We are looking for a skilled Case Manager to join our team in Encino, California. In this role, you will oversee multiple pre-litigation cases, ensuring prompt and effective resolution while providing exceptional support to clients. This is an onsite position that offers a dynamic work environment and opportunities for growth.<br><br>Responsibilities:<br>• Manage multiple pre-litigation cases, ensuring timely and effective resolution.<br>• Supervise and guide entry-level case managers in their daily tasks and responsibilities.<br>• Facilitate claims processing with insurance carriers, including health insurance, Medicare, and Medi-Cal.<br>• Coordinate property damage and loss of use claims, ensuring proper resolution.<br>• Identify healthcare providers and schedule medical appointments for injury treatment.<br>• Advocate for clients by monitoring their medical treatment and arranging necessary care based on provider recommendations.<br>• Review, analyze, and interpret medical records, surgical reports, and medical bills.<br>• Prepare case files and documentation for submission to the demands department.<br>• Communicate effectively with clients, healthcare providers, and internal staff to maintain a high level of service.
<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>
<p>We are looking for a compassionate and thorough Bilingual Case Manager to join our team in Los Angeles, California. In this long-term contract position, you will play a vital role in providing support to individuals by connecting them with essential resources and services. This is a great opportunity for someone with strong organizational skills and a passion for helping others thrive in challenging circumstances.</p><p><br></p><p>Responsibilities:</p><p>• Conduct comprehensive intake assessments to understand clients' needs and develop personalized service plans.</p><p>• Provide ongoing case management, including crisis intervention and support for clients.</p><p>• Facilitate access to community resources such as housing, healthcare, employment, and mental health services.</p><p>• Maintain accurate and up-to-date documentation of case notes and ensure compliance with program guidelines.</p><p>• Collaborate with internal team members and external social service providers to coordinate effective client care.</p><p>• Participate in regular team meetings, training sessions, and development opportunities.</p><p>• Monitor client progress and adjust service plans as necessary to meet evolving needs.</p><p>• Advocate for clients to ensure they receive appropriate services and support.</p><p>• Stay informed about local community programs and resources to enhance service delivery.</p>
<p>A Hospital in Los Angeles is seeking a Medical Biller with expertise in hospital billing and deep knowledge of Medi-Cal regulations. The Medical Biller must at least two years of experience in Medical Billing and Collections. The Medical Biller must be able excel at denials management, appeals, and insurance follow-up, </p><p><strong>Key Responsibilities:</strong></p><ul><li>Submit and track hospital claims to Medi-Cal and other insurance payers, ensuring compliance with billing regulations</li><li>Review, analyze, and resolve denied or rejected Medi-Cal claims</li><li>Prepare and submit timely appeals for denied claims, including supporting documentation</li><li>Perform follow-up with payers and patients to secure payment and resolve outstanding account balances</li><li>Accurately update patient accounts and billing records</li><li>Collaborate with clinical and administrative teams to gather documentation, clarify billing issues, and improve revenue cycle processes</li></ul><p><br></p>
We are looking for an experienced Workers’ Compensation Senior Claim Representative to join our team in Los Angeles, California. In this role, you will oversee the management of workers’ compensation lost time claims, ensuring compliance with statutory regulations and delivering exceptional customer service throughout the claims process. This is a Long-term Contract position requiring strong analytical, communication, and organizational skills.<br><br>Responsibilities:<br>• Manage all aspects of workers’ compensation lost time claims from initial setup to resolution, maintaining high standards of customer service.<br>• Conduct thorough investigations to gather facts, obtain statements, and assess compensability of claims.<br>• Administer statutory medical and indemnity benefits promptly and accurately throughout the duration of each claim.<br>• Collaborate with attorneys to oversee hearings and manage litigation processes effectively.<br>• Establish and adjust reserve amounts for medical, indemnity, and related expenses within authority limits.<br>• Coordinate with vendors, nurse case managers, and rehabilitation managers to ensure optimal medical management and return-to-work initiatives.<br>• Prepare detailed reports documenting investigation outcomes, claim settlements, denials, and evaluations.<br>• Ensure compliance with state regulations by accurately filing workers’ compensation forms and electronic data.<br>• Refer claims for subrogation and facilitate recovery opportunities by securing necessary documentation.<br>• Work closely with internal teams, including Technical Assistants and Special Investigators, to exceed customer expectations and deliver superior claims handling.
<p>We are looking for an experienced Workers’ Compensation Senior Claim Representative to join our team in Los Angeles, California. In this role, you will oversee the management of workers’ compensation lost time claims, ensuring compliance with statutory regulations and delivering exceptional customer service throughout the claims process. This is a Long-term Contract position requiring strong analytical, communication, and organizational skills.</p><p><br></p><p>Responsibilities:</p><p>• Manage all aspects of workers’ compensation lost time claims from initial setup to resolution, maintaining high standards of customer service.</p><p>• Conduct thorough investigations to gather facts, obtain statements, and assess compensability of claims.</p><p>• Administer statutory medical and indemnity benefits promptly and accurately throughout the duration of each claim.</p><p>• Collaborate with attorneys to oversee hearings and manage litigation processes effectively.</p><p>• Establish and adjust reserve amounts for medical, indemnity, and related expenses within authority limits.</p><p>• Coordinate with vendors, nurse case managers, and rehabilitation managers to ensure optimal medical management and return-to-work initiatives.</p><p>• Prepare detailed reports documenting investigation outcomes, claim settlements, denials, and evaluations.</p><p>• Ensure compliance with state regulations by accurately filing workers’ compensation forms and electronic data.</p><p>• Refer claims for subrogation and facilitate recovery opportunities by securing necessary documentation.</p><p>• Work closely with internal teams, including Technical Assistants and Special Investigators, to exceed customer expectations and deliver superior claims handling.</p>
