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
- ...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
$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- ...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
...Team as Our New Dental Billing Specialist About Us: Dr. Adrian Sanchez... ...operations, insurance claims, and patient accounts. This role... ...insurance claim rejections and appeals Follow up on pending insurance... .... - Familiarity with collections and patient financing options...ClaimsHourly payPart timeShift work- ...Biller III to support the accurate and timely processing of inpatient and outpatient claims. The successful candidate will have expertise in billing guidelines, customer service, and appeals processes, requiring strong interpersonal and technical skills. This role involves...Claims
- ...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
- ...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...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
- ...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
- ...A Houston-based insurance firm is seeking Licensed Claims Adjusters to join their team in Pasadena, California. This role offers comprehensive training and the chance to help clients recover from disasters while providing flexible and competitive compensation. Ideal candidates...ClaimsFlexible hours
$30 - $35 per hour
...systems in California, seeks an accomplished Collections Representative. *** Candidate must be... ...for reviewing inpatient and outpatient claims to ensure maximum collection dollars by... ...week ago Accounts Receivable Collections Specialist Los Angeles, CA $30.00-$35.00 14 hours...ClaimsFull timeContract workTemporary workLocal areaRemote work- ...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
$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- ...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
$88.85k
Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13... ...makes accurate judgment on appeal, grievance, Provider Claim Disputes, medical records or other issues and follows procedures...ClaimsFull timeRemote workShift workWeekend work- 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
$60.78k
Appeals and Grievances Specialist II Job Category: Customer Service Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID:... ...coverage appeals and reconsiderations, and complex provider claim disputes. The position is further responsible for...ClaimsFull timeLocal areaRemote workShift workWeekend work$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- ...Collections Representative, Government Billing A leading medical institution is seeking a Collections Representative, Government Billing... ...account resolution of inpatient, outpatient, and laboratory claims. This role is responsible for ensuring compliance with...ClaimsWork at officeRemote workShift work
- ...Collections Representative I The Collections Representative I position focuses on collecting past due consumer loans, Visa, and negative... ...member's status. Appears at and prepares files for small claims court. If judgement is obtained, begins the process of wage...ClaimsWork at office
- ...Collections Representative Government Billing Location: Hybrid. Will train onsite at 10920 Wilshire Blvd Suite 1600, Los Angeles, CA... ...accurate and timely billing of inpatient, outpatient, and laboratory claims to government and third-party payers. This role ensures...ClaimsWork at officeRemote work
$88.85k
...017 Position Type: Full Time Requisition ID: 13007 Manager, Appeals and Grievances Established in 1997, L.A. Care Health Plan is an... ...internal departments (Member Services, Provider Network Operations, Claims, Utilization Management, Pharmacy, and Quality Management) to...ClaimsFull timeFor contractorsRemote workShift workWeekend work$29.04 - $38.29 per hour
...of Managed Care Pharmacy is seeking a Patient Biller III in Los Angeles to ensure accurate processing of inpatient and outpatient claims. The role emphasizes customer service and technical skills within a call-center environment. The candidate should possess a minimum...ClaimsHourly payWork at office$90k - $135k
...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:...ClaimsFor contractorsFlexible hours- ...Overview The Accounts Receivable Specialist is responsible for reviewing,... ...of accounts to ensure timely collection of outstanding A/R.... ...website and file all affected claims. File corrected claims when determined... ...was incorrect. Submit claim appeals as required by each insurance...Claims
$140k - $180k
...background in California wage and hour laws, and expertise in FEHA claims, wrongful termination, and whistle‑blowing retaliation claims.... ...process from investigation through mediation, trial, and appeals. Strong oral and written communication skills for representing...ClaimsFull time- ...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
$140k - $180k
...in California wage and hour laws, as well as expertise in FEHA claims, wrongful termination, and whistle-blowing retaliation claims.... ...from pre-litigation investigation through mediation, trial and appeals, are essential. This includes drafting pleadings, motions and briefs...ClaimsFull timeShift work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Claims Appeals & Collections Specialist. Be the first to apply!
- remote medical claims processor Alhambra, CA
- medical claims auditor Alhambra, CA
- medical collections work from home Alhambra, CA
- data collection researcher Alhambra, CA
- business account collections Alhambra, CA
- data collection Alhambra, CA
- medical collections Alhambra, CA
- claims advisor
- claim representative (remote)
- claims consultant



