Claims Resolution Specialist
1 day ago
InterDent Service Corporation is seeking a highly skilled Claims Resolution Specialist to join our team. As a Claims Resolution Specialist, you will be responsible for supporting our clinics with insurance-related issues, including insurance payment research, insurance balances account analysis, insurance benefits research, work queue follow-up, and general claim processing.
Key Responsibilities- Follow up with insurance companies and patients to ensure payment on claims
- Work the CBO Work Queue related to claims not yet paid
- Run claim form type in QSI
- Troubleshoot and process ECS rejections daily to ensure 100% acceptance by insurance companies
- Review and resolve missing payments requests from the clinics for their region(s)
- Answer questions from the clinics regarding any of the above
- Research patient accounts for opportunities to collect back balances when needed
- Assign accounts to the collection agency when needed
- Experience with dental billing and insurance claims is required
- Thorough understanding of dental billing practices and procedures, including knowledge of state, local and federal laws
- Strong knowledge of reimbursement rules and methodologies for billing
- Able to communicate billing discrepancies and questions
- Fluent in Excel, Word, Outlook, typing (50+ WPM) and number entry accuracy
- Must maintain confidentiality of all records
- Experience with QSI software a plus
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HR Specialist
2 weeks ago
Woodland, Washington, United States Planet Green Search Full timeHuman Resources GeneralistWhat we offer:Exceptional Opportunities for Career AdvancementEngagement with Innovative TechnologiesHighly Respected Leadership and Management TeamSupportive Work Environment with a Family-Oriented CultureComprehensive Benefits Package including Medical, Dental, Vision, 401k, Tuition Assistance, and Disability CoverageIf you...
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Human Resources Advisor
2 weeks ago
Woodland, Washington, United States Planet Green Search Full timeHuman Resources GeneralistWhat We Offer:Exceptional Career Advancement OpportunitiesEngage with the latest innovative technologiesLeadership and senior management are highly esteemed by the teamSupportive work environment with a familial cultureComprehensive benefits including Medical, Dental, Vision, 401k, Tuition Assistance, and Disability coverageIf you...
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People Operations Generalist
2 weeks ago
Woodland, Washington, United States Planet Green Search Full timeHuman Resources GeneralistWhy Join Us?Exceptional Career Advancement OpportunitiesEngage with innovative and advanced technologiesLeadership and senior management are highly valued by the teamSupportive work environment with a family-oriented cultureComprehensive benefits including Medical, Dental, Vision, 401k, Tuition Assistance, and DisabilityIf you align...
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Property Claims Specialist
2 weeks ago
Woodland Hills, California, United States State Farm Mutual Automobile Insurance Company Full timeAbout the RoleWe are seeking a highly skilled Property Claims Specialist to join our team at State Farm Mutual Automobile Insurance Company. As a Property Claims Specialist, you will be responsible for handling accidental and weather-related homeowners, commercial, and large loss claims.Key ResponsibilitiesMeet with insureds to explain coverage and estimate...
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Workmans Compensation Sr. Claims Specialist
1 week ago
Woodland Hills, United States Zurich Insurance Company Ltd. Full timepspan style=font-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serifZurich is seeking an experienced Workman’s Compensation Claims Specialist to join our team! We are specifically seeking candidates who can work remotely from California. However, we are open to considering applicants from other locations if they are currently licensed in the...
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Insurance Claims Specialist
1 week ago
Woodland Hills, California, United States Baldwin Risk Partners Full timeJob Summary:We are seeking a highly skilled and customer-focused Customer Service Representative to join our team at Baldwin Risk Partners. As a key member of our insurance team, you will be responsible for providing exceptional customer service to our clients, ensuring their insurance needs are met with accuracy and efficiency.Key Responsibilities:Customer...
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Occupational Health Specialist
1 week ago
Woodland, California, United States Clark Pacific Full timeJob SummaryThe EHS/Workers' Compensation Administrator supports the EHS Department in a variety of administrative functions, including but not limited to document control flow, workers' compensation (WC) and auto claims, tracking, reporting, and supporting EHS and Risk Management-related data and systems to varying levels of the enterprise.Key...
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Industrial Electrician
5 days ago
Woodland, California, United States Oceanic Enterprises Full timeJob Title: Industrial Electrician - Power Plant SpecialistAbout Us: Oceanic Enterprises is a leading energy recovery facility specializing in biomass fuel. Our state-of-the-art plant in Frankfurt am Main provides reliable, cost-effective, and environmentally friendly energy supply.Job Summary: We are seeking an experienced Industrial Electrician to join our...
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Housing Specialist I/II DOE
3 months ago
Woodland, United States YCH Full timeJob DescriptionJob DescriptionSalary: HSP I $19.68-$23.93 HSP II $22.46- $27.30Housing Specialist I $19.68 -$23.93 Housing Specialist II $22.46 - $27.30 Salary placement will be based on experience as outlined in the qualifications listed below.DEADLINE TO APPLY: First review of applications will be July 8, 2024. Open until filled. Yolo County Housing...
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Litigation Support Specialist
2 hours ago
Woodland Hills, California, United States Macdonald & Cody, LLP Full timeAbout the JobMacdonald & Cody, LLP is a reputable insurance defense litigation firm specializing in personal injury and catastrophic injury claims. We are seeking a highly motivated and experienced litigation support specialist to join our team.Key Responsibilities:Provide administrative support to attorneys in a fast-paced law firm environment.Manage case...
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Human Resources Generalist
2 months ago
Woodland, United States Planet Green Search Full timeHuman Resources Generalist What's in it for you?! Tremendous Career Growth Opportunities! Work with the latest cutting-edge technologies! Senior management and leadership are very well respected by team! Great work environment with family like work culture! Medical, Dental and Vision + 401k + Tuition Assistance + Disability If that's you, let's talk! What...
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Recovery / Peer Support Specialist
3 weeks ago
Woodland, United States Fourth and Hope Full timeJob DescriptionJob DescriptionFourth & Hope is a faith-based organization with more than 38 years of experience in providing services and facilities that benefit the homeless population of Yolo County.Fourth & Hope’s mission is to feed, clothe, shelter, and facilitate recovery for those in need and to show the love of Jesus Christ in words and actions.We...
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Regulatory Quality Specialist
2 weeks ago
Woodland, California, United States JobRialto Full timePosition Overview: As a Regulatory Quality Specialist at JobRialto, you will play a crucial role in ensuring that our products and processes comply with the latest regulations and standards. Your expertise will help maintain the integrity of our quality management systems and support our commitment to excellence in the industry. Key Responsibilities: Daily...
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Woodland Hills, United States Blue Shield of California Full timeYour Role The Medicare Appeals and Grievances Non-Clinical team receives, documents, investigates, refers, and coordinates grievances, appeals and complaints. The Appeals and Grievances Representative, Specialist will report to the Operations Supervisor. In this role you will be responsible for oversight of team reviewing, researching, and responding to...
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Senior Healthcare Integration Specialist
3 days ago
Woodland, California, United States Common Spirit Full timeAbout the Role:The Senior IDX Analyst will perform duties related to integration, including business needs analysis and customer requirements, participation in the evaluation and selection of software and database systems, system design, development and maintenance, project implementation, documentation and end user training consistent with the mission and...
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Inventory Management Specialist
5 days ago
Woodland, California, United States Metal Sales Manufacturing Corporation Full timeJob DescriptionJob Summary:Metal Sales Manufacturing Corporation is seeking a highly skilled Inventory Control Coordinator to join our team in Woodland, CA. As an Inventory Control Coordinator, you will be responsible for administering all aspects of raw material management, including metal forecasting, special order RFQ, material transfers, receiving,...
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Inventory Management Specialist
5 days ago
Woodland, California, United States Metal Sales Manufacturing Corporation Full timeJob SummaryMetal Sales Manufacturing Corporation is seeking a highly skilled Inventory Control Coordinator to join our team. As an Inventory Control Coordinator, you will be responsible for administering all aspects of raw material management, including metal forecasting, special order RFQ, material transfers, receiving, inventory tracking, cycle counting,...
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Counselor I
5 days ago
Woodland Hills, California, United States Tarzana Treatment Center Full timeJob SummaryWe are seeking a highly skilled and compassionate Counselor I to join our team at Tarzana Treatment Centers, Inc. as a Behavioral Healthcare Specialist. This is a challenging and rewarding role that requires a strong understanding of addiction and behavioral healthcare principles.Key ResponsibilitiesProvide individual counseling, group...
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Woodland, United States Nesco Resource Full timeScope of Position:Develop and support all Quality Management System (QMS) / Regulatory Affairs (RA) activities and functions supporting the quality goals and quality metrics for site.Responsible for new product setup, quality project management, and regulatory compliance of serum products.Ensure compliance to in-house and/or external specifications and...
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Woodland Hills, United States Blue Shield of California Full timeYour Role The Medicare Appeals and Grievances Non-Clinical team receives, documents, investigates, refers, and coordinates grievances, appeals and complaints. The Appeals and Grievances Representative, Specialist will report to the Operations Supervisor. In this role you will be responsible for oversight of team reviewing, researching, and responding to...
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Woodland Hills, United States Blue Shield of California Full timeYour Role The Medicare Appeals and Grievances Non-Clinical team receives, documents, investigates, refers, and coordinates grievances, appeals and complaints. The Appeals and Grievances Representative, Specialist will report to the Operations Supervisor. In this role you will be responsible for oversight of team reviewing, researching, and responding to...
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Woodland Hills, United States Blue Shield of California Full timeYour Role The Medicare Appeals and Grievances Non-Clinical team receives, documents, investigates, refers, and coordinates grievances, appeals and complaints. The Appeals and Grievances Representative, Specialist will report to the Operations Supervisor. In this role you will be responsible for oversight of team reviewing, researching, and responding to...
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Woodland Hills, California, United States Jobot Full timeExciting Opportunity with a Growing Personal Injury Law Firm This position is hosted by Jobot. About Us: We are a dynamic boutique law firm dedicated to handling a diverse range of personal injury cases. Our commitment to our employees and clients sets us apart, fostering an environment where everyone can thrive. We pride ourselves on our reputation for...