Authorization Coordinator ENT Clinic Full Time 8 Hour Days (Non Exempt) (Non Union) Apply Keck Medicine of USC Hospital Los Angeles, California The Authorization Coordinator coordinates communication with admitting, case management, patient financial services, and payers to ensure all inpatient services provided by the hospital are authorized by appropriate payer. He/She

Aya Healthcare has an immediate opening for the following position Claims Examiner in Whittier, CA. This is a 13 week contract position that requires at least one year of Claims Examiner experience. Make $1040.67/week $1266.01/week. Want a job close to home? We've got you! We'll work with you to build the career of your dreams. Aya delivers Front of the line access to exc

Responsible for auditing and training claims staff on all Managed Care claims received from outside providers to ensure the Claims Examiners processed and adjudicated them accurately and consistently in accordance with outside Provider Contracts, State, Federal, CMS, DMHC and Health Plan contracts, internal departmental policies and procedures. Must maintain a productivit

The Senior Claims Specialist is responsible for the processing of complex institutional claims (stop loss, contracted, non contracted, per diem, case rate etc.) and adjudication and claims research when necessary. Senior Claims Specialist must have knowledge of compliance issues as they relate to claims processing and ability to identify and address non contracted provide

Apply if looking for Flexibility and Financial Freedom

Your Role The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Nurse Consultant will report to the Manager of Care Management for the Population Health Management Medi Cal Team. In this role, you will ensure that services are provided based on