The CKM Recruitment Team is currently seeking a Property Field Adjuster for a field territory covering the the territory from Ventura, CA to Burbank, CA. In this role you will be handling investigating, evaluating, negotiating residential property claims using Xactimate. Ideal candidate must have exceptional computer and customer service skills, self-starter and willing to travel 50% within assigned territory
2+ Years Handling Homeowner/Property Claims
Field Claims Experience ...
$80K - $90K + 5% discretionary bonus + full benefits + 401K
The Senior Cisco IP Telephone Reporting Analyst (Sr. Claims Reporting Analyst) will create and maintain reports supporting all functional areas of claims production, adjustments, recoveries, auditing, compliance and KPI in utilizing Cisco IP Telephone Reporting. This position requires advanced knowledge of Cisco IP Phone Systems in addition to strong Excel and MS Access. This role extracts and manipulates data to build the necessary ...
$80K - $90K + 5% discretionary bonus + full benefits + 401K
The Senior Claims Reporting Analyst will create and maintain reports supporting all functional areas of claims production, adjustments, recoveries, auditing, compliance and KPI utilizing SSIS, SSRS, SSAS, SQL, MS Access and EXCEL. This role focuses on improving exception data/items that do not automatically get processed for payment. This position requires strong Excel, SQL, MS Access and Microsoft Business Intelligence skills.
Director of Reimbursement
General: The Director of Reimbursement is responsible for the planning, organizing, directing, monitoring, training, and the overall accountability for the accounts receivable department and its staff.
To: The Director of Reimbursement is responsible to the CFO, who appoints him/her the authority and responsibility to execute the day-to-day projects and responsibilities of the department.
Reports to: Chief Financial ...
General : The Collection Specialist is involved and in daily contact with insurance companies regarding collection account activities.
Responsibilities and Duties:
• Understands the rules, regulations, appeal process and timely filing regarding insurance billing coverage and collection process.
• Understand payer determination, contract fees, covered or non covered items, diagnosis, modifiers, valid HCPC, prescriptions, authorization, eligibility, etc.
• Records each transaction worked on a daily ...
The Government Biller is responsible for the accurate and timely billing and collections of claims to government intermediaries and/or secondary payers. This position monitors and/or corrects submitted claims to ensure accurate reimbursement of all claims. The employee is expected to be familiar with current regulatory requirements, electronic and hard copy billing, and UB04 billing format.
This position requires the full understanding and active participation in fulfilling the mission ...
SUMMARY: Respond accurately and promptly to telephone inquiries regarding bill adjudication, fee schedule allowances, IBR process, and appeals process.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned:
• Expected to take 6 calls per hour/48 calls per day to meet the set standard of production.
• With the average speed of answer (ASA) of 30 seconds and an abandonment rate of 3%.
• Expected to reach the goal of 20 minutes of after call work per day.
• Call ...
Workers Comp Call Center Expert a MUST!!!!!
We currently have an exciting, career opportunity for a Workers Compensation Customer Service Representative - Medical Bill Review, located in our Torrance or Riverside location.
They are responsible to respond accurately and promptly to telephone inquiries regarding bill adjudication, fee schedule allowances, IBR process, and appeals process.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:
• Expected to take 6 calls per hour/48 calls per ...
This position is responsible for the processing and disbursing the monthly housing assistance payments to the owners.
The qualified candidate in this position reports directly to the Assistant Director and indirectly to the Director. The Voucher Processor will verify and certify accuracy of monthly vouchers, with in Housing and Urban Development (HUD) required timeframes; disburse monthly voucher payments to owners; monitor owner’s compliance of entries of ...
This position is responsible for the oversight/review of staff’s work product. Ensures accuracy and timeliness of information and documentation. May be assigned to perform quality assurance over one or more areas.
The qualified candidate in this position reports directly to the Assistant Director and indirectly to the Director. The Quality Assurance Analyst performs in depth quality control review of contract renewals, rent adjustments, and amendments ...
Description: Duties to include but not limited to conducting claims processing audits and ensure Participating Provider Group (PPGs) or IPAs meet the regulatory requirements for processing claims. Tracks and monitors the PPG/IPA’s corrective action plan. Assists in internal claim audits and processing of claims adjustments and/or provider disputes claims.
Qualification: Candidate must have a minimum education AA degree and/or 4 -5 yrs medical claims processing experience in HMO setting & claims ...
Every day All Medical Personnel helps exceptional people like you find positions with outstanding medical and healthcare organizations. Whether you desire the flexibility and diversity of temporary assignments or are seeking a full-time career challenge, we can help you find the perfect position where your skills and experience will be appreciated and showcased. Our clients include local medical offices, regional hospitals, and Fortune 1000 businesses nationwide.
Medical Billing ...
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