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Insurance jobs in Huntington Beach, CA
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INSURANCE VERIFICATION LEAD - CLINICAL RESEARCH
Newport Beach
,
CA
8 hit(s)
The Insurance Verification Specialist Lead verifies insurance and benefits coverage for services in the assigned department(s). This role works directly with patients, insurance companies, and clinical departments to verify insurance coverage, obtain proper authorizations, and ensure timely reimbursement of services. He/she reviews physician orders for medical necessity and accuracy and provides ..
Last verified - 923 day(s) 17 hour(s) ago
INSURANCE VERIFICATION SPECIALIST III - CANCER OP TREATMENT CENTER
Newport Beach
,
CA
9 hit(s)
The Insurance Verification Specialist verifies insurance and benefits coverage for services in assigned department(s). This role works directly with patients, insurance companies, and clinical departments to verify insurance coverage, obtain proper authorizations, and ensure timely reimbursement of services. He/she reviews physician orders for medical necessity and accuracy and provides clinical documentation ..
Last verified - 923 day(s) 18 hour(s) ago
INSURANCE VERIFICATION SPECIALIST - PATIENT ACCOUNTING
Costa Mesa
,
CA
6 hit(s)
PRIMARY DUTIES AND RESPONSIBILITIES The Insurance Verification Specialist verifies insurance and benefit coverage for services in assigned department(s). This role works directly with patients, insurance companies, and clinical departments to verify insurance coverage, obtain proper authorizations, and ensure timely reimbursement of services. Reviews physician orders for medical necessity and accuracy and ..
Last verified - 923 day(s) 18 hour(s) ago
CLAIMS SPECIALIST - HOAG CLINIC CLAIMS & ENROLLMEN
Costa Mesa
,
CA
6 hit(s)
The Claims Specialist (Customer Service) is responsible for answering phone calls from healthcare providers, health plans, billing companies, and members on inquiries related to claims, eligibility, and authorization. The Claims Specialist will ensure first-call-resolution standards are followed and will refer and follow-up as per
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Clinic MSO guidelines. Essential Functions ..
Last verified - 923 day(s) 14 hour(s) ago
CLAIMS COORDINATOR - HOAG CLINIC CLAIMS & ENROLLMEN
Costa Mesa
,
CA
6 hit(s)
The Claims Coordinator is responsible for pre-screening and batching correspondences received in the
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Clinic MSO mailroom. The Claims Coordinator will coordinate the hand-offs and completions of retro-auth requests, provider update requests, and eligibility verification requests between the Claims team and internal and external partners. Essential Functions · Support the ..
Last verified - 923 day(s) 14 hour(s) ago
CLAIMS ANALYST - HOAG CLINIC CLAIMS & ENROLLMEN
Costa Mesa
,
CA
6 hit(s)
The Claims Analyst is responsible for documenting, monitoring, analyzing the encounter process including inbound and outbound transactions ensuring compliance with regulatory and health plan requirements. The Claims Analyst is responsible for the generation and maintenance of metrics and reports for the Claims team, support for health plan and provider JOCs, vendor ..
Last verified - 923 day(s) 14 hour(s) ago
WORKERS COMPENSATION SPECIALIST SR - EMPLOYEE HEALTH SERVICES
Irvine
,
CA
12 hit(s)
PRIMARY DUTIES AND RESPONSIBILITIES The Occupational Health Senior Workers' Compensation Specialist manages claims with external carriers and attorneys from employees first report of injury to resolution and is responsible for providing Workers' Compensation/disability and Loss prevention activities for
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Hospital and its affiliates. Acts as a resource to the
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leadership ..
Last verified - 923 day(s) 14 hour(s) ago
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