Medical Claims Advocate

Our MissionL.A. Care Health Plan is committed to providing access to quality healthcare for Los Angeles County's vulnerable and low-income communities and residents. Our mission is to promote health, wellness, and safety through innovative solutions, effective partnerships, and community engagement.Job DescriptionThe Customer Solution Center Appeals and...

Company OverviewDordick Law Corporation is a reputable law firm dedicated to providing exceptional representation for individuals seeking justice. As a pre-lit case manager, you will play a crucial role in handling pre-litigation files from intake to the filing of the complaint.Salary and BenefitsYou can expect a competitive salary based on your...

About This Role">Firm Overview:LemonLaws by Prestige Legal Solutions, P.C. is a renowned law firm that provides expert services to our clients.">Main Responsibilities:We are seeking a highly skilled Medical Liability Advocate to join our team.To manage a caseload of personal injury cases from initial intake to settlement or litigation.To act as the main...

Job OverviewWe are seeking an experienced Medical Claims Project Coordinator to join our team at Regal Medical Group in Southern California. As a key member of our operations team, you will be responsible for processing and releasing professional claims according to established policies and procedures.In this role, you will identify procedural and system...

Job Summary  We are seeking a skilled Medical Claims Project Coordinator to join our team at Regal Medical Group. As a key member of our staff, you will be responsible for processing and releasing professional claims according to established policies and procedures. This role requires strong analytical and problem-solving skills, as well as excellent...

Job OverviewMedPOINT Management is seeking a skilled Medical Claims Processor to join our team. As a Medical Claims Processor, you will be responsible for managing the entire claims process from start to finish, ensuring accuracy and efficiency in our billing operations.About the RoleThe ideal candidate will have at least 5 years of experience in medical...

Job Summary">We are seeking a skilled Medical Claims Specialist to join our team at UCLA Health. In this role, you will be responsible for accurately processing inpatient and outpatient claims to all payers, including government and commercial payers.">About the Role">The successful candidate will have excellent knowledge of payer contracts, contractual...

About the RoleWe are looking for a skilled Settlement Negotiator to assist our clients in obtaining equitable compensation for their personal injury claims. The successful candidate will have a strong understanding of personal injury law, case valuation, and effective negotiation skills. They will also possess excellent communication skills, enabling them to...

Job OverviewAs a Medical Claims Auditor at MedPOINT Management, you will play a vital role in ensuring the accuracy and integrity of hospital claims paid by our company. The ideal candidate will have at least 2 years' experience with hospital claims processing and/or billing.

Job DescriptionIn this dynamic role as Medical Claims Processor, you will be responsible for managing medical claims from submission to resolution. Your expertise will ensure that healthcare providers receive accurate reimbursement, while also maintaining meticulous records and navigating complex billing codes.ResponsibilitiesProcess and review medical...

About MedPOINT ManagementWe are a leading healthcare management company that specializes in medical claims processing. Our team is dedicated to providing exceptional service to our clients, and we are seeking a highly skilled Medical Claims Examiner to join our team.

Claims Resolution Expert WantedWe are seeking a skilled Medical Claims Resolution Expert to join our team at MedPOINT Management. As a key member of our claims team, you will be responsible for resolving complex medical claims in a timely and efficient manner.Key Responsibilities:Review and analyze medical claims to identify potential issues and...

Job OverviewWe are seeking a skilled Medical Claims Professional to join our team at MedPOINT Management. This role is responsible for the accurate and timely processing of claims, ensuring compliance with regulations and contractual obligations.

Job OverviewMedPOINT Management is a leading provider of IPA services. We're committed to delivering exceptional value to our Members and Providers through our dedicated teams and innovative solutions.In this role, you'll have the opportunity to work closely with our IPA department to ensure seamless communication and resolution of issues. Your expertise...

Job Title: Medical Claims AuditorAbout the Role:This position is responsible for reviewing claims paid in Shared and Dual Risk Pools, monitoring and maintaining files audited, submitting disputes to outside entities, and ensuring accuracy and integrity of Hospital claims paid by MPM.Key Responsibilities:• Review, track, and analyze Risk Pool Summaries•...

About the RoleWe are seeking an experienced Claims Advocate Team Lead to join our team at Alliant Insurance Services. As a key member of our organization, you will be responsible for providing adequate coverage/policy interpretation on medium to large complex claims.The ideal candidate will have substantial direct client contact involvement, managing claims...

Job OverviewWe are seeking a skilled Medical Claims Recovery Specialist to join our team at MedPOINT Management. The successful candidate will research and identify complex overpayments on previously processed claims for multiple product lines, assist in DOFR implementation projects, and review claim refunds and capitation deductions from various...

About the RoleThis position offers an exciting opportunity to join a dynamic team dedicated to providing evidence-based solutions to homelessness and domestic violence challenges. The Medical Claims Coordinator will work closely with our clinical and administrative teams to ensure seamless billing operations. Key responsibilities include:Key...

About This OpportunityWe are seeking a Medical Claims Review Expert to join our team at MedPOINT Management. As a Risk Claims Adjuster Specialist, you will be responsible for reviewing and adjusting hospital risk claims in accordance with regulatory guidelines.Responsibilities:Review and adjudicate web portal inquiries.Assist Providers and other Departments...

Job DescriptionThe ideal candidate will have extensive experience in researching and identifying complex high-dollar overpayments on previously processed medical claims for multiple product lines. They will assist leadership in implementing DOFR processes and projects, reviewing claim refunds and capitation deductions from various IPA's/ Health Plans...