<p>We are looking for a detail oriented Entry-level Claims Representative to join our clients' team in Ontario, California. In this role, you will provide critical support in managing claims-related tasks, ensuring accuracy and efficiency in processing, reconciling, and auditing claims. This is a long-term contract position ideal for professionals with strong organizational skills and a background in medical office operations.</p><p><br></p><p>Responsibilities:</p><p>• Match checks with remittance advice, prepare and insert them into envelopes for mailing.</p><p>• Reconcile processed batches within the audit database to ensure accuracy.</p><p>• Create and mail denial trailers and letters to providers.</p><p>• Print and send out claim requirement letters for Covered California members.</p><p>• Forward claims to the appropriate health plan when necessary.</p><p>• Process and mail claims deemed unable to process, including generating the necessary correspondence.</p><p>• Batch trailers created by various departments and ensure proper documentation.</p><p>• Audit the batch log key to confirm claims have been assigned and logged correctly.</p><p>• Verify member information to determine line of business and coordination of benefits in the system.</p><p>• Collaborate on process adjustments and work independently or as part of a team.</p>
A Hospital located in the San Fernando Valley is looking to add a Hospital Patient Account Rep to the team. The Hospital Patient Account Rep will be responsible for overseeing billing and collection processes within a hospital setting. The Hospital Patient Account Rep will also be responsible for managing Medicare managed care, commercial, PPO/HMO and Medical managed care.<br><br>Responsibilities:<br>• Conduct hospital billing and collection processes with accuracy and efficiency<br>• Handle Medicare managed care, commercial, PPO/HMO, and Medical managed care<br>• Provide training for Collector I positions<br>• Appeals and denials management.<br>• Engage in Appeals, Billing Functions, Claim Administration, and Collection Processes as part of the role<br>• Oversee the management of insurance correspondence and maintain accurate records<br>• Monitor patient accounts and take appropriate action to collect insurance payments.
<p>We are looking for a detail-oriented Personal Injury Plaintiff Case Manager to join our team in Los Angeles, California. In this role, you will oversee personal injury cases, ensuring efficient claim processing, effective communication, and timely management of client needs. The ideal candidate will have a strong background in case management and a commitment to delivering exceptional client service.</p><p><br></p><p>Responsibilities:</p><p>• Process and open health insurance claims with accuracy and attention to detail.</p><p>• Upload and organize critical documents into the company’s case management software.</p><p>• Schedule and coordinate medical appointments while maintaining an up-to-date calendar.</p><p>• Serve as the primary point of contact for clients, addressing their concerns promptly and professionally.</p><p>• Ensure proper documentation and tracking of case details to support smooth claim administration.</p><p>• Collaborate with internal teams to streamline workflows and maintain case progress.</p><p>• Utilize CRM tools to manage client interactions and maintain detailed records.</p><p>• Monitor case timelines and ensure all deadlines are met.</p><p>• Stay informed about personal injury law and regulations to provide informed support.</p><p>• Maintain confidentiality and adhere to legal compliance standards.</p>
<p>We are looking for a detail-oriented Case Manager to join our team. For the right candidate, this is a Contract-to-Permanent position that offers an excellent opportunity to support essential operations and contribute to the success of our non-profit organization. The ideal candidate will bring strong organizational skills, effective communication, and a proactive approach to handling administrative tasks. This firm assists the homeless population of Los Angeles. Previous experience with HMIS and Clarity are ideal. Any previous experience working with the homeless population is preferred. </p><p><br></p><p><strong><u>Responsibilities:</u></strong></p><p>• Provide comprehensive administrative support to ensure smooth day-to-day operations.</p><p>• Manage inbound calls and direct inquiries to the appropriate departments.</p><p>• Perform accurate data entry tasks to maintain organized and up-to-date records.</p><p>• Assist with receptionist duties, including greeting visitors and managing front-desk activities.</p><p>• Coordinate schedules and appointments for team members to optimize workflow.</p><p>• Prepare and distribute correspondence, reports, and other important documents.</p><p>• Maintain office supplies inventory and place orders as needed.</p><p>• Support team members in executing projects and meeting deadlines.</p><p>• Ensure compliance with organizational policies and procedures.</p><p>• Perform other administrative duties as assigned to support the team.</p>
<p><b>One of the NICEST law firms seeks Bilingual Spanish Case Manager!</b></p><p><br></p><p>Law firm with multiple offices seeks Law Firm Case Manager to handle intake, case management, scheduling, etc. 40 hours per week and onsite in Downtown LA.</p><p><br></p><p>Salary up to $37/hour + STRONG benefits' package!</p><p><br></p><p><strong>Placed a candidate 6 years ago that is still there and been promoted!</strong></p><p><br></p><p>TO APPLY, ONLY send resume directly to Vice President of Direct Hire, Samantha Graham at Samantha [dot] Graham [at] RobertHalf [dot] [com]</p>
