Settlement Resolution Specialist
3 weeks ago
HireFinder is seeking a highly skilled Settlement Negotiator to join our team. As a key member of our settlement team, you will be responsible for negotiating with healthcare providers and third-party payers to resolve liens associated with injured parties.
Key Responsibilities- Negotiate with Medi-Cal, Medicare, Medicaid, and other governmental health care providers to resolve liens;
- Communicate with health insurance providers, private medical providers, and hospital/ER/EMS providers to negotiate lien resolutions;
- Maintain electronic and hardcopy files in accordance with our firm's policies and procedures;
- Perform other duties as assigned by Management and/or attorneys.
- 1-2 years of experience in negotiation and resolution;
- Strong communication and interpersonal skills;
- Ability to work independently and as part of a team;
- Excellent organizational and time management skills.
The estimated salary for this position is $60,000 - $80,000 per year, depending on experience.
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Negotiation and Resolution Professional
3 weeks ago
Orange, California, United States HireFinder Full timeAbout the RoleWe are looking for a highly motivated and detail-oriented individual to join our team as a Settlement Negotiator. In this role, you will be responsible for negotiating with healthcare providers and third-party payers to resolve liens associated with injured parties.ResponsibilitiesNegotiate with healthcare providers to reduce or eliminate...
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Senior Lien Resolution Specialist
3 weeks ago
Orange, California, United States HireFinder Full timeJob Overview: As a Senior Lien Resolution Specialist at HireFinder, you will play a crucial role in negotiating and resolving liens with medical providers and third-party payers. Your primary objective will be to ensure seamless communication with clients, attorneys, and healthcare providers to facilitate timely and efficient lien...
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Medical Liens Negotiator
3 weeks ago
Orange, California, United States HireFinder Full timeResponsibilitiesNegotiate and reduce medical liens with healthcare providers and third-party payers upon resolution of injured party's claim.Maintain accurate electronic and hardcopy files in accordance with Firm's policies and procedures.Prepare client disbursement agreements and settlement distribution sheets.Compile and tabulate associated client costs,...
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Digital Cinema Support Specialist
18 hours ago
Orange, California, United States RED Digital Cinema Full time**Job Overview**The RED Digital Cinema company is seeking a skilled Technical Support Specialist to join our team. As a critical member of our Product Support department, you will be responsible for delivering exceptional customer support through various communication channels.Key Responsibilities:Provide timely and effective support to RED customers via...
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Nurse Grievance Resolution Expert
4 weeks ago
Orange, California, United States Equiliem Full timeJob OverviewAs a seasoned Registered Nurse (RN), you have a unique opportunity to make a meaningful impact in the lives of our members by joining our team at Equiliem Healthcare as a Clinical Appeals Specialist. With your extensive experience in healthcare and managed care, you will play a pivotal role in ensuring that our members receive the highest level...
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Customer Experience Specialist
4 weeks ago
Orange, California, United States Ultimate Staffing Full timeThis is an exciting opportunity at Ultimate Staffing to join our team as a Customer Experience Specialist, offering a salary range of $65,000 - $95,000 per annum.About the PositionThe ideal candidate will have 3-5 years of experience in sales or customer service, with a strong background in manufacturing, preferably in the aerospace sector.A Bachelor's...
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Advertising Account Specialist
2 days ago
Orange, California, United States Identified Talent Solutions Full timeAccounting Overview:Identified Talent Solutions is a dynamic and innovative advertising agency that specializes in creating impactful marketing campaigns for our clients. With a focus on creativity, strategy, and results, we pride ourselves on delivering exceptional solutions that elevate brands to new heights.We are seeking an Advertising Account Specialist...
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Patient Support Services Specialist
3 days ago
Orange, California, United States VGroup Inc Full timeAre you looking for a challenging and rewarding career opportunity? Do you have a passion for providing exceptional customer service and ensuring seamless access to healthcare services? If so, we encourage you to apply for the Patient Support Services Specialist position at CalOptima Health.As a Patient Support Services Specialist, you will be responsible...
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RV Warranty Specialist
3 weeks ago
Orange, California, United States Fun Town RV Full timeJob SummaryFun Town RV is seeking an experienced RV Warranty Specialist to join our team. The successful candidate will be responsible for managing warranty claims, communicating with customers, and working closely with our service department.The ideal candidate will have a strong background in customer service, excellent communication skills, and the...
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Healthcare Appeals Specialist
4 weeks ago
Orange, California, United States All's Well Full timeAbout the RoleWe are seeking a skilled Healthcare Appeals Specialist to join our team. As a member of our appeals management group, you will play a crucial role in ensuring that all medical appeals and state hearing reviews are handled efficiently and effectively.Job SummaryThe successful candidate will be responsible for managing organization medical...
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Claims Operations Specialist
15 hours ago
Orange, California, United States The Midtown Group Full timeThe Midtown Group is seeking a highly motivated and experienced Data Entry Tech to join our team. The successful candidate will be responsible for ensuring consistent and efficient mailroom operations, including opening, date stamping, and triaging all incoming mail and Provider Dispute Resolution forms.Key Responsibilities:Sorts all incoming mail, counted...
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Patient Accounts Coordinator
2 weeks ago
Orange, California, United States BMR Partners Inc. Full timeJob SummaryWe are seeking a highly skilled Claims Resolution Specialist to join our dynamic Reimbursement Team. As a key member of our operations, you will be responsible for resolving claims efficiently, ensuring timely and accurate payments to our patients. Your expertise in billing and reimbursement will drive our success in meeting the highest standards...
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Patient Advocacy Specialist
2 weeks ago
Orange, California, United States Precision Scans Inc Full timeResponsibilities:As a Medical Social Worker with Precision Scans Inc, you will be responsible for conducting comprehensive assessments of patients' social, emotional, and financial needs. You will develop and implement individualized plans of care to address these needs, ensuring that patients receive holistic support throughout their treatment journey. Your...
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Healthcare Support Specialist
2 weeks ago
Orange, California, United States Impresiv Health Full timeJob DescriptionThe Customer Service Representative will be responsible for handling incoming calls, resolving member inquiries, and addressing provider concerns. This individual must possess excellent communication skills, both written and verbal, and have the ability to work effectively in a fast-paced environment.Key Responsibilities:Respond to member...
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Advertising Project Specialist
4 hours ago
Orange, California, United States Identified Talent Solutions Full timeWe are a dynamic and innovative advertising agency specializing in creating impactful marketing campaigns for our clients. As an Account Coordinator, you will be part of a fast-paced environment where creativity, strategy, and results drive our approach. About the RoleThis role offers an exciting opportunity for someone with strong organizational skills,...
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Medical Support Specialist
17 hours ago
Orange, California, United States V Group Inc. Full timeKey Responsibilities:The Customer Service Representative will play a vital role in supporting CalOptima Health's members and providers, ensuring seamless interactions and resolving issues efficiently.The ideal candidate will possess excellent communication and interpersonal skills, demonstrating a commitment to delivering exceptional customer service.This...
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Immigration Law Specialist
3 days ago
Orange, California, United States The United Firm | La Liga Defensora, APC Full timeJoin Our Team as an Experienced Immigration AttorneyThe United Firm | La Liga Defensora, APC is a dynamic and growing law firm seeking an experienced Immigration Attorney to join our team. As a key member of our Immigration Team, you will be responsible for managing a caseload of complex immigration cases, including removal proceedings and family-based...
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Youth Development Specialists
3 days ago
Orange, California, United States ALLELOUS INC Full timeJob OverviewThe Summer Program Staff at the Youth Centers of Orange will play a vital role in providing support to our youth during the summer camp. This position requires a passionate and mission-driven individual who can work effectively with children, educators, and other staff members.ResponsibilitiesImplement and oversee student activities, ensuring a...
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Special Education Support Specialist
4 weeks ago
Orange, California, United States Spectrum Center Schools and Programs Full timeAbout Spectrum Center Schools and ProgramsSpectrum Center Schools and Programs is a growing, dynamic organization with a social mission to offer hope. Our award-winning team provides meaningful work in a culture that welcomes innovation, encourages creative expression, and offers limitless potential for personal and professional satisfaction.Job OverviewWe...
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Settlement Negotiatior
6 days ago
Orange County, United States HireFinder Full timeJob DescriptionJob DescriptionEssential Duties and ResponsibilitiesHandling a large volume of cases requiring lien reductions and negotiations, simultaneously, for department attorneys as needed;Communicating with Medi-Cal, Medicare, Medicaid, and other governmental health care providers in lien negotiation and resolution;Communicating with health insurance...
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Claims Resolution Specialist
1 month ago
Orange, United States Partners In Diversity, Inc. Full time**100% on-site with reporting to Orange, CA; this assignment is expected to last 6 months**The Claims Resolution Specialist will be the first line of contact for Health providers. The incumbent will assist providers with questions related to the payment of claims and resolution of claims payment issues. Responds and researches issues on provider questions...
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Settlement Negotiatior
7 days ago
Orange County, United States HireFinder Full timeJob DescriptionJob DescriptionEssential Duties and ResponsibilitiesHandling a large volume of cases requiring lien reductions and negotiations, simultaneously, for department attorneys as needed;Communicating with Medi-Cal, Medicare, Medicaid, and other governmental health care providers in lien negotiation and resolution;Communicating with health insurance...
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Settlement Negotiatior
8 hours ago
Orange County, United States HireFinder Full timeJob DescriptionJob DescriptionEssential Duties and ResponsibilitiesHandling a large volume of cases requiring lien reductions and negotiations, simultaneously, for department attorneys as needed;Communicating with Medi-Cal, Medicare, Medicaid, and other governmental health care providers in lien negotiation and resolution;Communicating with health insurance...
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Claims Resolution Specialist
2 weeks ago
Orange County, United States V Group Inc. Full timeClient: HealthcareJob Title: Claims Resolution SpecialistDuration: 06 MonthsStart Date: ASAPLocation: 505 City Parkway West, CA Orange 92868 OnsitePosition Type: ContractInterview Type: Web Interview Job Description:CalOptima Health is seeking a highly motivated an experienced TEMP - Claims Resolution Specialist (Customer Service) to join our team.The Claims...
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Claims Resolution Specialist
2 weeks ago
Orange County, United States V Group Inc. Full timeClient: HealthcareJob Title: Claims Resolution SpecialistDuration: 06 MonthsStart Date: ASAPLocation: 505 City Parkway West, CA Orange 92868 OnsitePosition Type: ContractInterview Type: Web Interview Job Description:CalOptima Health is seeking a highly motivated an experienced TEMP - Claims Resolution Specialist (Customer Service) to join our team.The Claims...
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Claims Resolution Specialist
7 days ago
Orange, United States All's Well Full timeJob DescriptionJob DescriptionThis Claims Resolution Specialist Position Features: ****Temp positions-6 months or longer*** This is a phone-based position daily call handling. This is not an Examiner/Adjuster role. Position Overview: Claims Resolution Specialist to provide exceptional customer service and support for providers. This is a temporary position...
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Temp Claims Resolution Specialist
5 days ago
Orange, United States Ultimate Staffing Services Full timeDuties & Responsibilities:80% - Claims SupportResponds and researches issues on provider questions regarding claims payments, denials, resolves claim issues, contractual and/or CalOptima Health agreements, established payment methodologies, division of financial responsibility, applicable regulatory legislation, claims processing guidelines and company...
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Workers Comp Defense Attorney
1 month ago
Orange, United States Robert Half Full timeJob DescriptionJob DescriptionRobert Half is partnering with a mid-size firm to find a Workers Compensation Attorney to join their team! If you are a CA-barred attorney in Southern California, with experience in workers comp, we encourage you to apply. The firm is based in Orange with a hybrid schedule to start, and then moves to a fully remote...
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Bilingual Customer Support Specialist
2 days ago
Orange, Connecticut, United States Iberdrola Full timeJob DescriptionThis Bilingual Customer Support Specialist role is an excellent opportunity for individuals who are passionate about delivering exceptional customer experiences. You will be working closely with our team to ensure that all customer inquiries are addressed promptly and professionally.About the PositionYou will be the primary point of contact...
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Member Liaison Specialist
4 days ago
Orange, United States VGroup Inc Full timeJob DescriptionJob DescriptionFor more details, please connect with Brij Kishore at 609-371-5400 Ext 331 or email at Brijt@vgroupinc.com.Direct Client: CalOptima Health Job Title: Member Liaison Specialist Duration: 06+ Months Start Date: ASAP Location: 505 City Parkway West, Orang, CA Onsite 92868 Position Type: Contract Interview Type: In Person/Web...
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Case Manager
2 weeks ago
Orange, United States Ingenious Tax Relief Full timeAbout Us:At Ingenious Tax Relief, we specialize in providing tax resolution services for individuals and small businesses. Our mission is to offer personalized, expert advice and solutions to help our clients navigate complex tax challenges. As we continue to grow, we're looking for a dedicated Case Manager to join our team and support our clients through...
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Case Manager
2 weeks ago
Orange, United States Ingenious Tax Relief Full timeAbout Us:At Ingenious Tax Relief, we specialize in providing tax resolution services for individuals and small businesses. Our mission is to offer personalized, expert advice and solutions to help our clients navigate complex tax challenges. As we continue to grow, we're looking for a dedicated Case Manager to join our team and support our clients through...
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Member Liaison Specialist
4 days ago
Orange, United States US Tech Solutions, Inc. Full timeSeeking a highly motivated an experienced Member Liaison Specialist to join our team. The Member Liaison Specialist (Customer Service) will provide member service to seniors, persons with disabilities or chronic conditions, persons without housing and persons under the age of twenty-one (21) who participate in the Whole-Child Model program. The incumbent...
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Member Liaison Specialist
4 days ago
Orange, United States US Tech Solutions Full timeSeeking a highly motivated an experienced Member Liaison Specialist to join our team. The Member Liaison Specialist (Customer Service) will provide member service to seniors, persons with disabilities or chronic conditions, persons without housing and persons under the age of twenty-one (21) who participate in the Whole-Child Model program. The incumbent...
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Customer Retention Sales Specialist
1 day ago
Orange, United States PFP Services Full timeThis position is hybrid and will require the employee to be within commutable distance to our Corporate Headquarters (Orange, CT)Seeking dynamic individuals for the role of Retention Sales Specialist! Handle retention calls, resolve policy holder issues, and prepare for a rewarding career in insurance services. Join our team today!What do we do?We pride...
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Medical Claims Specialist
2 weeks ago
Orange, United States Ultimate Staffing Full timeSeeking Medical Claims Specialist for 6-month contract position in Orange, CA. Pay: $23 - $26/hr DOE Onsite position. Minimum Qualifications:High School diploma or equivalent required.2 years of experience in claims resolution required.1 year of call center experience with high call volumes or customer service experience required.1 year of HMO,...
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Medical Claims Specialist
2 weeks ago
Orange, United States Ultimate Staffing Full timeSeeking Medical Claims Specialist for 6-month contract position in Orange, CA. Pay: $23 - $26/hr DOE Onsite position. Minimum Qualifications:High School diploma or equivalent required.2 years of experience in claims resolution required.1 year of call center experience with high call volumes or customer service experience required.1 year of HMO,...
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IT Field Operations Specialist- WH North Jersey
4 weeks ago
Orange, United States Mitchell Martin Full timeTitle: IT Operations Specialist Location: Western United States (Field-Based) Description: The IT Operations Specialist oversees the technical success of a group of facilities, including outpatient centers and administrative offices, within the assigned region. This role involves providing technical support across various systems, devices, and applications...
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Technical Support Specialist
4 weeks ago
Orange Park, Florida, United States MCI Military Recruitment Full timeJob Description: Technical Support SpecialistMCI is a leading provider of business process outsourcing (BPO) services, specializing in delivering tailored solutions to meet the diverse needs of our clients. With a commitment to excellence and a focus on innovation, we have established ourselves as a trusted partner in the industry.Job Summary: We are seeking...