12 results for Eligibility Specialist in Los Angeles Ca
Eligibility Specialist - FSS1. Coordinate and process document requests from Legal Department, and DPSS and other agencies (local law enforcement, CDSS, and Housing Authority, etc.) in a timely manner.<br>2. Create and maintain unit files and track all document requests.<br>3. Organize and maintain filing system of fraud & appeals records including preparing records for off-site storage<br>4. Perform data entry; retrieve client information via Cal Saws, and produce, photocopy and/scan program records.<br>5. Respond to all internal and external communications via email and telephone in a timely manner.<br>6. Process all incoming mail and determine if the Notice of Action was received before the appeal due date. Log all incoming appeals in the Appeals Unit Tracking log and CC3. Prepare forms, notices, and correspondence related to document requests and appeals. <br>7. Schedule appeal hearings, mail appointment notices, and update database (i.e.CC3) with appeal status. Communicate with the case management specialist about appeal request and coordinate with front desk staff regarding appeal hearing appointments. <br>8. Prepare appeal decision letter for mailing, and include appeal documents such as emails, appointment letters and case notes in parent file. <br>9. Participate in team meetings and other staff development trainings.<br>10. Assist with inventory of office supplies.<br>11. Perform other duties as assigned.<br>EXPERIENCE, KNOWLEDGE, SKILLS AND ABILITIES YOU SHOULD POSSESS:<br>• Minimum two years administrative or clerical experience. Experience working with parents receiving subsidized childcare or social support services preferred.<br>• High School diploma required; Associate of Arts degree in the Social Sciences field preferred; years of related work experience can be substituted for the AA degree.Surgery Medical Biller/Collections Specialist<p>A Surgery Center in Los Angeles is in the need of a Surgery Medical Billing Collections Specialist. The Surgery Medical Billing Collections Specialist must have at least 2 years of experience in the healthcare industry. The Surgery Medical Billing Collections Specialist must be able to work review aged EOBs and resolve denials. </p><p><br></p><p><br></p><p>DUTIES AND RESPONSIBILITIES</p><p>• Performs full cycle billing and collection functions for Surgical pro fees</p><p>• Verify patient eligibility, authorization status and primary payer information via CareConnect and Insurance portals prior to claim submission</p><p>• Performs all data entry and charge posting functions for surgical services as needed </p><p>• Performs all third-party follow-up functions for all products and surgical procedures.</p><p>• Reviews EOBS and Denials. Make corrections as required and resubmit the claim for payments</p><p>• Work on the Athena Work Dashboard / Claim list on a daily basis for all services assigned</p><p>• Performs daily review of Urgent Care provider chart notes to assure that documentation is complete and supportive of submitted charges prior to billing.</p><p>• Provides the correct ICD-10M code to identify the provider's narrative diagnosis</p><p>• Provides the correct HCPCS code to identify medications and supplies </p><p>• Provides the correct CPT code to accurately identify the services performed based on the provider's documentation.</p><p>• Reviews all surgical operative reports and assigns appropriate CPT codes and ICD-10-CM codes for services performed by staff surgeons</p><p><br></p>Leave of Absence Coordinator<p>We are in search of a Leave of Absence Coordinator to join our client in the Palmdale, California. As a part of our team, you will be tasked with managing benefits, ensuring compliance, and providing exceptional customer service. This role is critical in delivering efficient and accurate workers compensation and benefits services to our employees. This opportunity offers a 2-3 month contract employment opportunity.</p><p><br></p><p>Responsibilities:</p><p>• Coordinates and administers qualified employees intermittent or continuous leave of absence requests in</p><p>collaboration with Organization third party administrator. Serves as a point of contact for assigned cases to review</p><p>confidential or sensitive documentation for compliance with leave policy, guidelines, and legal requirements.</p><p>• Confirms eligibility of absence as a qualifying event and provides formal notification to affected parties. Works with</p><p>internal and external stakeholders to collect required documentation to confirm employee eligibility for leave and for</p><p>the duration of the leave of absence. Ensures documentation is completed and in compliance with federal timelines.</p><p>Assists with resolving stakeholder misunderstandings regarding leave issues.</p><p>• Ensures adherence to the claim process. Uses leave management software and systems to manage cases, records,</p><p>and track documentation and communications. Opens, manages, and creates follow-up tasks for new leave of</p><p>absence claims. Works with Payroll and third-party administrator to ensure employee leave of absence is processed in</p><p>accordance with federal and state laws and organization guidelines.</p><p>• Execute the return-to-work process to ensure employees' timely and successful return, providing status information</p><p>to supervisors.</p><p>• Communicate policies and procedures to employees, preparing them for leave of absence and maintaining open</p><p>communication throughout. Communicates employee work status with management. Escalates complex or</p><p>challenging cases to appropriate People Services Leadership.</p><p>• Conduct, coordinate and document Interactive Process meetings; prepare medical questionnaires as needed.</p><p>• Coordinate and communicate employee leave of absence with Human Resources Department, Benefits Department,</p><p>Payroll Department, Site Leadership</p><p>• Ensures adherence to process and policy and serves as a subject matter expert to interpret and guide HR</p><p>professionals and agency management on compliance and administration of leave practices. Participates in updating</p><p>related rules and guidelines outlining employees’ leave rights and responsibilities.</p><p>• Delivers training to managers and supervisors on Organization policies, procedures and legal requirements for</p><p>supervisors, managers, HR professionals, and other stakeholders. Updates and provides input to training materials.</p><p>• Apply metrics to gather and analyze data, evaluating the effectiveness of LOA practices on an ongoing basis.</p><p>• Propose and implement improvements based on gathered data to enhance future leave of absence management.</p><p>• Administrative duties, responsibilities and activities may be assigned or changed from time to time</p>HR Assistant<p>Are you a highly skilled and motivated HR specialist looking to grow with a leading company? We offer an excellent opportunity for a passionate human resources assistant to join a dynamic team! We're seeking a self-starter to help drive our HR initiatives forward. Responsibilities: </p><p>-Perform various administrative duties to support the HR department </p><p>-Research potential customers using various online platforms</p><p>-Assist in planning and coordinating new employee orientation meetings</p><p>-Maintain and update employee database records</p>HR AssistantWe are seeking an HR Assistant to become a part of our team in the Social Care/Services industry based in Los Angeles, California. In this role, you will be tasked with supporting the Human Resources department by handling day-to-day responsibilities and providing administrative support to the Director of Talent Management and Engagement. This role offers a contract to employment opportunity.<br><br>Responsibilities:<br>• Manage daily operations of the Human Resources Department, providing support to the Director of Talent Management and Engagement<br>• Ensure compliance with licensing requirements, labor laws, and other regulations governing employment records by maintaining all electronic personnel files<br>• Generate monthly and quarterly reports on various aspects such as in-service statements, licenses, certifications, I-9 verification, and federal and state posting requirements<br>• Assist with new employee procedures, including scheduling pre-employment appointments, tracking pre-employment background clearances, and updating status within Paycom<br>• Participate in and provide data for internal and external audits<br>• Maintain and audit a badge system in PremiSys to ensure accurate and current information<br>• Support with project tasks such as preparing training materials and manuals, creating PowerPoint presentations, and assisting in complex report preparation.Admissions- Enrollment TempWe are offering a short term contract employment opportunity for an Administrative Assistant in the education industry based in Los Angeles, California. As an Administrative Assistant, your role will encompass several responsibilities including reviewing applications, handling admissions, managing workflows to meet deadlines, maintaining up-to-date knowledge of multiple data systems, and ensuring efficient processing of student information.<br><br>Responsibilities:<br>• Conduct rigorous review of applications as per the established guidelines.<br>• Evaluate transcripts initially during the admission process.<br>• Collaborate with team members for tracking application review progress and ensuring timely decision making.<br>• Ensure admission decisions are communicated efficiently to the relevant team members and reflected in all necessary systems.<br>• Act as a liaison with external partners for timely communication of application decisions.<br>• Regularly communicate with the manager about the quality of applicants and the progress of applications.<br>• Suggest improvements for application review rubrics and processes in consultation with team members and administrators.<br>• Assist in organizing school wide events like orientation and graduation.<br>• Maintain applicant files across all relevant systems.<br>• Process admitted students in the systems, ensure quality control by verifying official documents, and respond to inquiries regarding admission application process and status.<br>• Uphold the mission of the University through the work performed.HR Assistant- LMS DepartmentWe are in search of a meticulous individual to fill the role of Data Entry - LMS and HR in our retail industry based in El Segundo, California, 90245-4632, United States. This role involves ensuring the accuracy of data in the Learning Management System (LMS) and maintaining the integrity of our HR records. The role also offers an opportunity for short term contract employment.<br><br>Responsibilities:<br>• Accurately inputting and updating data regarding employee training and progress into the LMS system.<br>• Collaborating with team members to support the execution of training programs and cater to reporting needs.<br>• Ensuring adherence to company data security and HR compliance policies while maintaining confidentiality.<br>• Conducting verification and cross-checking of data to identify and rectify errors or discrepancies.<br>• Assisting in the organization and maintenance of both physical and electronic training records.<br>• Facilitating effective communication with the LMS HR team and other relevant departments.Human Resources AdministratorWe are offering a permanent employment opportunity in the financial services industry in CLAREMONT, California. The role we are seeking to fill is that of a Human Resources Administrator. In this position, you will have a wide range of responsibilities, including processing HR-related tasks, ensuring compliance with labor laws and regulations, and fostering a positive work environment.<br><br>Responsibilities:<br>• Assisting with recruitment activities, such as creating job postings and scheduling interviews.<br>• Coordinating new employee onboarding and orientation programs.<br>• Updating and maintaining employee records in HR systems.<br>• Administering compensation, benefits, and leave programs.<br>• Ensuring company policies, labor laws, and regulations are being adhered to.<br>• Providing HR-related support and addressing employee inquiries.<br>• Assisting in performance management processes, including evaluations and disciplinary actions.<br>• Organizing training and detail oriented development initiatives.<br>• Supporting diversity, equity, and inclusion (DEI) efforts.<br>• Handling sensitive HR matters with discretion and confidentiality.HRIS Administrator<p><strong>HRIS Analyst Opportunity in Torrance </strong></p><p>We are currently seeking a <strong>HRIS Analyst</strong> in Torrance. We’re looking for a driven professional with deep expertise in <strong>HRIS systems</strong> and <strong>ADP platforms</strong>. As an integral member of our HR team, you will play a pivotal role in managing, maintaining, and maximizing our HRIS technologies while ensuring seamless information flow across internal and external stakeholders.</p><p><strong>This is a temporary Hybrid role</strong></p><p>In this role, you’ll contribute significantly to the analysis, design, maintenance, and reporting functions within our HR department. If you're passionate about leveraging technology to transform human resources operations, this could be the opportunity for you!</p><p><strong>Key Responsibilities:</strong></p><ul><li>Oversee, maintain, and manage HRIS systems and databases with a focus on data accuracy and quality.</li><li>Use <strong>ADP</strong> to streamline payroll processing, benefits administration, timekeeping, and other HR-related tasks.</li><li>Partner with stakeholders to build custom HR reports, conduct regular audits, and ensure data integrity.</li><li>Analyze and interpret complex HR data sets to provide actionable insights to the HR and management teams.</li><li>Conduct system testing, troubleshoot issues, and validate results for optimized HRIS performance.</li><li>Uphold data privacy standards and ensure compliance with company policies and regulations.</li><li>Participate in system upgrades, process improvements, and new HRIS technology implementations to meet evolving business needs.</li></ul><p><br></p>HR Assistant<p>We currently have ongoing Opportunities for highly skilled and motivated Human Resources Assistants who are deeply passionate about growing at a large company. The HR Assistant will be responsible for handling a variety of personnel related administrative tasks and will provide clerical support to the HR department and employees regarding human resources related activities, policies, processes, and procedures. Please email your resume and call (818) 703-8818 for immediate consideration.</p>HR Assistant<p>Robert Half is currently working with local clients to fill ongoing opportunities local to Ventura County, CA. We are currently seeking a dedicated and organized HR Assistant to support the Human Resources department. This is an excellent opportunity for someone looking to build their HR career while contributing to the success and well-being of employees. This role will provide administrative support to the HR department in various functions, including recruitment, onboarding, employee records management, benefits administration, and general employee relations. The ideal candidate will be highly organized, detail-oriented, and eager to learn HR processes and procedures in a fast-paced environment. This ongoing opportunity offers room for growth within the HR department. Please call 805-496-6443 for more information.</p>Human Resources Assistant (Bilingual Spanish)<p>Our client is seeking a <strong>Bilingual HR Assistant</strong> to join their team and provide valuable support to the Human Resources department. The ideal candidate will have strong interpersonal skills, be highly detail-oriented, and possess bilingual proficiency in Spanish to assist in communications with a diverse workforce. This is an excellent opportunity to kickstart or grow a career in HR while working with an organization committed to fostering collaboration and employee engagement.</p><p><br></p><p><strong>Key Responsibilities</strong>:</p><ul><li>Support HR functions, including recruiting, onboarding, and employee relations.</li><li>Translate documents and assist with communication between management and employees in both languages (English and Spanish).</li><li>Handle employee inquiries related to policies, benefits, and procedures.</li><li>Maintain accurate and updated personnel records, both physical and digital.</li><li>Assist in organizing company events, training programs, and employee meetings.</li><li>Prepare HR reports, forms, and correspondence as needed.</li><li>Monitor compliance with federal and state employment regulations and company policies.</li></ul>