Claims Specialist

Anaheim Admin is seeking a full-time Claims Recovery Specialist. The Claims Recovery Specialist is responsible for identifying, collecting, and analyzing underpaid claims by conducting audits on payor performance and reviewing actual payments to ensure adherence to contractual agreements. This role is vital for operational efficiency and requires a keen...

Job Description[Position]Claims Assessment Specialist in the Insurance Sector[About Our Client]Our client, a prominent non-life insurance provider, is based in South Korea and offers a diverse array of property and casualty insurance solutions across various states.Financial Ratings:A.M. Best Rating: A+ (Superior)S&P Rating: A+ (Stable)These financial...

Overview The Risk Management Division of the City of Anaheim Human Resources Department is in search of a proactive Claims Support Specialist to assist with the administration of the City's General Liability unit. This role is pivotal in ensuring efficient claims processing and requires a candidate who is exceptionally organized, adept at managing time...

Job OverviewPosition Summary:The Junior Claims Management Specialist will oversee the administration of insurance restoration claims from the initial assessment to the final resolution. This role involves collaboration with homeowners, insurance representatives, and our internal restoration team to ensure that all elements of the claim are managed...

PositionInsurance Claims SpecialistAbout Our ClientOur client is a prominent non-life insurance provider based in South Korea, with operations spanning several states including CA, NY, OH, IN, PA, TX, and HI.Financial RatingsAM Best RatingA+ (Superior) - 'A++ to A+ grade is designated for insurance firms demonstrating exceptional financial obligation...

Job Title: Risk Management Specialist**About the Role**We are seeking a highly skilled Risk Management Specialist to join our team at AHMC Healthcare. As a key member of our organization, you will be responsible for developing and implementing effective risk management strategies to minimize loss and protect our assets.Key Responsibilities:Develop and...

Job DescriptionJob Title: Patient Account Specialist ICompany: KPC Global Medical Centers Inc.Job Summary:We are seeking a highly skilled Patient Account Specialist I to join our team. As a Patient Account Specialist I, you will be responsible for performing account follow-up from third-party payers, including traditional commercial insurance carriers,...

Elbi of America, a tank manufacturer and wholesaler, is looking for an Accounting Manager for its California Headquarters, located in Anaheim, CA.The ideal candidate will have at least five years of increased responsibility in a similar role, including a couple of years of experience as an Accounting/Human Resources manager of medium-sized teams (5-10...

Job DescriptionJob Title: Patient Account Specialist ICompany: KPC Global Medical Centers Inc.Job Summary:We are seeking a highly skilled Patient Account Specialist I to join our team. The successful candidate will be responsible for performing account follow-up from third-party payers, including traditional commercial insurance carriers, Health Maintenance...

Job DescriptionJob DescriptionPatient Account Specialist I (Hospital or Healthcare Exp Req)Santa Ana, CAJob OverviewPerforms account follow up from third-party payers including traditional commercial insurance carriers, Health Maintenance Organizations (HMO), Preferred Provider Organizations (PPO), EPO's, International Payers, Auto Liability and other...

Job DescriptionJob DescriptionHybrid $2,000 Sign-on BonusPatient Account Specialist I (Hospital or Healthcare Exp Req)Performs account follow up from third-party payers including traditional commercial insurance carriers, Health Maintenance Organizations (HMO), Preferred Provider Organizations (PPO), EPO's, International Payers, Auto Liability and other...

Position OverviewJoin Our Esteemed Healthcare TeamKPC GLOBAL MEDICAL CENTERS INC. is on the lookout for a committed professional to take on the role of Healthcare Billing and Collections Specialist. In this vital position, you will be tasked with overseeing account follow-up processes with a variety of third-party payers, including commercial insurance...

Reliant Management Group is a well-established Medical Billing and Consulting Company providing services to Skilled Nursing Facilities. We are seeking an experienced and skilled Medical Biller who can work independently and efficiently, as well as collaborate effectively with the rest of the team, to manage multiple tasks and maintain a high level of...

Job DescriptionJob DescriptionWe're seeking a skilled individual who's not just familiar but passionate about material handling equipment, especially the artistry of maneuvering cherry pickers. Join our team and be the maestro of the warehouse, orchestrating the seamless flow of glass products with precision and finesse. If you're ready to...

About the RoleWe are seeking a highly skilled and experienced Supervisor Call Center Operations Specialist to join our team at Providence Service. As a key member of our operations team, you will be responsible for overseeing the day-to-day activities of our Support Services department, with a strong emphasis on customer service supervision.Key...

Job DescriptionJob DescriptionSUMMARYPerforms third party billing and collection of accounts for non-governmental third-party payers including traditional commercial insurance carriers, Health Maintenance Organizations (HMO), Preferred Provider Organizations (PPO), EPO's, International Payers, Auto Liability and other Liability carriers, and all other...

Job DescriptionJob DescriptionPosition Summary: The Reimbursement Specialist performs administrative and reimbursement functions. Prepare and handle billing for accounts to ensure timely reimbursement. Identify insurance requirements including qualifications needed to ensure payor requirements are met. Verify balances and receipts of all cash payments....

Reliant Management Group is a well-established Medical Billing and Consulting Company providing services to Skilled Nursing Facilities. We are seeking an experienced and skilled Medical Billing Specialist who can work independently and efficiently, as well as collaboratively with the rest of the team, to ensure timely and accurate billing of all payer...

Job DescriptionJob DescriptionCertified Medical Assistant, Medical Authorization Assistants Opportunities! Contract to Hire! Starting pay $18hr. QUALIFICATIONSActive Medical Assistant Certification- Required- CMAMedical Billing experience - Certification is a plus1-2 years of medical authorization and referral processing experience - RequiredShift: M-F...

Job DescriptionJob DescriptionCSR Medical Authorization SpecialistMedica Talent Group is seeking a Patient Care Representative to join our client's team! ThePatient Care Representative is responsible for all aspects of the authorization process. Responsibilities include collecting all necessarydocumentation, contacting the referring provider office for...