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 University of Southern California
$29 - $33 per hour
...Lead Billing Collections Specialist (South Pasadena) Who We Are: We are a premier provider... ...submission of mental and behavioral health claims to the Los Angeles County Department... ...unpaid claims through follow-up and appeals Review, prepare, and submit higher...ClaimsHourly payFull timeLocal areaFlexible hours$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...ClaimsTemporary workWork at officeMonday to FridayFlexible hours$20.44 - $26 per hour
...Quest Diagnostics Incorporated is looking for a Collections Representative based in West Hills, CA, who can work remotely. Responsibilities include managing Third-Party AR and making outbound calls to insurance carriers. A high school diploma and Excel skills are required...ClaimsRemote work- ...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
- ...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
- ...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
- ...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 work
$23 - $27 per hour
A healthcare organization in Glendale, California, is seeking a Billing Specialist to manage insurance claims and patient accounts. The successful candidate will ensure the accuracy of billing data, submit claims, and resolve patient billing complaints. Ideal candidates...ClaimsHourly pay$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 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
- Blue Shield of CA in Los Angeles is seeking an Appeals and Grievances RN Senior responsible for clinically reviewing member appeals and grievances related to service or claims denials. The ideal candidate will perform timely reviews using established guidelines and ensure...ClaimsFull time
$27.65 - $39.27 per hour
...section visibility As a Commercial Collections Representative, you will manage a... ...designated portfolio of inpatient and outpatient claims, ensuring effective and efficient... ...committed any misconduct; or have filed an appeal of a finding of substantiated misconduct...ClaimsHourly payContract workWork at officeRemote workMonday to FridayFlexible hours$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$20.25 - $36.77 per hour
...JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and provider complaints... ...• Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers...ClaimsHourly payContract workWork experience placementWork at office$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$27.65 - $39.27 per hour
UCLA Outpatient Clinics is seeking a Commercial Collections Representative in Los Angeles, California. The role involves managing an inpatient and outpatient claims portfolio with responsibilities such as conducting account reviews, maintaining communication with third...ClaimsHourly pay$27.65 - $39.27 per hour
A healthcare institution in Los Angeles is seeking a Commercial Collections Representative to manage inpatient and outpatient claims. Responsibilities include conducting account reviews, resolving discrepancies with payers, and ensuring timely claims resolution. Candidates...ClaimsHourly pay- Your Role The Medicare Appeals and Grievances team is responsible for clinically reviewing member appeals and grievances that are the result of either a preservice, post-service or claim denial. The Medicare Appeals and Grievances RN Senior will report to Utilization Management...ClaimsFull timeWork at officeLocal area
- ...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
- ...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
- Your Role The Member Appeals and Grievances team is responsible for clinically reviewing member appeals and grievances that are the result of either a preservice, post-service or claim denial. The Appeals and Grievances RN Senior will report to the Appeals and Grievances...ClaimsFull timeWork at office
- 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
- ...Department Claims Job Title Customer Service Representative Summary: Responds to telephone inquiries from beneficiaries and providers... ...documents/certificates) Develop an understanding of the grievances and appeals process available to dissatisfied beneficiaries and providers....ClaimsWork at officeShift work
- ...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
- 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
- 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
- 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
- ...Overview IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities...Claims
$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
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