shiftWeekday workSharecare
Santa Monica, CA11 days ago- QBE Americas, Inc. is seeking a Senior Specialist in Specialty Claims (Aviation) to manage operational and technical aspects of Aviation Claims. This role provides leadership in handling complicated claims, ensures compliance with aviation insurance policies, and drives...
$70.3k - $125k
SOMPO is seeking a Claims Specialist in Los Angeles, CA, to manage marine cargo claims. The successful candidate will handle claims, ensure compliance with processes, and foster relationships with customers and partners. Applicants should have experience in claims handling...- A regional healthcare network in California is seeking a dedicated nursing professional to independently manage patient care by following established policies and the California Nurse Practice Act. Ideal candidates will excel in teamwork, collaborating with healthcare staff...
$54k - $103k
...fullest potential. This individual contributor position works under moderate direction, and within defined authority limits, to manage commercial claims with moderate to high complexity and exposure for a specific line of business. Responsibilities include investigating and...Work experience placementWork at officeLocal area$26.3 per hour
PIH Health Hospital in Downey seeks an individual for advanced discharge coordination and clerical support within their Care Management team. This role emphasizes patient and family engagement while ensuring regulatory discharge documentation and post-acute coordination...Hourly payShift workWeekend work- A prominent healthcare facility in California is seeking a Services Management Coordinator to handle patient care coordination. The role includes serving as a liaison, educating patients on health benefits, and ensuring effective communication with care teams. Candidates...
- General Liability Claims Adjuster MUST Reside in California & MUST have California General Liability Claims Experience. General Liability... ...resources through pro‑active and aggressive claims and managed care solutions in support of our clients’ objectives. Innovative processes...
- A leading healthcare facility in Los Angeles is seeking a Lead Wound Care Nurse to oversee the wound care team and provide clinical support. This role includes developing protocols, managing patient care, and leading education initiatives for staff. The ideal candidate...
- A healthcare organization is looking for a Lead Care Manager in Los Angeles, California. This hybrid role requires interaction with patients enrolled in the Enhanced Care Management Program. Key responsibilities include conducting risk assessments, developing patient-centered...
$22 per hour
About Discovery Management Group Discovery Management Group leads one of the nation’s most purpose-driven and people-centered senior living... ...Role As the Caregiver , your role includes providing hands-on care and physical and emotional support to each resident while...Daily paidFull timePart timeReliefLocal areaAll shiftsFlexible hoursShift work$22 per hour
...Job Description Job Description About Discovery Management Group Discovery Management Group leadsone of the nation’s most purpose... ...As the Caregiver , your role includes providing hands-on care and physical and emotional support to each resident while maintaining...Daily paidFull timePart timeReliefLocal areaAll shiftsFlexible hoursShift workCalligraphy Westwood Village
Los Angeles, CA5 days ago$100k - $120k
Sedgwick Claims Management Services Ltd is seeking a Sr. Claims Specialist, focusing on complex medical malpractice claims in California. The role demands strong analytical and negotiation skills, with a responsibility to analyze claims, conduct investigations, and recommend...Remote work$23 - $26 per hour
...Claiming Analyst Sycamores provides a spectrum of equitable mental health services through... ...agency focuses primarily on providing care to low-income, high at-risk youth. The... ...collaboration with Claiming and Revenue Manager, claim, track and monitor invoice/EDI claims...Hourly payWork experience placementLocal areaSycamores LLC
Los Angeles, CA4 days ago$22 per hour
...Caregiver Position at Discovery Management Group Discovery Management Group leads one of the nation's most purpose-driven and people-... ...Role: As the Caregiver, your role includes providing hands-on care and physical and emotional support to each resident while...Daily paidFull timePart timeReliefLocal areaAll shiftsFlexible hoursShift work- A community health organization in Los Angeles is seeking a Bilingual Lead Care Manager to support members through their Enhanced Care Management program. This hybrid role allows for remote work while engaging with members in-person across the county. Responsibilities...Remote work
$120k - $190k
...Join our Construction & Infrastructure claims team as a Construction Claims Consultant based... ...primary point of contact for clients, managing and coordinating liability claims with a... ...disability, health savings account, health care and dependent care reimbursement accounts...Full timeTemporary workPart timeWork at officeLocal areaImmediate startNight shiftAon
Los Angeles, CA2 days ago- ...Job Description The Claims Examiner is responsible for accurately and consistently adjudicating claims in accordance with policies, procedures and guidelines as outlined by the company policy. Process claims according to all CMS and DMHC guidelines. Investigate and...Contract work
Cedars-Sinai
Los Angeles, CA1 day ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Managed Care Claims Specialist. Be the first to apply!
Related searches
- professional caregiver Los Angeles, CA
- on call caregiver Los Angeles, CA
- morning caregiver Los Angeles, CA
- adult caregiver Los Angeles, CA
- part time weekend caregiver Los Angeles, CA
- caregiver flexible schedules Los Angeles, CA
- certified caregiver Los Angeles, CA
- caregiver private home Los Angeles, CA
- caregiver nights Los Angeles, CA
- caregiver for elderly Los Angeles, CA