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claims in Orange County

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  1. Pharmacy Tech/Customer Service Representative

    Adecco has partnered with a well-known, stable healthcare company in need of several pharmacy technician customer service representatives. MUST have valid pharmacy technician certification. Experience required:* MUST have experience as a pharmacy technician. 1-2 years is preferred. We will consider resumes with completed internships that also have a solid customer service background. * MUST have experience doing customer service. Duties will include: * Answer incoming calls; assisting customers ...

  2. Customer Service Representative - Call Center

    Adecco is assisting a well-known, stable health care company in their search for several Customer Service Representative - Call Center in Costa Mesa, CA. We are looking for customer-focused associates with great communication skills. This is a great opportunity to get your foot in the door at a stable and profitable company. While we cannot promise permanent employment, this company has a history of hiring the best of the best of the contract associates. Apply Now if you meet the requirements below!A ...

  3. Medical Collector / AR Representative (Workers Comp)

    Position Summary: Are you an experienced Accounts Receivables Representative, AR Rep or Medical Collector in the Greater Anaheim Area looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your Accounts Receivables / AR / Medical Collections career by working with a Fortune 500 Revenue Cycle Management Company that provides on-going training and development? Are you interested in working for a company that offers phenomenal opportunity for networking ...

  4. Director of Purchasing (Heavy Distribution Exp.)

      ~~Position Summary: The Director of Purchasing is responsible for the administration of all daily activities of the purchasing and quality control department. Demonstrates integrity and ethics in all business transactions. Provides necessary instructions, guidance and assistance to purchasing agents and quality technicians. Responsible for support and participation in purchasing agreements and/or associated programs. Conducts negotiations with supply sources and works in development of contracts ...

  5. Benefits Administrator-To $65k

    ~~Administration: Design, Direct, Comply Serve as primary contact for plan vendors and third party administrators. Determine the best plan options by working with the Third Party administrators. Coordinate transfer of data to external contacts for services, premiums and plan administration. Work effectively to make sure the plans run smoothly. Investigate discrepancies and provide information in non-routine situations. •Evaluate and revise internal processes to reduce costs and increase efficiency. ...

  6. Claims Assistant / FNOL

    SUMMARY Under general supervision, provides effective, efficient, and accurate claims and customer service to insureds and claimants while confirming and inputing complete and accurate loss report information into claims software.   RESPONSIBILITIES: Take full, accurate first notice of loss statements from insureds and claimants Take recorded statements from our insured, claimant and witnesses to gather pertinent information for adjusters Send notifications to underwriting when additional ...

  7. In Need of Amazing Case Intake Specialist

    Description We’re looking for an amazing Case Intake Specialist to join our fast growing law firm. This is an hourly full-time position with opportunities for growth. The person selected will work closely with our existing team in a critical support role vetting the legal claims of prospective clients for qualification.  An ideal candidate will be a detail oriented people person who possesses the ability to multi-task, learn fast, and think critically.   Interested in applying and joining our ...

  8. Senior Medical Claims Examiner

    For details and to apply, please visit http://www.careervitals.com/j/6789741 Job Title: Senior Medical Claims Examiner Company Name: T & T Staffing Location: Orange, California Job Type: Full-Time Profession: Other Career Level: Experienced Experience: 1-2 years Education Level: High School or Equivalent Job Details: Job Description The Senior Claims Examiner analyzes and processes claims. This position is responsible for following regulatory and internal guidelines in ...

  9. Medical Claims Resolution Specialist / Customer Service

    For details and to apply, please visit http://www.careervitals.com/j/6789745 Job Title: Medical Claims Resolution Specialist / Customer Service Company Name: T & T Staffing Location: Orange, California Job Type: Full-Time Profession: Customer Service/Patient Representative Career Level: Experienced Experience: 1-2 years Education Level: High School or Equivalent Job Details: The Claims Resolution Specialist (CRS) is the first line of contact forproviders. The CRS will ...

  10. BI Reporting Developer

    The BI Reporting Developer is part of the Alignment EDW IT team and will participate in the reporting and analytics development, enhancements, and maintenance projects for both the clinical and business operations organization. As an integral member of the EDW team, the candidate will work with project teams to design, develop and deploy reporting and analytics solutions required to support a variety of operational and clinical data business needs.   General Duties/Responsibilities: (May include ...

  11. Admin Assistant-Meetings and Special Events-The Ritz-Carlton-14001A4S

    Admin Assistant-Meetings and Special Events We make stories like this possible every day. Whether we’re helping a budding chef create a favorite meal, or an anxious dad find a camera full of memories, we’re proud to welcome our guests to a home away from home. Because at The Ritz-Carlton, we never forget that we are creating guests for life. The Ritz-Carlton, Laguna Niguel, located at One Ritz-Carlton Drive, Dana Point, CA, 92629 currently has the following opportunity: Admin Assistant-Meetings and ...

  12. Cashier-Valet Parking - The Ritz-Carlton, Laguna Niguel (14001A1S)

    Cashier-Valet Parking We make stories like this possible every day. Whether we’re helping a budding chef create a favorite meal, or an anxious dad find a camera full of memories, we’re proud to welcome our guests to a home away from home. Because at The Ritz-Carlton, we never forget that we are creating guests for life. The Ritz-Carlton, Laguna Niguel, located at One Ritz-Carlton Drive, Dana Point, CA, 92629 currently has the following opportunity: Cashier-Valet Parking (14001A1S): Monitor and ...

  13. Healthcare Contracts Coordinator

    POSITION:           CONTRACT COORDINATOR INDUSTRY:         IPA GROUP DESCRIPTION:  Looking to work for a Medical Group who has a strong presence and high reputation in the Medical Industry?  Large IPA Group is seeking a professional Contracts Coordinator to support the Provider Department.  Group provides a team oriented setting, room to learn, and many opportunities for growth.  Company emphasizes community involvement, team events, and employee wellness.  Excellent Medical, Dental and retirement ...

  14. Medical Billing & Collections

    Do you enjoy working in a large team environment with opportunities to grow? Large Healthcare facility is seeking a professional Medical Collector for a temporary, possible hire opportunity within their division. The group provides a fun team environment with employee activities and rewards. Responsibilities will include assisting patients with inquires, contacting providers, patients for information, contacting insurance companies, reviewing claims, creating outstanding statements, generated ...

  15. Environmental Health & Safety Leader "NEEDED"

    We are looking for experienced EHS Leader to develop, implement and maintain environmental, health & safety programs to comply with local, state and federal regulations. • Manage hazard control and accident prevention programs. • Maintain accurate records of all environmental, health and safety activities, including all required regulatory reporting information and data. • Maintain all required environmental registrations, certificates and permits and manage activities to support compliance to such ...

  16. Workers Compensation Specialist (Temp Assignment)

    The Workers' Compensation Claims Specialist is responsible for proactively managing and finalizing cases to protect the interest of the injured employee and client; timely and accurate claims processing of all client claims from filing to closure in accordance with the company's best practices and state regulations. In addition, the Claims handler will work closely with the injured employees, insurance claims personnel, medical providers, and defense and applicant attorneys. Negotiate settlements to ...

  17. Vice President of Operations

    NW Recruiters is seeking a Vice President of Operations. This role will be responsible for providing leadership and direction for operating units at the company including the Customer Care Center, Claims and Enrollment. Under the direction of the COO, the VP of Operations is responsible for articulating and implementing the vision and strategy for the Operations division that enables the company to achieve its business strategies and goals.   Key Functions/Responsibilities: Ensures departmental ...

  18. Medical Claims Examiner

      This firm places an emphasis on family-centered medicine, with physicians specializing behavioral health. This position also processes routine EDI claims files by reviewing, coding and inputting data into information system using standard policies, procedures and guidelines. Responsibilities also may include assisting the Claims Manager and/or Assist Supervisor in monitoring workflow for the claims processors in the team as well as handling more complicated claim issues and answering questions ...

  19. Customer Service Representative

    Maxim Healthcare Services is one of the leading providers of medical staffing, home health and wellness services in the United States. We are currently seeking Customer Service Representatives. General Duties: Answers incoming calls; assists customers/pharmacies/physicians with orders and reorders, benefit eligibility questions and prescription status inquiries. Escalates drug related calls to appropriate pharmacist. Assist pharmacies and members on all issues related to processing of pharmacy ...

  20. Vice President of Operations

    NW Recruiters is seeking a Vice President of Operations. This role will be responsible for providing leadership and direction for operating units at the company including the Customer Care Center, Claims and Enrollment. Under the direction of the COO, the VP of Operations is responsible for articulating and implementing the vision and strategy for the Operations division that enables the company to achieve its business strategies and goals.   Key Functions/Responsibilities: Ensures departmental ...

  21. Customer Service & Showroom Representative

    Summary This position is responsible for efficient and effective customer service on the phone, via email as well as in the design showroom.   Key Responsibilities Customer Service Be the first point of contact for the customer service function via the phone/email. This includes the following duties: Primary phone coverage from 8:00 to 5:00. If this is not possible, must advise co-worker for coverage. Promote company products and services Secure sales and invoice collection Outline ...

  22. Telecommunications Zoning Specialist - MUST have Telecom experience!!!

     Essential Job Functions • Review applications and real estate documents requiring consents, additional land and any other property restriction impacting customer/tower Negotiate and obtain required consents and additional land within current cycle time expectations. • Review zoning regulations in support of new customer applications and attend project meetings as needed keeping the district informed of zoning documentation needed from customer. • Communicate with and resolve Property Owner issues ...

  23. Safety and Workers Compensation Manager

    We are seeking a Workers Compensation Manager for our headquarter office in Irvine, CA. Reporting to the VP of HR, you will play a lead role in managing the Workers’ Compensation nationally in an efficient and cost effective manner including injury management and injury prevention. Success will be achieved through the effective management of multiple stakeholders throughout this process. You will plan, organize, administer and oversee the Workers’ Compensation program including reviewing and ...

  24. Sales Account Rep (Inside) - Metals a Must - 50k + Commission

    We are seeking an aggressive, self-motivated career Sales Account Representative (Inside) for our Cypress branch office to sell and build relationships with new and existing accounts in Central and Southern California. If you have previous inside sales experience in steel distribution, fabrication or industrial material sales, we invite you to submit your resume for consideration. We are offering a competitive compensation package that includes a base salary, commission/bonus and full benefits ...