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Are you an experienced Claims Analyst with a desire to excel? If so, then Talent Software Services may have the job for you! Our client is seeking an experienced Claims Analyst to work at their company in San Diego, CA. Primary Responsibilities/Accountabilities: • Minimum of 3 years of experience in general liability, bodily injury, motor vehicle accidents, and/or subrogation insurance work., • Investigate, analyze, and pursue recovery against entities that damage company facilities, property, equipment, and/or facilities., • Involvement in general liability claims, including investigation, analysis, and determination of the extent of the insurance company's liability concerning personal, casualty, bodily injury, loss of business, or property loss or damages, and attempt to effect settlement with claimants., • Oversee claims processing and payments to third-party providers, monitor charges, and verify correct payment of claims., • Send denial letters on claims and follow-up requests for information., • Set up claims, review payment reports for accuracy and compliance. Preferred: • Experience in subrogation, motor vehicles, personal injury, and property damage., • Preferred companies: Geico, State Farm, Farmers, Client, Progressive, etc., • Bachelor's degree preferred, but years of experience can be a substitute., • Minimum of 3 years of experience required., • Ability to communicate clearly and simplify complex situations., • Good writing skills., • Ability to influence and negotiate.

At Gentle Dental, our Business Managers are committed to and passionate about their office. They ensure that their office runs smoothly from open to close. In partnership with a Director of Operations and an Area Clinical Director, the purpose of the Business Manager is to ensure that our dental practices provide exceptional service to our patients, create a positive team based culture for our employees, and support the overall performance of the office. Job Location: Gentle Dental Sorrento Valley 11230 Sorrento Valley Rd. Suite 130 San Diego, CA 92121, USA Pay Information: $24.00 - $35.00 per hour/DOE Duties & Responsibilities: • Evaluate and review office production and procedures to develop new ways to improve efficiency with office operations, patient retention and profitability., • Analyze and organize office operations and procedures, including but not limited to, bookkeeping, invoice processing, cash control, preparation of payrolls and other administrative duties., • Organize the day to day operations of the office; schedule an appropriate number of team members to ensure all providers are supported, conduct team huddles daily, collaborate with providers by proactively monitoring the flow of the office and making adjustments as necessary, • Collect payments from patients on any amount that may be owed, including current treatment being performed as well as past due balances; handle payments in accordance with the Company’s Cash Handling Policy, • Review production reports and communicate results with the team to make sure the office’s budget is met or exceeded every month, • May act as a backup to the front office team; schedule and confirm appointments, answer the telephone, assist with patient questions, enter and present treatment plans, submit accurate insurance claims, collect patient balances, • Address patient complaints in a timely and compassionate manner, including escalated patients, • Act as a subject matter expert on the insurance plans accepted by the Company, including their limitations and exclusions, • Recruitment, retention and termination of staff, work with HR to assess, investigate and resolve employee issues., • Maintain advanced knowledge of software systems to compile, store and retrieve data for managerial reporting., • Ensure compliance with all relevant state dental laws, ensure a safe work environment by complying with all local, state and federal health and safety regulations and laws, and ensure compliance with office and company policy and procedures., • Previous Dental or healthcare management experience preferred but not required, • Must have excellent verbal and written communication skills., • Employee Assistance Program, • Medical and pharmacy, dental, vision (for employees and their families), • Basic life, AD&D, and long-term disability insurance, • 6 Paid holidays and 2 Paid floating holiday, • PTO (80 hours per year for hourly), • 401k plan and deferred compensation plan, • CE credits, • Career opportunities to advance with the company. Gentle Dental has the resources you need to achieve true personal and career success. Education Preferred • Bachelors or better

American Specialty Health Incorporated is seeking a Data Entry Coordinator to join our Finance department. This position will provide data entry and clerical support to the Finance Department in the completion of tasks required to support team and department goals and objectives. Hourly Salary RangeAmerican Specialty Health complies with state and federal wage and hour laws and compensation depends upon candidate's qualifications, education, skill set, years of experience, and internal equity. $17.84 to $20.00 Hourly Wage Range. Onsite Requirement This position requires full-time onsite office work. Responsibilities • Provides data entry/clerical support for the Finance Department. Heavy data entry of check information in Excel required., • Opens, separates and sorts large volumes of checks and performs analysis to determine the proper entity and bank account for deposit., • Logs checks received in Excel spreadsheets and then performs manual confirmation of amounts entered., • Uses IHIS program to identify the entities of checks without proper entity designation., • Prepares checks for deposit and takes them to the individual remotely depositing checks. Assists depositor with balancing deposits when needed., • Compiles the Explanation of Benefit letters and notifies Claims Supervisors via email for pick-up., • Uses IHIS program to research refund checks from practitioners, codes them accordingly, scans and emails copies of the checks to Claims department., • Creates letters to return misdirected checks to Third Party Administrators, members and practitioners., • Retrieves afternoon packages from Shipping and distributes them to the Finance Department., • Organizes and distributes Finance mail., • Responds to check inquiries from the Claims Department using the finance logs and verifies deposit status., • Maintains list of CBR related payors including contact information and performs outreach to individual payors to identify payors who may be eligible to pay by EFT., • Provides administrative support to the Finance department., • Makes copies, prepares mailings, faxes reports, and scans financial documents., • Sets up and maintains files and binders as requested., • Assists in the creation of a variety of documents for presentations and/or financial filings., • High school diploma required., • Minimum one year of heavy data entry experience with 10 key and word processing with a minimum of 8,000 key strokes per hour required., • Minimum of one year general office experience including administrative support and project management., • Computer skills to include Microsoft Outlook, Word, and Excel., • Demonstrated ability to interact in a positive, respectful manner and establish and maintain cooperative working relationships., • Ability to display excellent customer service to meet the needs and expectations of both internal and external customers., • Excellent listening and interpersonal communication skills to identify critical core competencies based on success factors and organizational environment., • Ability to effectively organize, prioritize, multi-task and manage time., • Demonstrated accuracy and productivity in a changing environment with constant interruptions., • Demonstrated ability to analyze information, problems, issues, situations and procedures to develop effective solutions. Primarily sedentary, able to sit for long periods of time. Physical Requirements Ability to speak, see and hear other personnel and/or objects. Ability to communicate both in verbal and written form. Ability to travel within the facility. Capable of using a telephone and computer keyboard. Ability to lift up to 20 lbs. Environmental Conditions Usual office setting. American Specialty Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to sex (including pregnancy, childbirth, related medical conditions, breastfeeding, and reproductive health decision-making), gender, gender identity, gender expression, race, color, religion (including religious dress and grooming practices), creed, national origin, citizenship, ancestry, physical or mental disability, legally-protected medical condition, marital status, age, sexual orientation, genetic information, military or veteran status, political affiliation, or any other basis protected by applicable local, federal or state law. Please view Equal Employment Opportunity Posters provided by OFCCP ___. If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact our Human Resources Department at (800) 848-3555 x6702. ASH will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company's legal duty to furnish information. #LI-Onsite #Dataentry #Typing #10key #Admin

Position: Claims Analyst (Level I) Location: San Diego, CA 92123 Shift: Monday–Friday | 8:00 AM – 5:00 PM Duration: 2‑Year Contract (Extension or Permanent Hire Based on Performance & Experience) 🔍 About the Role We are seeking an experienced Claims Analyst (Level I) to support claims investigation, recovery efforts, and general liability claim handling. This role requires hands‑on experience with general liability, bodily injury, motor vehicle accidents, and/or subrogation claims. The ideal candidate is detail‑oriented, analytical, and comfortable managing claims from setup through resolution while ensuring accuracy and compliance. ✅ Key Responsibilities • Investigate, analyze, and pursue recovery against third parties that damage company facilities, property, or equipment, • Support general liability claims by investigating incidents and determining insurance liability related to:, • Bodily injury, • Casualty losses, • Property damage, • Loss of business, • Work toward fair and timely settlements with claimants when applicable, • Oversee claims processing and payments to third‑party providers, • Review charges and validate accuracy and compliance of claim payments, • Prepare and send claim denial letters and follow‑up requests for additional documentation, • Set up new claims and review payment reports to ensure correctness and policy adherence 🎯 Required Qualifications • Minimum 3 years of experience in:, • General liability claims, • Bodily injury claims, • Motor vehicle accident (auto) claims, • Subrogation insurance work, • Strong knowledge of claims investigation and payment review processes, • Experience working with insurance carriers and third‑party providers, • Excellent analytical, documentation, and communication skills 🌟 Why Join Us? • Long‑term contract with potential for extension or permanent hire, • Stable daytime work schedule, • Opportunity to work on diverse and impactful claims, • Collaborative and professional work environment

Job Description Psychiatric Qualified Medical Evaluator (QME, MD or DO ONLY) Contractor Position in California We are seeking highly trained, thoughtful, and collaborative psychiatrists to join our group as Psychiatric Qualified Medical Evaluators (QMEs). This independent contractor role is ideal for psychiatrists interested in flexible, well‐compensated medical‐legal work in California. This position offers tremendous flexibility, with a time commitment ranging from as little as 2 cases per month to 2–3 cases per week, depending on your availability and interest. We are the only psychiatry‐specific QME group in California and one of the few physician‐owned medical‐legal management companies. We support psychiatrists in developing deep expertise in psychiatric medical‐legal evaluations while managing every aspect of the administrative process as you build your QME practice. Role Structure In California, the workers’ compensation system chooses impartial physicians in their specialty fields to provide expert opinion for work injury claims. Experts have the freedom to assess cases without bias to provide a fair analysis of all aspects of injured workers and their claims. Psychiatric QME work is meaningfully different from traditional clinical practice. In this role, physicians serve solely as medical‐legal experts and are not responsible for treatment. There is no prescription management, no follow‐up clinical care, no patient calls, and no after‐hours responsibilities. Interviews of injured workers are primarily conducted in person although a percentage of cases may be conducted via telehealth when permitted by the parties to a case. All report writing is completed independently, on your own schedule and in the location of your choosing. Requirements to Apply • MD / DO only, • Board‐certified in Psychiatry or board‐eligible (ACGME‐accredited residency), • Active California medical license, • Strong written communication skills, • Ability to commute to selected office locations in your region (highly flexible), • Curiosity about the medical‐legal world and interest in mentorship After review of your CV and an online interview, we will invite qualified applicants to begin the process of QME certification with our support. The Division of Workers’ Compensation offers the Qualified Medical Evaluator examination twice a year, in April and October. The next exam will be administered on computers at Pearson Testing Centers (by appointment) between April 11th-17th, 2026. The deadline to register for the April examination is February 25, 2026. We will assist you in registering you for the examination and point you toward the materials you need to succeed. You are welcome to come into this process with no preexisting forensic knowledge or experience. We offer optional, flexible office hours to review exam topics, e.g., the structure and organization of the workers’ compensation; the meanings of key concepts related to industrial injuries; the evaluation of an industrial injury and permanent disability; the ethical and practical duties of a QME as a participant in the system; evidence-based decision-making; and medical-legal report requirements. QME Appointment also requires completion of a medical-legal writing course; many are offered online, primarily asynchronously. We can assist you in registering for a course before or after the examination. Compensation • Competitive per‐case compensation, averaging ~$3,500 per initial evaluation Our co‐founders, Drs. Alexis and Patrick Link, provide: • Structured psychiatric report templates that guide physicians through the medical‐legal psychiatric interview and decision‐making process, helping ensure clear, thorough, and defensible reports for industrial psychiatric injury cases, • Unlimited mentorship, including optional review and editing of QME reports, • Preparation for deposition testimony, an uncommon but important aspect of QME work Our experienced staff manages the full administrative burden of medical‐legal work, including: • Case coordination and all communication with attorneys, carriers, and injured workers, • Flexible scheduling based on your availability, • Processing and submission of all documentation required under the California Labor Code and California Code of Regulations, • Record collection and organization, including professionally prepared word‐for‐word document transcriptions, • Appointment confirmation for all parties, including interpreters, • Professional and comfortable office space throughout California, • A dedicated evaluation coordinator for each case to support injured workers and physicians, • Administration and scoring of psychological testing, including the MMPI‐3, • Billing and collections, with guaranteed pay, • We do not outsource administrative work to call centers. All correspondence is handled by our experienced in-house team., • We prioritize accuracy, regulatory compliance, and defensibility through professional human transcription rather than automated record processing.

Job Description At TURN our mission is Improving Lives. Our organization embraces the tenets of client-centered care, and our core values People, Culture and Growth are at the forefront of everything we do. We hire exceptional individuals seeking meaningful opportunities in a purpose-driven environment. JOB SUMMARY The Financial Analyst supports the fiscal health of behavioral health programs by preparing funder invoices, analyzing cost and production data, and ensuring compliance with contract and audit requirements. This role serves as a key liaison between Finance, Program Operations, and external funders. RESPONSIBILITIES Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job. • Analyze cost and production data to communicate results to Program Managers and Vice Presidents., • Recommend actions by analyzing and interpreting data and making comparative analyses; studying proposed changes in methods and production., • Develop, review, and track all program budget information ensuring contract compliance., • Responsible for preparing and processing adjusting journal entries when necessary., • Create templates and spreadsheets as necessary to facilitate data collection and accurate data presentation., • Produce monthly contract reimbursement claims for submission to contracting authority for payment of contract funds., • Ensure readiness for fiscal audits and support timely, accurate responses., • Respond to fiscal questions from program staff, Executive Management and contracting agency personnel., • Develop and maintain effective liaison with assigned contract monitor and Division/Program personnel., • Coordinate with MHS Cash Management and funding agency personnel to ensure proper posting of cash receipts and timely payment., • Reconcile transactions by comparing and correcting data., • Comply with all TURN and program rules, policies and procedures including HIPAA standards. QUALIFICATIONS • Bachelor’s degree in Finance, Accounting, or a related field., • Minimum of 3 years of financial analysis and/or accounting experience., • Working knowledge of GAAP and the main elements and drivers of the income statement, balance sheet, and statement of cash flows., • Experience with Accounting Information Systems, preferably Netsuite., • Advanced proficiency in Microsoft Excel, including lookup functions, pivot tables, and macros., • Advanced MS Windows-based operating system skills, including Office 365., • Understanding of Revenue Cycle Management., • Familiarity with government or grant-funded programs (e.g., Medi-Cal, MHSA, HUD) preferred., • Excellent verbal and written communication skills., • Ability to produce legible, clear, and concise written documentation., • Ability to work independently, problem solve and effectively collaborate with a team., • Ability to stay organized and manage various projects in a fast-paced environment. PHYSICAL REQUIREMENTS These physical demands represent what must be met to successfully perform the essential functions of this position. As mentioned above, reasonable accommodation may be made for qualified disabilities. ☒ Seeing ☒ Hearing ☒ Speaking ☒ Stooping/Bending ☒ Working in cramped spaces ☒ Moving around facility ☒ Moving between offices/clients ☒ Driving – light errands ☐ Climbing ☒ Lifting/carrying heavy items ☐ Driving – in the course of job duties ☐ Using hands/fingers ☐ Pushing/pulling/dragging items ☒ Standing for long periods ☒ Sitting for long periods ☐ Working outside/underground OTHER DUTIES This job description isn’t a comprehensive list of activities, duties or responsibilities required for this job. Duties, responsibilities, and activities may change at any time with or without notice. TURN is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), gender, gender expression, gender identity, sexual orientation, marital status, medical condition, military or veteran status, national origin, race, religious creed, and sex (includes pregnancy, childbirth, breastfeeding, and related medical conditions).

Job DescriptionBenefits: • 401(k), • 401(k) matching, • Dental insurance, • Health insurance, • Paid time off Work Location: San Diego (Carmel Valley) Region: San Diego, CA Status: Full-time on-site. Opening: April, 2026 - Immediate Project Overview: These positions will support the the I-5 Project from Camino De La Plaza to Via De La Valle under Caltrans District 11. The selected candidates will supplement Caltrans staff, providing office engineering support for contract administration, coordination with agency partners, and documentation of project activities. Position Description Summary Serve as Owner's representative. Office Engineer Key Responsibilities: • Prepare, review, and track Contract Change Orders (CCOs), RFIs, Submittals, and WSWDs, • Maintain and track Status of Contractor and project documentation logs, • Review daily reports and manage Extra Work Bills (EWB), • Maintain organized and compliant project files in accordance with Caltrans standards, • Prepare and track quantities (Q-Sheets) and assist with progress payment documentation, • Support labor compliance monitoring and documentation, • Coordinate with field staff, contractors, and Caltrans personnel to ensure timely document processing, • Ensure all documentation complies with Caltrans procedures, specifications, and filing protocols, • Assist in preparation of records for claims, dispute resolution, and auditsRequired Qualifications, • Recent Caltrans Office Engineer experience is required, • 3+ References from Clients / Caltrans Employees who have directly worked with you, • A minimum of six (6) years of demonstrated experience acceptable to Caltrans in highway construction office engineering or roadway construction inspection on major public works projects -- OR -- Two (2) years of education beyond high school in Engineering (including trigonometry and algebra or higher, drafting, computer science, and physical sciences), or Surveying (including trigonometry and algebra or higher, drafting, surveying, and computer science) AND a minimum of four (4) years of demonstrated experience acceptable to Caltrans in highway construction office engineering or roadway construction inspection on major public works projectsStrong knowledge of Caltrans Standard Plans, Standard Specifications, and Construction Manual, • PREFERRED Education/Licensure, • Graduation from a four-year ABET-accredited Civil Engineering or Construction Management program, • Engineer-in-Training (EIT) certificate, • Experience with:, • Pro DMS, • Lane Closure System (LCS), • Extra Work Bill (EWB) system, • Familiarity with:, • Contract administration and documentation processes, • Labor compliance and prevailing wage requirements, • Strong organizational skills with attention to detail in record-keeping and documentation, • Proficient in Microsoft Office (Word, Excel, Outlook) and Acrobat, • Ability to work independently and communicate effectively with multiple stakeholders, • Strong computer skills, including Microsoft Office., • Ability to work independently and communicate effectively with multiple stakeholders., • US Employment Authorization without needing sponsorship, • See Education/Training requirements, • Excellent written and oral communication skills, • A valid Drivers License and compliance with PACIFICs Vehicle Policy

Job Description Join Our Team and Elevate Your Career! Jasmine Corona Insurance Agency, Inc., located in San Diego, California, is looking for a confident and experienced sales professional to join our growing team! In this part or full-time role, you will be responsible for selling and promoting our insurance products & helping customers find the right coverage to meet their needs. We are a dedicated and driven team that prioritizes exceptional customer service, and we are looking for a motivated individual who shares our passion. What We Offer: A dynamic and supportive team environment Opportunities for career growth and development Competitive production-based compensation and benefits No max to earnings & no territory limitations What We're Looking For: Sales experience A positive attitude and strong communication skills Ability to build relationships and provide outstanding customer service If youre ready to take your sales career to new heights, apply today! Benefits Annual Base Salary + Commission + Bonus Opportunities Mon-Fri Schedule Weekly Team Meetings Paid Time Off (PTO) Hands on Training Evenings Off Flexible Schedule Career Growth Opportunities Responsibilities • Meet production goals by writing new policies & marketing to our current book of business., • Identify cross-sell and up-sell opportunities, including financial & life products, in every customer interaction., • Ensure compliance by following all underwriting, rating, and regulatory guidelines., • Stay up to date with new products and services to provide accurate information., • Develop insurance quotes, conduct sales presentations, and close sales effectively., • Manage customer policy change requests promptly and accurately., • Secure all required trailing documents from customers., • Handle incoming claims calls and provide timely follow-up., • Complete Evidence of Insurance requests as needed., • Proactively ask for referrals and explain the referral program to customers., • Serve first mentality, • Possess a genuine willingness to learn, be intuitive and resourceful and be coachable., • Be a confident self-starter with a sense of urgency., • Proficiency to multi-task, follow-thru and follow-up., • Excellent Communication/interpersonal skills., • Works well independently., • Prior Sales Experience., • Professional phone etiquette., • Follow through and exceed current and prospective client expectations., • Problem-Solving Capabilities., • Works well with other employees and is a team player with a positive attitude., • A Property & Casualty insurance license is required., • Successful sales background., • Ability to tactfully handle stressful and difficult situations., • Strong communication and negotiation skills., • Minimum 1 year prior sales experience preferred., • Previous work experience in sales, marketing, promotions or telemarketing., • Knowledge of sales and marketing principles and strategies., • Bilingual, fluent in both English and Spanish is beneficial., • Ability to take initiative, be proactive, and think outside the box., • Ability to adapt to change, learn new things quickly, and work in a fast-paced environment., • Ability to lead and motivate others, set a good example, and inspire others., • Ability to identify and solve problems, think critically, and make decisions quickly.

Job DescriptionBenefits: • 401(k), • Dental insurance, • Health insurance, • Paid time off, • Competitive Compensation, • Great Work Environment Responsibilities • Process medical billing and follow up on claims with Medi-Cal and managed care payors, • Audit and evaluate clinical documentation and billing records to ensure they are accurate, timely, clinically appropriate, justify medical necessity for Medi-Cal reimbursement, and comply with all State and County documentation and billing requirements., • Run reports from the designated electronic health record (EHR) to assist program in complying with County and state documentation and billing requirements, perform data validation, and conduct quality control checks., • Provide oversight and track all billing and coding corrections to ensure accurate and timely billing for designated program/ program staff., • Interpret and apply complex insurance contract terms to determine appropriate reimbursement, • Work closely with clinical staff, programs and billing department to resolve billing issues and ensure smooth operations., • Serve as a Medi-Cal billing expert for CRF program staff. Provide consultation and feedback to program management and direct care staff regarding accurate billing and documentation practices., • Verify patient insurance eligibility and benefits for Medicare and Medi-Cal., • Provide updates to management on claim billing status, trends and outstanding errors., • Maintain a high level of confidentiality., • Review, correct, and submit complex claims with a focus on accuracy, timeliness, and payer-specific requirements., • Track and analyze denial rates, initiating corrective actions to reduce rejections and improve reimbursement., • Accurately code and post Medicare Remittance Advice, ensuring complete and compliant documentation., • Analyze reimbursement trends, payer behavior, and billing performance to identify opportunities for revenue enhancement., • Deliver actionable insights and strategic recommendations to senior leadership through data-driven reporting., • Partner with finance and compliance teams to ensure billing data aligns with broader organizational metrics and goals., • Ensure full adherence to HIPAA, CMS, Medi-Cal, and other payer-specific regulations., • Serve as a subject matter expert on billing regulations, payer requirements, and industry best practices.Qualifications, • Experience in Behavioral Health medical billing, particularly with Medi-Cal and managed care, • Strong analytical and problem-solving skills, • Previous experience with medical coding, • Highly detail-oriented and organized, • Knowledge of healthcare billing, payer requirements, and insurance claim processing, • Familiarity with healthcare IT systems, including interfaces and integrations., • Strong communication and interpersonal skills.Experience: 3-5 years of experience in a mental health setting, including one year of experience generating reports, data analysis, auditing, and compliance. Education Required: • High School diploma or equivalent required

Job Description Our growing Ophthalmology practice has a vacancy for a Full Time Biller/ Coder role. This role will work on-site in our Chula Vista location and provide billing support to the corporate office as well as other satellite clinics. The ideal candidate has experience working in a collections role for an ophthalmology practice. This person will thrive in a busy, fast-paced environment and can multi-task while keeping a superb professional demeanor. The role will report to the Billing Manager. What do we need? We are seeking a talented and proficient Claims Denial Resolution Specialist/ Coder to join our growing team. At American Eye Associates we provide our Specialists the opportunity to learn, be challenged, and grow your career within the Revenue Cycle industry. Ideal candidates will possess claims processing experience and a competitive desire to maximize returns. What will you provide? · Understanding and proficient use of medical billing guidelines and regulations. Knowledge of regulations as set forth by CMS, OIG, commercial insurances and other regulatory agencies. · Knowledge of CPT, ICD-10, and HCPCS codes, as well as appropriate modifier usage for Coding and billing · Experience with healthcare receivables, insurance claims, denial, and appeal processing · Uses Allscripts work queues to track # claims touched and outstanding claims to process · Recognizes when additional assistance is needed to resolve claims and escalates appropriately and timely through defined communication and escalation channels. · Meets quality assurance and productivity standards for timely and accurate denial resolution in accordance with organizational policies and procedures. · Maintains strict confidentiality regarding Patient Health Information (PHI) as well as follows HIPAA regulations. · Submit appeal to insurances and medical groups · Answer and review pertinent insurance correspondence to insure complete and accurate reimbursement on claims · Knowledge and skill navigating insurance portals · Willing to work on-site Our organization offers excellent benefits to include 100% paid employee health insurance premiums, low cost dental and vision options, life insurance, disability, 401k, paid holidays, paid vacation and sick time accruals, fun holiday events and gatherings and more!

Job Description:\n\nJob Description COMPENSATION: Salary: $74,880–$91,520 annually This represents the good faith estimate of the annual salary range we reasonably expect to pay for this position upon hire, based on the selected candidate’s experience, education, skills, internal alignment, and overall business needs. In select cases, and depending on market conditions or exceptional candidate qualifications, compensation may exceed this range, provided it aligns with applicable law and our compensation policies. Additional information about our compensation scales is available at: . SUMMARY: Responsible for administering and ensuring compliance with the organization’s employee benefits programs. Oversees accurate and timely processing of health and welfare benefits, retirement plans, and leaves of absence, including FMLA, CFRA, PDL, and other legally mandated or company-provided leaves. Collaborates with the Safety Manager to file and report workers’ compensation claims. Requires strong knowledge of federal and California employment laws, CalPERS benefits administration, and regulatory reporting requirements. ESSENTIAL DUTIES AND RESPONSIBILITIES DEPENDING ON LOCATION: NOTE: The duties listed below are examples of the variety and general nature of those performed by employees in this job description. The list is descriptive only and should not be used for any other purpose. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. This is not an all-encompassing list and additional duties may be assigned based on business needs. The responsibilities listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Benefit Plan Administration Administer and coordinate all employee benefits including medical, dental, vision, life insurance, and accidental death and dismemberment (AD&D), flexible spending (FSA) and dependent care plans. Manage end-to-end benefits administration processes, including new hire enrollments, qualifying life events, and terminations, ensuring timely updates in systems, carrier portals, and the BCC and CalPERS databases. Lead the annual open enrollment process, including system configuration, employee communications, vendor coordination, and employee education sessions and benefit orientations. Act as the primary contact for employees regarding benefit eligibility, coverage, and claims resolution. Act as the primary liaison with CalPERS for pension plans ensuring compliance with CalPERS rules, regulations, and reporting requirements. Process new hire enrollments, qualifying life events, and terminations in the benefits system and with carriers. Administer voluntary and supplemental benefit programs such as 403(b), 457(b), and other deferred compensation plans, partnering with Financial Advisors and Plan Administrators to ensure compliance and fair plan offerings. Reconcile monthly billing statements, resolve discrepancies with carriers, and ensure accurate payroll deductions. Administer the tuition reimbursement program, including tracking participation, verifying eligibility, and validating receipts and coursework. Conduct periodic internal benefit audits to ensure data accuracy, regulatory compliance, and proper documentation. Maintain confidential benefits files consistent with retention and privacy requirements. Collaborate extensively with Auxiliary Organizations Association (AOA) and California State University Risk Management Authority (CSURMA)/Auxiliary Organizations Risk Management Alliance(AORMA), attend all AOA benefits meetings, and provide recommendations regarding benefit changes and enhancements. Regulatory Compliance and Reporting Ensure ongoing compliance with federal and state benefits regulations, including ACA, COBRA, HIPAA, ERISA, and related reporting requirements. Manage Affordable Care Act (ACA) administration, including eligibility tracking, measurement and stability periods, and preparation and filing of form1095. Review and in coordination with Principal, file Form 5500 and all required schedules for applicable benefit and retirement plans. Conduct regular benefit and dependent eligibility audits to maintain plan accuracy, ensure cost control, and support regulatory compliance. Support audits, renewals, and actuarial studies by preparing reports, data analyses, and responding to data requests. Serve as Chair of the Benefits Oversight Committee, leading quarterly meetings, preparing agendas, minutes, and communications, and coordinating with financial advisors and third-party administrators. Monitor benefit trends, legislative updates, and regulatory changes to proactively recommend compliance and plan design improvements. Leave Management Administer and track all leaves of absence including FMLA, CFRA, PDL, ADA accommodations, and other statutory leaves in accordance with California and federal law, ensuring full legal compliance while ensuring employees are treated with dignity and respect. Process and manage leave activity in UKG, maintaining accurate records and ensuring all required forms and workflows are current. Communicate leave rights, responsibilities, and required documentation to employees and managers. Coordinate benefits continuation, return-to-work processes, and accommodation needs in collaboration with management. Maintain confidential leave records consistent with retention and privacy requirements. Workers’ Compensation/Unemployment Administer California Workers’ Compensation claims, coordinating with third-party administrators, medical providers, and internal stakeholders. Track, document, and report workers’ compensation claims, supporting interactive process meetings and return-to-work efforts as needed. Analyze claims data and trends to recommend safety, prevention, and risk mitigation initiatives. Manage unemployment claims for both campus and Snapdragon Stadium operations, ensuring timely and accurate submissions. Coordinate with Equifax to properly challenge unemployment claims, manage appeals, and resolve discrepancies. Other Must comply with and ensure continued, consistent compliance with all company policies, and federal, state, and local laws/regulations including but not limited to: employment, safety, and health. Other duties as assigned. Job Requirements MINIMUM EDUCATION, TRAINING AND EXPERIENCE REQUIRED: Associates degree in Human Resources, Public Administration, or a related discipline, with at least 2 years of human resources experience in a similar role; prior management or supervisory experience preferred. Bachelor's degree preferred. Advanced knowledge of employee benefit programs, including health, dental, pension, Affordable Care Act (ACA) compliance, flexible spending accounts, and leaves of absence (including FMLA, CFRA, and PDL), as well as Americans with Disabilities Act (ADA) accommodation processes. An equivalent combination of education and experience will be considered. HR certification (PHR, SPHR, or equivalent extended studies) is preferred. Certified Employee Benefits Specialist (CEBS) or Certified Benefits Professional (CBP) certification is preferred; if not currently held, the ability to obtain certification within the first year of employment is preferred. Must possess excellent organizational skills and strong attention to detail, with the ability to prioritize tasks and delegate when appropriate. Requires the ability to act with integrity, professionalism, and confidentiality. Intermediate knowledge of employment-related laws and regulations is required. Proficiency with Microsoft Office Suite, Google Workspace or similar software is required, along with proficiency in, or the ability to quickly learn HRIS and talent management systems, preferably UKG. MINIMUM QUALIFICATIONS OR STANDARDS REQUIRED TO PERFORM ESSENTIAL JOB FUNCTIONS LANGUAGE SKILLS: Must be able to read, write, and understand English; Spanish proficiency is helpful. Requires the ability to follow verbal and written instructions, guidelines, and objectives. Must be able to read, comprehend, analyze, and interpret general business information, governmental regulations, and technical or trade publications. Requires the ability to prepare reports and communicate effectively via verbal, written, and electronic means. Must be able to present information clearly, professionally, and respectfully in one-on-one, small group, and large group settings with customers, management, and employees. Excellent verbal and written communication skills are required, along with strong interpersonal, negotiation, and conflict resolution skills. MATHEMATICAL SKILLS: Strong mathematical and analytical skills required. Must be able to calculate, analyze, and interpret figures related to benefits, costs, utilization, and trends. Requires the ability to apply concepts such as percentages, ratios, and proportions to practical business situations, and to read, analyze, and interpret financial and statistical data to support decision-making. REASONING ABILITY: Ability to define problems, collect and analyze data, establish facts, draw valid conclusions, and develop effective solutions and strategies. Must be able to interpret a wide variety of information or instructions involving both defined and undefined variables. Requires the ability to understand business and financial data and develop innovative, practical solutions. Strong analytical and problem-solving skills are essential. MANUAL DEXTERITY: Requires the ability to operate a computer. Must be able to use a variety of standard office machines and equipment to perform essential job functions. PHYSICAL COMMUNICATION: Must have the ability to talk/expressing and/or exchanging ideas and hear/perceiving sounds. PHYSICAL DEMANDS: Must be able to operate computers, copy machines, and other general office equipment, including a 10-key calculator. While performing the duties of this job, the employee is frequently required to sit; handle or operate objects, keyboards, and documents; and reach. The employee is occasionally required to stand and walk/move. Must be able to move, lift, or carry materials weighing up to 25 pounds. Specific visual abilities required include close, peripheral, and color vision to support extensive reading and interpretation of reports and documents. Occasional travel to Snapdragon Stadium may be required, including walking within a stadium environment and ascending and descending stairs. WORKING CONDITIONS AND HAZARDS The position may involve exposure to food fumes or airborne particles. The employee may occasionally work near moving mechanical parts and may be exposed to varying weather conditions including hot or humid conditions, cleaning chemicals, dust, allergens and other typical operational environments. The role may also require onsite work at Snapdragon Stadium for benefit-related matters, where conditions may include loud noise levels, fireworks, crowd noise, and extreme or flashing lighting. SUPPLEMENTAL INFORMATION: The person holding this position is considered a ‘mandated reporter’ under the California Child Abuse and Neglect Reporting Act pursuant to California Penal Code Section 11166.5. BACKGROUND CHECK INFORMATION: A background check will be conducted after a conditional offer of employment is extended by the company and accepted by the applicant and must be satisfactorily completed prior to any applicant beginning work in a full-time, part-time non-student, or sensitive student capacity with Aztec Shops Ltd. Background checks will include, at minimum, verification of education and employment histories, criminal records, national sex offender registry check, and references. Additionally, based on the nature and scope of the position, the background check may also include a credit report, motor vehicle report, and verification of professional licenses. Failure to answer background check questions honestly, and satisfactorily complete the background check may affect the employment status of applicants or continued employment of current Aztec Shops employees who apply for promotional positions which require a background check. Aztec Shops Ltd. complies with all applicable federal, state and local laws, including California Fair Chance Act, when conducting background checks. Aztec Shops will consider qualified applicants with a criminal history pursuant to the California Fair Chance Act. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if Aztec Shops is concerned about criminal history that is directly related to the job, you will be given notice and an opportunity to respond and provide additional information such as rehabilitation efforts or mitigating circumstances, or information pertaining to the accuracy of the background report. Aztec Shops will consider all evidence of rehabilitation and mitigating circumstances. Find out more about the Fair Chance Act by visiting the Civil Rights Department Fair Chance Act webpage. Aztec Shops is a diverse community representing many perspectives, beliefs, and identities. We are committed to fostering an inclusive, respectful culture that promotes open communication, mutual respect, and a sense of belonging, to support the success of both our employees and students. All Aztec Shops programs and activities are open and accessible to all individuals, regardless of race, sex, color, ethnicity, or national origin, and other characteristics protected by law. Consistent with California and federal civil rights laws, Aztec Shops maintains a Nondiscrimination Policy that prohibits discriminatory preferential treatment, segregation, and all forms of unlawful discrimination, harassment, and retaliation in all programs, policies, and practices. Aztec Shops is dedicated to providing equal opportunity in employment and ensuring that no employee or applicant faces unlawful discrimination or preferential treatment based on race, sex, color, ethnicity, national origin or any other characteristic protected by law. This commitment applies to all aspects of employment, including but not limited to recruitment, hiring, promotion, compensation, benefits, training, job assignments, disciplinary actions, and terminations. Our commitment to equal opportunity ensures that every employee has access to the resources and support needed to thrive and succeed. Aztec Shops complies with Title VII of the Civil Rights Act of 1964, the Americans with Disabilities Act (ADA), Section 504 of the Rehabilitation Act, and other applicable state and federal anti-discrimination laws. For additional information about the SDSU campus policy please visit Affirming Equal Opportunity.

Greenwich Drive 6256 Greenwich Drive, San Diego, CA 92122, United States Extended Deadline: Mon 4/27/2026 ___ UC San Diego values and welcomes people from all backgrounds. If you are interested in being part of our team, possess the needed licensure and certifications, and feel that you have most of the qualifications and/or transferable skills for a job opening, we strongly encourage you to apply. Reassignment Applicants: Eligible Reassignment clients should contact their Disability Counselor for assistance. This position will work a hybrid schedule which includes a combination of working both onsite at Greenwich Drive (San Diego, CA) and remote. 3 days onsite and 2 days remote. This position will remain open until filled. The Managed Care Claims Manager is responsible for the overall leadership, strategic oversight, and operational performance of the claims adjudication process within the managed care division. This position ensures that claims and encounters are processed accurately, efficiently, and in full compliance with regulatory, contractual, and industry standards. The Manager oversees claim adjudication workflows, monitors operational trends, and implements process improvements to optimize quality, timeliness, and regulatory adherence. This position is also responsible for maintaining readiness for health plan audits, overseeing the team that responds to data requests and implementing audit-driven improvements as well as overseeing encounter submission and rejection resubmission of encounters to health plans. * Nine (9) years of related experience in medical claims processing, claim adjudication, encounter reporting, claims operations management, OR a Bachelor's degree in a related field plus five (5) years of related experience. Related experience includes supervisory or leadership experience in a healthcare claims environment (health plan, provider group, IPA, MSO, TPA, or managed care organization). * Solid knowledge of the principles, concepts, systems, processes, quality improvement plans, and best practices needed for effective and successful operations in managed care contacting. * Ability train and guide employees on techniques. * Knowledge of medical center, HR and UC policies and processes. Solid knowledge of applicable federal, state and local laws and regulations. * Demonstrated skills in employee supervision and HR administration. Leadership skills to motivate and inspire staff to improve Managed Care services. * Demonstrated ability to prioritize effectively to meet deadlines in a complex, challenging environment. * Solid organizational and customer service skills to structure unit operations and lead assigned staff in an efficient and effective manner. * Interpersonal skills to work collaboratively, coordinate and integrate with others throughout the organization. Maintains cooperative working relationships with professional and administrative staff, peers, multidisciplinary team members, management, and external managed care representatives. Ability to positively influence subordinates in conflict resolution, and knowledge of when to escalate conflict intervention. * Strong critical thinking skills, with the ability to quickly analyze and evaluate complex and difficult problems, and sensitive situations, determine appropriate level of intervention, and develop and apply effective solutions. * Solid verbal and written communication skills to explain technical Managed Care concepts, actively listen, persuade, advise, and counsel. * Strong computer proficiency in all relevant hardware, software, and specialty contract databases and applications used in the department. Ability to synthesize data and utilize computerized systems to produce meaningful reports on department operations, results, and performance. * Experience working in a delegated claim processing environment. * Experience processing claims in Epic Tapestry. * Extensive knowledge of medical claims processing across all claim types, including professional, facility/institutional, ancillary, and specialty claims. * In depth understanding of claim adjudication methodologies, including coding principles (ICD 10, CPT, HCPCS), billing guidelines, benefit structures, coordination of benefits (COB), and Explanation of Benefits (EOB) logic. * Strong working knowledge of state and federal claims regulations, including but not limited to: CMS Medicare Advantage guidelines, Commercial plan claims requirements, Timely filing laws,Interest/penalty rules, Clean claim standards, HIPAA transaction standards (837/835). * Experience overseeing claims appeals, disputes, adjustments, and reprocessing workflows. * Knowledge of encounter submissions, encounter error/rejection management, and compliance with health plan encounter reporting requirements. * Demonstrated ability to lead claims teams, including training, performance management, quality monitoring, and workflow oversight. * Strong competency in evaluating operational trends, identifying root causes, and implementing process improvements based on quality, timeliness, accuracy, and audit findings. * Experience ensuring audit readiness and responding to data requests from health plans, regulatory agencies, or internal compliance departments. * Strong analytical and critical thinking abilities to interpret complex claim rules, resolve escalated claim issues, and make operational decisions. * Ability to synthesize data, run claim related reports, and use claims processing systems and analytics tools to monitor team performance and operational results. * Excellent written and verbal communication skills to explain claims logic, regulatory requirements, and process guidance to staff and stakeholders. * Ability to work collaboratively with internal departments (billing/rev cycle, provider relations, UM, IS) and external partners such as health plans and providers. * Skilled in conflict management and knowing when to escalate complex personnel or operational issues. * Must be able to work various hours and locations based on business needs. * Employment is subject to a criminal background check and pre-employment physical. Pay Transparency Act Annual Full Pay Range: $108,100 - $204,900 (will be prorated if the appointment percentage is less than 100%) Hourly Equivalent: $51.77 - $98.13 Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. The Hiring Pay Scale referenced in the job posting is the budgeted salary or hourly range that the University reasonably expects to pay for this position. The Annual Full Pay Range may be broader than what the University anticipates to pay for this position, based on internal equity, budget, and collective bargaining agreements (when applicable). If employed by the University of California, you will be required to comply with our Policy on Vaccination Programs, which may be amended or revised from time to time. Federal, state, or local public health directives may impose additional requirements. If applicable, life-support certifications (BLS, NRP, ACLS, etc.) must include hands-on practice and in-person skills assessment; online-only certification is not acceptable. UC San Diego Health is the only academic health system in the San Diego region, providing leading-edge care in patient care, biomedical research, education, and community service. Our facilities include two university hospitals, a National Cancer Institute-designated Comprehensive Cancer Center, Shiley Eye Institute, Sulpizio Cardiovascular Center, the only Burn Center in the county, and dozens of outpatient clinics. We invite you to join our team! Applications/Resumes are accepted for current job openings only. For full consideration on any job, applications must be received prior to the initial closing date. If a job has an extended deadline, applications/resumes will be considered during the extension period; however, a job may be filled before the extended date is reached. To foster the best possible working and learning environment, UC San Diego strives to cultivate a rich and diverse environment, inclusive and supportive of all students, faculty, staff and visitors. For more information, please visit ___. The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law. For the University of California's Anti-Discrimination Policy, please visit: ___ UC San Diego is a smoke and tobacco free environment. Please visit ___ for more information. UC San Diego Health maintains a marijuana and drug free environment. Employees may be subject to drug screening. Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer. a. "Misconduct" means any violation of the policies governing employee conduct at the applicant's previous place of employment, including, but not limited to, violations of policies prohibiting sexual harassment, sexual assault, or other forms of harassment, or discrimination, as defined by the employer. For reference, below are UC's policies addressing some forms of misconduct:

Reassignment Applicants: Eligible Reassignment clients should contact their Disability Counselor for assistance. This position will work a hybrid schedule which includes a combination of working both onsite at Greenwich Drive (San Diego, CA) and remote. 3 days onsite and 2 days remote. This position will remain open until filled. The Managed Care Claims Manager is responsible for the overall leadership, strategic oversight, and operational performance of the claims adjudication process within the managed care division. This position ensures that claims and encounters are processed accurately, efficiently, and in full compliance with regulatory, contractual, and industry standards. The Manager oversees claim adjudication workflows, monitors operational trends, and implements process improvements to optimize quality, timeliness, and regulatory adherence. This position is also responsible for maintaining readiness for health plan audits, overseeing the team that responds to data requests and implementing audit-driven improvements as well as overseeing encounter submission and rejection resubmission of encounters to health plans. * Nine (9) years of related experience in medical claims processing, claim adjudication, encounter reporting, claims operations management, OR a Bachelor's degree in a related field plus five (5) years of related experience. Related experience includes supervisory or leadership experience in a healthcare claims environment (health plan, provider group, IPA, MSO, TPA, or managed care organization). * Solid knowledge of the principles, concepts, systems, processes, quality improvement plans, and best practices needed for effective and successful operations in managed care contacting. * Ability train and guide employees on techniques. * Knowledge of medical center, HR and UC policies and processes. Solid knowledge of applicable federal, state and local laws and regulations. * Demonstrated skills in employee supervision and HR administration. Leadership skills to motivate and inspire staff to improve Managed Care services. * Demonstrated ability to prioritize effectively to meet deadlines in a complex, challenging environment. * Solid organizational and customer service skills to structure unit operations and lead assigned staff in an efficient and effective manner. * Interpersonal skills to work collaboratively, coordinate and integrate with others throughout the organization. Maintains cooperative working relationships with professional and administrative staff, peers, multidisciplinary team members, management, and external managed care representatives. Ability to positively influence subordinates in conflict resolution, and knowledge of when to escalate conflict intervention. * Strong critical thinking skills, with the ability to quickly analyze and evaluate complex and difficult problems, and sensitive situations, determine appropriate level of intervention, and develop and apply effective solutions. * Solid verbal and written communication skills to explain technical Managed Care concepts, actively listen, persuade, advise, and counsel. * Strong computer proficiency in all relevant hardware, software, and specialty contract databases and applications used in the department. Ability to synthesize data and utilize computerized systems to produce meaningful reports on department operations, results, and performance. * Experience working in a delegated claim processing environment. * Experience processing claims in Epic Tapestry. * Extensive knowledge of medical claims processing across all claim types, including professional, facility/institutional, ancillary, and specialty claims. * In depth understanding of claim adjudication methodologies, including coding principles (ICD 10, CPT, HCPCS), billing guidelines, benefit structures, coordination of benefits (COB), and Explanation of Benefits (EOB) logic. * Strong working knowledge of state and federal claims regulations, including but not limited to: CMS Medicare Advantage guidelines, Commercial plan claims requirements, Timely filing laws,Interest/penalty rules, Clean claim standards, HIPAA transaction standards (837/835). * Experience overseeing claims appeals, disputes, adjustments, and reprocessing workflows. * Knowledge of encounter submissions, encounter error/rejection management, and compliance with health plan encounter reporting requirements. * Demonstrated ability to lead claims teams, including training, performance management, quality monitoring, and workflow oversight. * Strong competency in evaluating operational trends, identifying root causes, and implementing process improvements based on quality, timeliness, accuracy, and audit findings. * Experience ensuring audit readiness and responding to data requests from health plans, regulatory agencies, or internal compliance departments. * Strong analytical and critical thinking abilities to interpret complex claim rules, resolve escalated claim issues, and make operational decisions. * Ability to synthesize data, run claim related reports, and use claims processing systems and analytics tools to monitor team performance and operational results. * Excellent written and verbal communication skills to explain claims logic, regulatory requirements, and process guidance to staff and stakeholders. * Ability to work collaboratively with internal departments (billing/rev cycle, provider relations, UM, IS) and external partners such as health plans and providers. * Skilled in conflict management and knowing when to escalate complex personnel or operational issues. * Must be able to work various hours and locations based on business needs. * Employment is subject to a criminal background check and pre-employment physical. Pay Transparency Act Annual Full Pay Range: $108,100 - $204,900 (will be prorated if the appointment percentage is less than 100%) Hourly Equivalent: $51.77 - $98.13 Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. The Hiring Pay Scale referenced in the job posting is the budgeted salary or hourly range that the University reasonably expects to pay for this position. The Annual Full Pay Range may be broader than what the University anticipates to pay for this position, based on internal equity, budget, and collective bargaining agreements (when applicable).

UCSD Layoff from Career Appointment: Apply by 04/08/2026 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor. Reassignment Applicants: Eligible Reassignment clients should contact their Disability Counselor for assistance. Candidates hired into this position may have the ability to work remotely. UC San Diego Health's Revenue Cycle department supports the organization's mission to deliver outstanding patient care and to create a healthier world - one life at a time. We are a diverse, patient-focused, high-performing team committed to quality, collaboration, and continuous improvement. The Patient Biller III - Behavioral Health Billing & Follow-Up Specialist is responsible for complex hospital billing and follow-up activities with a primary focus on Behavioral Health (BH) services, including inpatient psychiatric and outpatient behavioral health claims. This role performs advanced billing, follow-up, denial resolution, and account reconciliation functions for behavioral health accounts. Responsibilities include resolving payer denials, identifying root causes, coordinating with clinical and authorization teams, and ensuring compliance with payer contracts and regulatory requirements specific to behavioral health services. The position requires expertise in payer carve-outs, mental health benefit structures, authorization requirements, and medical necessity criteria related to behavioral health services. KEY RESPONSIBILITIES: • Perform billing and follow-up for Behavioral Health (IP Psych and OP BH) accounts, • Resolve complex denials including: No authorization / late authorization, Medical necessity denials (psych criteria), Benefit misclassification (medical vs behavioral health), • Interpret payer contracts and behavioral health carve-out arrangements, • Coordinate with: Clinical RNs (for medical necessity appeals-related to medical services only), Patient Access / Authorization teams, Denials Management (related to BH/Psych), Credit/Refund Team, • Submit and track appeals through payer portals and correspondence workflows, • Identify trends and escalate systemic issues (e.g., auth gaps, payer processing errors), • Ensure compliance with: State and Federal regulations, Behavioral health billing guidelines, • Process adjustments, refunds, and credit balances as appropriate, • Maintain productivity and quality standards at an expert level, • Three (3) years of recent acute care hospital billing and collection experience., • Strong knowledge of medical insurance and State/Federal billing regulations., • Experience with Behavioral Health billing., • Experience with insurance claim appeals and denial resolution., • Knowledge of ICD-10, CPT, HCPCS coding principles., • Knowledge of UB-04 billing and revenue codes., • Understanding of payer reimbursement methodologies (DRG, per diem, case rate, fee schedule)., • Behavioral Health / Psychiatric billing experience., • Experience with: Mental health payer carve-outs, Authorization workflows for psychiatric admissions, and/or Medical necessity criteria (MCG, InterQual, or payer-specific)., • Epic Resolute experience., • Experience with payer portals (Availity, etc.)., • Prior hospital credit balance/refund experience., • Strong analytical and problem-solving skills in denial resolution., • Employment is subject to a criminal background check and pre-employment physical. Annual Full Pay Range: $61,116 - $75,982 (will be prorated if the appointment percentage is less than 100%) Hourly Equivalent: $29.27 - $36.39 Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. The Hiring Pay Scale referenced in the job posting is the budgeted salary or hourly range that the University reasonably expects to pay for this position. The Annual Full Pay Range may be broader than what the University anticipates to pay for this position, based on internal equity, budget, and collective bargaining agreements (when applicable).

Greenwich Drive 6256 Greenwich Drive, San Diego, CA 92122, United States Filing Deadline: Fri 5/1/2026 ___ UC San Diego values and welcomes people from all backgrounds. If you are interested in being part of our team, possess the needed licensure and certifications, and feel that you have most of the qualifications and/or transferable skills for a job opening, we strongly encourage you to apply. UCSD Layoff from Career Appointment: Apply by 04/22/26 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor. Reassignment Applicants: Eligible Reassignment clients should contact their Disability Counselor for assistance. This position will work a hybrid schedule which includes a combination of working both onsite at Greenwich Drive (San Diego, CA) and remote. Reporting to the Assistant Director of Risk Management, the Clinical Risk Manager serves as a consultative partner supporting UC San Diego Health's enterprise risk management program. The role is responsible for identifying, evaluating, and mitigating clinical and operational risk across the organization through proactive assessment, event investigation, data analysis, and leadership consultation. The Clinical Risk Manager collaborates with clinical, operational, and executive leadership to reduce liability exposure, enhance patient safety, support regulatory compliance, and advance system-wide risk mitigation strategies aligned with organizational priorities. Job Responsibilities: • Leads and coordinates evaluation of professional and general liability events, including multidisciplinary fact-gathering, clinical and operational analysis, and assessment of organizational risk exposure. Synthesizes findings to inform leadership decision-making and recommends system-level mitigation strategies to reduce organizational exposure., • Applies an enterprise risk management framework (ISO 31000) to support risk identification, analysis, evaluation, mitigation, and monitoring. Proactively identifies risk through structured assessments, direct observation, data trending, committee review, third party reports, legal inquires, and administrative referrals. Collaborates with stakeholders to design innovative strategies that reduce the frequency and severity of medical malpractice and patient injury claims. Integrates enterprise risk management principles into operational and clinical environments to support risk-informed decision-making across departments and leadership levels., • Assists with oversight of organizational event reporting processes to ensure effective identification, triage, and escalation of safety and liability risks. Utilizes event data to identify emerging trends, inform leadership, and support development and monitoring of mitigation strategies., • Manages and implements the organization's enterprise risk management program to advance strategic priorities and compliance with state and federal regulatory and accreditation standards. Reviews and drafts policies within the risk management domain and coordinates required reporting to regulatory authorities. Provides subject-matter expertise to leadership regarding risk implications of organizational initiatives, policy development, and regulatory requirements., • Serves as a trusted advisor to physicians, operational leaders, and administrative departments regarding clinical and enterprise risk exposure.. Evaluates emerging initiatives, operational changes, and high-risk activities to support informed organizational decision-making Participates in and partners with multidisciplinary committees to monitor and mitigate high-risk areas ., • Partners with UCSDH Office of Campus Counsel, coordinating legal consultation for staff and physicians as indicated. Develops and delivers targeted education for employees and physicians on relevant risk management topics., • Collaborates with Patient Safety, Quality/Performance Improvement, Patient Experience, and other assigned departments ensuring alignment between risk mitigation activities and organizational quality, safety, and operational goals. Participates in hospital quality and patient safety committees to integrate risk insights into system improvement efforts., • Leads or supports enterprise initiatives involving risk analytics, leadership reporting, and development of system-level recommendations to reduce organizational exposure. Participates in professional risk management organizations through presentations, committee service, and other industry engagement activities. Seven (7) years of related experience, education/training, OR a Bachelor's degree in related area plus three (3) years of related experience/training. Related experience: Healthcare risk management, clinical operations, patient safety, quality/performance improvement, or healthcare legal work. * Experience with and thorough knowledge of healthcare risk management practices, claims administration, and data analysis skills. Demonstrated ability to assess, monitor, investigate, and report. * Thorough knowledge of healthcare risk management practices, claims administration, and data analysis skills. Applies knowledge to assess, monitor, investigate, report. * Knowledge of risk management, medical center, and UC policies and processes. Thorough knowledge of relevant risk management federal, state, and local laws and regulations to identify potential compliance risks, clinical and operational implications. * Strong technical skills to analyze and identify potential risks. Ability to produce high quality work and keep commitments. Productive in work volume, speed, quality and consistency. * Proven ability to manage a project through to completion while performing a wide variety of tasks, adapting to changing priorities, deadlines and directions. * Interpersonal skills to maintain professional relationships with peers, physicians, multidisciplinary team members, and management. * Strong skills to evaluate issues and identify solutions within defined procedures and policies. Proven ability to address problems and suggest solutions through critical thinking process. * Verbal and written communication skills to explain technical risk management concepts and articulate reasoning behind own opinions. * Ability to perform all commonly applicable functions in word processing and spreadsheet software. Comprehensive knowledge of organization's risk management application programs to teach others. * Strong teaching skills. Ability to break down complex concepts in an understandable way. * Thorough knowledge of data management and documentation methods used in risk management. * Master's degree in healthcare administration, public health, nursing, law or related field. * Certification in Healthcare Risk Management (CPHRM) or equivalent certification. * Experience in academic healthcare systems and/or complex acute care systems. * Experience in investigating healthcare safety events, liability claims, or operational risk issues. * Must be able to work various hours and locations based on business needs. * Employment is subject to a criminal background check and pre-employment physical. Pay Transparency Act Annual Full Pay Range: $88,000 - $161,600 (will be prorated if the appointment percentage is less than 100%) Hourly Equivalent: $42.15 - $77.39 Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. The Hiring Pay Scale referenced in the job posting is the budgeted salary or hourly range that the University reasonably expects to pay for this position. The Annual Full Pay Range may be broader than what the University anticipates to pay for this position, based on internal equity, budget, and collective bargaining agreements (when applicable). If employed by the University of California, you will be required to comply with our Policy on Vaccination Programs, which may be amended or revised from time to time. Federal, state, or local public health directives may impose additional requirements. If applicable, life-support certifications (BLS, NRP, ACLS, etc.) must include hands-on practice and in-person skills assessment; online-only certification is not acceptable. UC San Diego Health is the only academic health system in the San Diego region, providing leading-edge care in patient care, biomedical research, education, and community service. Our facilities include two university hospitals, a National Cancer Institute-designated Comprehensive Cancer Center, Shiley Eye Institute, Sulpizio Cardiovascular Center, the only Burn Center in the county, and dozens of outpatient clinics. We invite you to join our team! Applications/Resumes are accepted for current job openings only. For full consideration on any job, applications must be received prior to the initial closing date. If a job has an extended deadline, applications/resumes will be considered during the extension period; however, a job may be filled before the extended date is reached. To foster the best possible working and learning environment, UC San Diego strives to cultivate a rich and diverse environment, inclusive and supportive of all students, faculty, staff and visitors. For more information, please visit ___. The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law. For the University of California's Anti-Discrimination Policy, please visit: ___ UC San Diego is a smoke and tobacco free environment. Please visit ___ for more information. UC San Diego Health maintains a marijuana and drug free environment. Employees may be subject to drug screening. Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer. a. "Misconduct" means any violation of the policies governing employee conduct at the applicant's previous place of employment, including, but not limited to, violations of policies prohibiting sexual harassment, sexual assault, or other forms of harassment, or discrimination, as defined by the employer. For reference, below are UC's policies addressing some forms of misconduct:

Remote Extended Deadline: Wed 4/29/2026 ___ UC San Diego values and welcomes people from all backgrounds. If you are interested in being part of our team, possess the needed licensure and certifications, and feel that you have most of the qualifications and/or transferable skills for a job opening, we strongly encourage you to apply. UCSD Layoff from Career Appointment: Apply by 04/08/2026 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor. Reassignment Applicants: Eligible Reassignment clients should contact their Disability Counselor for assistance. Candidates hired into this position may have the ability to work remotely. UC San Diego Health's Revenue Cycle department supports the organization's mission to deliver outstanding patient care and to create a healthier world - one life at a time. We are a diverse, patient-focused, high-performing team committed to quality, collaboration, and continuous improvement. The Patient Biller III - Behavioral Health Billing & Follow-Up Specialist is responsible for complex hospital billing and follow-up activities with a primary focus on Behavioral Health (BH) services, including inpatient psychiatric and outpatient behavioral health claims. This role performs advanced billing, follow-up, denial resolution, and account reconciliation functions for behavioral health accounts. Responsibilities include resolving payer denials, identifying root causes, coordinating with clinical and authorization teams, and ensuring compliance with payer contracts and regulatory requirements specific to behavioral health services. The position requires expertise in payer carve-outs, mental health benefit structures, authorization requirements, and medical necessity criteria related to behavioral health services. KEY RESPONSIBILITIES: • Perform billing and follow-up for Behavioral Health (IP Psych and OP BH) accounts, • Resolve complex denials including: No authorization / late authorization, Medical necessity denials (psych criteria), Benefit misclassification (medical vs behavioral health), • Interpret payer contracts and behavioral health carve-out arrangements, • Coordinate with: Clinical RNs (for medical necessity appeals-related to medical services only), Patient Access / Authorization teams, Denials Management (related to BH/Psych), Credit/Refund Team, • Submit and track appeals through payer portals and correspondence workflows, • Identify trends and escalate systemic issues (e.g., auth gaps, payer processing errors), • Ensure compliance with: State and Federal regulations, Behavioral health billing guidelines, • Process adjustments, refunds, and credit balances as appropriate, • Maintain productivity and quality standards at an expert level, • Three (3) years of recent acute care hospital billing and collection experience., • Strong knowledge of medical insurance and State/Federal billing regulations., • Experience with Behavioral Health billing., • Experience with insurance claim appeals and denial resolution., • Knowledge of ICD-10, CPT, HCPCS coding principles., • Knowledge of UB-04 billing and revenue codes., • Understanding of payer reimbursement methodologies (DRG, per diem, case rate, fee schedule)., • Behavioral Health / Psychiatric billing experience., • Experience with: Mental health payer carve-outs, Authorization workflows for psychiatric admissions, and/or Medical necessity criteria (MCG, InterQual, or payer-specific)., • Epic Resolute experience., • Experience with payer portals (Availity, etc.)., • Prior hospital credit balance/refund experience., • Strong analytical and problem-solving skills in denial resolution., • Employment is subject to a criminal background check and pre-employment physical. Annual Full Pay Range: $61,116 - $75,982 (will be prorated if the appointment percentage is less than 100%) Hourly Equivalent: $29.27 - $36.39 Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. The Hiring Pay Scale referenced in the job posting is the budgeted salary or hourly range that the University reasonably expects to pay for this position. The Annual Full Pay Range may be broader than what the University anticipates to pay for this position, based on internal equity, budget, and collective bargaining agreements (when applicable). If employed by the University of California, you will be required to comply with our Policy on Vaccination Programs, which may be amended or revised from time to time. Federal, state, or local public health directives may impose additional requirements. If applicable, life-support certifications (BLS, NRP, ACLS, etc.) must include hands-on practice and in-person skills assessment; online-only certification is not acceptable. UC San Diego Health is the only academic health system in the San Diego region, providing leading-edge care in patient care, biomedical research, education, and community service. Our facilities include two university hospitals, a National Cancer Institute-designated Comprehensive Cancer Center, Shiley Eye Institute, Sulpizio Cardiovascular Center, the only Burn Center in the county, and dozens of outpatient clinics. We invite you to join our team! Applications/Resumes are accepted for current job openings only. For full consideration on any job, applications must be received prior to the initial closing date. If a job has an extended deadline, applications/resumes will be considered during the extension period; however, a job may be filled before the extended date is reached. To foster the best possible working and learning environment, UC San Diego strives to cultivate a rich and diverse environment, inclusive and supportive of all students, faculty, staff and visitors. For more information, please visit ___. The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law. For the University of California's Anti-Discrimination Policy, please visit: ___ UC San Diego is a smoke and tobacco free environment. Please visit ___ for more information. UC San Diego Health maintains a marijuana and drug free environment. Employees may be subject to drug screening. Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer. a. "Misconduct" means any violation of the policies governing employee conduct at the applicant's previous place of employment, including, but not limited to, violations of policies prohibiting sexual harassment, sexual assault, or other forms of harassment, or discrimination, as defined by the employer. For reference, below are UC's policies addressing some forms of misconduct:

Remote Extended Deadline: Mon 5/4/2026 ___ UC San Diego values and welcomes people from all backgrounds. If you are interested in being part of our team, possess the needed licensure and certifications, and feel that you have most of the qualifications and/or transferable skills for a job opening, we strongly encourage you to apply. UCSD Layoff from Career Appointment: Apply by 01/29/26 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor. Reassignment Applicants: Eligible Reassignment clients should contact their Disability Counselor for assistance. Candidates hired into this position may have the ability to work remotely if they are out of state or live further than 50 miles from the workplace. Candidates that live within 50 miles from the workplace, will work a hybrid schedule of onsite (Greenwich Drive, San Diego) 3 days a week and remote 2 days a week. UC San Diego Health's Revenue Cycle department supports the organization's mission to deliver outstanding patient care and to create a healthier world - one life at a time. We are a diverse, patient-focused, high-performing team with a commitment to quality, collaboration, and continuous improvement that enables us to deliver the maximum standard of care to our patients. We offer challenging career opportunities in a fast-paced and innovative environment and we embrace individuals who demonstrate a deep passion for problem-solving and customer service. The Hospital Biller & Follow Up Rep is responsible for the full range of hospital insurance billing, collections and credit balance account processing. This role responds to billing inquiries from patients, insurance companies and internal department team members; identifies and resolves account adjustments, resolves billing edits and processes account credit balances and insurance refund requests. Extensive knowledge of hospital medical insurance payers and plans, State and Federal rules/regulations related to billing hospital medical insurance claims. Extensive knowledge of medical insurance claim appeal submission processes , knowledge of medical terminology, ICD9, CPT, HCPCS, coding principles, self-pay collections and mandated charity laws. Extensive knowledge of HIPPA regulations and medical record submissions to support hospital claim billing. Department productivity and quality standards are expected to be performed at the expert level. * Three (3) years of recent acute care hospital billing and collection experience. * State and Federal rules and regulations related to billing facility medical insurance Claims. * Demonstrated knowledge reviewing/processing hospital claim errors. * Thorough knowledge of UB04 and revenue codes as it pertains to hospital billing. * Extensive knowledge in submission of hospital claims appeals and basic knowledge in medical terminology, ICD9, CPT, HCPCS coding principles. * Demonstrated knowledge of facility reimbursement contracts and reimbursement methodologies including but not limited to per diem, fee schedule, case rate and DRG's. * Demonstrated knowledge reviewing/processing facility insurance refund requests and account credit balances. * Epic Resolute experience. * UB04 experience. * Previous hospital billing experience. * Previous hospital credit balance/refund processing experience. * Must be able to work various hours and locations based on business needs. * Employment is subject to a criminal background check and pre-employment physical. Pay Transparency Act Annual Full Pay Range: $61,116 - $75,982 (will be prorated if the appointment percentage is less than 100%) Hourly Equivalent: $29.27 - $36.39 Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. The Hiring Pay Scale referenced in the job posting is the budgeted salary or hourly range that the University reasonably expects to pay for this position. The Annual Full Pay Range may be broader than what the University anticipates to pay for this position, based on internal equity, budget, and collective bargaining agreements (when applicable). If employed by the University of California, you will be required to comply with our Policy on Vaccination Programs, which may be amended or revised from time to time. Federal, state, or local public health directives may impose additional requirements. If applicable, life-support certifications (BLS, NRP, ACLS, etc.) must include hands-on practice and in-person skills assessment; online-only certification is not acceptable. UC San Diego Health is the only academic health system in the San Diego region, providing leading-edge care in patient care, biomedical research, education, and community service. Our facilities include two university hospitals, a National Cancer Institute-designated Comprehensive Cancer Center, Shiley Eye Institute, Sulpizio Cardiovascular Center, the only Burn Center in the county, and dozens of outpatient clinics. We invite you to join our team! Applications/Resumes are accepted for current job openings only. For full consideration on any job, applications must be received prior to the initial closing date. If a job has an extended deadline, applications/resumes will be considered during the extension period; however, a job may be filled before the extended date is reached. To foster the best possible working and learning environment, UC San Diego strives to cultivate a rich and diverse environment, inclusive and supportive of all students, faculty, staff and visitors. For more information, please visit ___. The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law. For the University of California's Anti-Discrimination Policy, please visit: ___ UC San Diego is a smoke and tobacco free environment. Please visit ___ for more information. UC San Diego Health maintains a marijuana and drug free environment. Employees may be subject to drug screening. Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer. a. "Misconduct" means any violation of the policies governing employee conduct at the applicant's previous place of employment, including, but not limited to, violations of policies prohibiting sexual harassment, sexual assault, or other forms of harassment, or discrimination, as defined by the employer. For reference, below are UC's policies addressing some forms of misconduct:

UCSD Layoff from Career Appointment: Apply by 12/01/25 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor. Reassignment Applicants: Eligible Reassignment clients should contact their Disability Counselor for assistance. This position will work a hybrid schedule which includes a combination of working both onsite at Greenwich Drive (San Diego, CA) and remote. Onsite 3 days a week. This position will remain open until filled. UC San Diego Health's Revenue Cycle department supports the organization's mission to deliver outstanding patient care and to create a healthier world - one life at a time. We are a diverse, patient-focused, high-performing team with a commitment to quality, collaboration, and continuous improvement that enables us to deliver the maximum standard of care to our patients. We offer challenging career opportunities in a fast-paced and innovative environment and we embrace individuals who demonstrate a deep passion for problem-solving and customer service. The Hospital Billing & Follow Up Rep is responsible for the full range of hospital insurance billing, collections and credit balance account processing. This role responds to billing inquiries from patients, insurance companies and internal department team members; identifies and resolves account adjustments, resolves billing edits and processes account credit balances and insurance refund requests. Extensive knowledge of hospital medical insurance payers and plans, State and Federal rules/regulations related to billing hospital medical insurance claims. Extensive knowledge of medical insurance claim appeal submission processes , knowledge of medical terminology, ICD9, CPT, HCPCS, coding principles, self-pay collections and mandated charity laws. Extensive knowledge of HIPAA regulations and medical record submissions to support hospital claim billing. Department productivity and quality standards are expected to be performed at the expert level. * Three (3) years of recent acute care hospital billing and collection experience. * Knowledge of medical insurance and State and Federal rules and regulations related to billing Insurance Claims. * Extensive knowledge in Insurance claims appeals, and range of knowledge in ICD-9, CPT, HCPCS coding principles. * Knowledge in self-pay collections. * Knowledge of UB04 and revenue codes as it pertains to billing. * Epic Resolute experience. * UB04 experience. * Previous hospital billing experience. * Previous hospital credit balance/refund processing experience. * Must be able to work various hours and locations based on business needs. * Employment is subject to a criminal background check and pre-employment physical. Pay Transparency Act Annual Full Pay Range: $61,116 - $75,982 (will be prorated if the appointment percentage is less than 100%) Hourly Equivalent: $29.27 - $36.39 Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. The Hiring Pay Scale referenced in the job posting is the budgeted salary or hourly range that the University reasonably expects to pay for this position. The Annual Full Pay Range may be broader than what the University anticipates to pay for this position, based on internal equity, budget, and collective bargaining agreements (when applicable).

UCSD Layoff from Career Appointment: Apply by 01/29/26 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor. Reassignment Applicants: Eligible Reassignment clients should contact their Disability Counselor for assistance. Candidates hired into this position may have the ability to work remotely if they are out of state or live further than 50 miles from the workplace. Candidates that live within 50 miles from the workplace, will work a hybrid schedule of onsite (Greenwich Drive, San Diego) 3 days a week and remote 2 days a week. UC San Diego Health's Revenue Cycle department supports the organization's mission to deliver outstanding patient care and to create a healthier world - one life at a time. We are a diverse, patient-focused, high-performing team with a commitment to quality, collaboration, and continuous improvement that enables us to deliver the maximum standard of care to our patients. We offer challenging career opportunities in a fast-paced and innovative environment and we embrace individuals who demonstrate a deep passion for problem-solving and customer service. The Hospital Biller & Follow Up Rep is responsible for the full range of hospital insurance billing, collections and credit balance account processing. This role responds to billing inquiries from patients, insurance companies and internal department team members; identifies and resolves account adjustments, resolves billing edits and processes account credit balances and insurance refund requests. Extensive knowledge of hospital medical insurance payers and plans, State and Federal rules/regulations related to billing hospital medical insurance claims. Extensive knowledge of medical insurance claim appeal submission processes , knowledge of medical terminology, ICD9, CPT, HCPCS, coding principles, self-pay collections and mandated charity laws. Extensive knowledge of HIPPA regulations and medical record submissions to support hospital claim billing. Department productivity and quality standards are expected to be performed at the expert level. * Three (3) years of recent acute care hospital billing and collection experience. * State and Federal rules and regulations related to billing facility medical insurance Claims. * Demonstrated knowledge reviewing/processing hospital claim errors. * Thorough knowledge of UB04 and revenue codes as it pertains to hospital billing. * Extensive knowledge in submission of hospital claims appeals and basic knowledge in medical terminology, ICD9, CPT, HCPCS coding principles. * Demonstrated knowledge of facility reimbursement contracts and reimbursement methodologies including but not limited to per diem, fee schedule, case rate and DRG's. * Demonstrated knowledge reviewing/processing facility insurance refund requests and account credit balances. * Epic Resolute experience. * UB04 experience. * Previous hospital billing experience. * Previous hospital credit balance/refund processing experience. * Must be able to work various hours and locations based on business needs. * Employment is subject to a criminal background check and pre-employment physical. Pay Transparency Act Annual Full Pay Range: $61,116 - $75,982 (will be prorated if the appointment percentage is less than 100%) Hourly Equivalent: $29.27 - $36.39 Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. The Hiring Pay Scale referenced in the job posting is the budgeted salary or hourly range that the University reasonably expects to pay for this position. The Annual Full Pay Range may be broader than what the University anticipates to pay for this position, based on internal equity, budget, and collective bargaining agreements (when applicable).

Greenwich Drive 6256 Greenwich Drive, San Diego, CA 92122, United States Extended Deadline: Tue 4/28/2026 ___ UC San Diego values and welcomes people from all backgrounds. If you are interested in being part of our team, possess the needed licensure and certifications, and feel that you have most of the qualifications and/or transferable skills for a job opening, we strongly encourage you to apply. UCSD Layoff from Career Appointment: Apply by 12/01/25 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor. Reassignment Applicants: Eligible Reassignment clients should contact their Disability Counselor for assistance. This position will work a hybrid schedule which includes a combination of working both onsite at Greenwich Drive (San Diego, CA) and remote. Onsite 3 days a week. This position will remain open until filled. UC San Diego Health's Revenue Cycle department supports the organization's mission to deliver outstanding patient care and to create a healthier world - one life at a time. We are a diverse, patient-focused, high-performing team with a commitment to quality, collaboration, and continuous improvement that enables us to deliver the maximum standard of care to our patients. We offer challenging career opportunities in a fast-paced and innovative environment and we embrace individuals who demonstrate a deep passion for problem-solving and customer service. The Hospital Billing & Follow Up Rep is responsible for the full range of hospital insurance billing, collections and credit balance account processing. This role responds to billing inquiries from patients, insurance companies and internal department team members; identifies and resolves account adjustments, resolves billing edits and processes account credit balances and insurance refund requests. Extensive knowledge of hospital medical insurance payers and plans, State and Federal rules/regulations related to billing hospital medical insurance claims. Extensive knowledge of medical insurance claim appeal submission processes , knowledge of medical terminology, ICD9, CPT, HCPCS, coding principles, self-pay collections and mandated charity laws. Extensive knowledge of HIPAA regulations and medical record submissions to support hospital claim billing. Department productivity and quality standards are expected to be performed at the expert level. * Three (3) years of recent acute care hospital billing and collection experience. * Knowledge of medical insurance and State and Federal rules and regulations related to billing Insurance Claims. * Extensive knowledge in Insurance claims appeals, and range of knowledge in ICD-9, CPT, HCPCS coding principles. * Knowledge in self-pay collections. * Knowledge of UB04 and revenue codes as it pertains to billing. * Epic Resolute experience. * UB04 experience. * Previous hospital billing experience. * Previous hospital credit balance/refund processing experience. * Must be able to work various hours and locations based on business needs. * Employment is subject to a criminal background check and pre-employment physical. Pay Transparency Act Annual Full Pay Range: $61,116 - $75,982 (will be prorated if the appointment percentage is less than 100%) Hourly Equivalent: $29.27 - $36.39 Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. The Hiring Pay Scale referenced in the job posting is the budgeted salary or hourly range that the University reasonably expects to pay for this position. The Annual Full Pay Range may be broader than what the University anticipates to pay for this position, based on internal equity, budget, and collective bargaining agreements (when applicable). If employed by the University of California, you will be required to comply with our Policy on Vaccination Programs, which may be amended or revised from time to time. Federal, state, or local public health directives may impose additional requirements. If applicable, life-support certifications (BLS, NRP, ACLS, etc.) must include hands-on practice and in-person skills assessment; online-only certification is not acceptable. UC San Diego Health is the only academic health system in the San Diego region, providing leading-edge care in patient care, biomedical research, education, and community service. Our facilities include two university hospitals, a National Cancer Institute-designated Comprehensive Cancer Center, Shiley Eye Institute, Sulpizio Cardiovascular Center, the only Burn Center in the county, and dozens of outpatient clinics. We invite you to join our team! Applications/Resumes are accepted for current job openings only. For full consideration on any job, applications must be received prior to the initial closing date. If a job has an extended deadline, applications/resumes will be considered during the extension period; however, a job may be filled before the extended date is reached. To foster the best possible working and learning environment, UC San Diego strives to cultivate a rich and diverse environment, inclusive and supportive of all students, faculty, staff and visitors. For more information, please visit ___. The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law. For the University of California's Anti-Discrimination Policy, please visit: ___ UC San Diego is a smoke and tobacco free environment. Please visit ___ for more information. UC San Diego Health maintains a marijuana and drug free environment. Employees may be subject to drug screening. Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer. a. "Misconduct" means any violation of the policies governing employee conduct at the applicant's previous place of employment, including, but not limited to, violations of policies prohibiting sexual harassment, sexual assault, or other forms of harassment, or discrimination, as defined by the employer. For reference, below are UC's policies addressing some forms of misconduct:

Job Description Major functions of the Dispatcher/CSR Front Desk position include customer service, processing calls, scheduling and confirming jobs, ordering parts and products, sending estimates, processing warranty claims and supporting field service technicians as needed. The right candidate for this position must be: results oriented, a great multi-tasker, very proficient with technology, a great communicator with the ability to deliver excellent customer service. Must be a resourceful problem solver and be able to take direction from management. Other experience that would be a plus but not mandatory would include: sales, administrative, bookkeeping, social media management and garage door or gate industry experience.

This position follows a hybrid schedule with 3 days in-office, 2 days at home per week. Our office is located at OptumHealth Public Sector, 3131 Camino Del Rio North, Suite 700, San Diego, CA, 92108. Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. This is a challenging role that takes an ability to thoroughly review, analyze and research complex healthcare claims in order to identify discrepancies, verify pricing, confirm prior authorizations and process them for payment. You'll need to be comfortable navigating across various computer systems to locate critical information. Attention to detail is critical to ensure accuracy which will support timely processing of the member's claim. This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 5:00pm PST. It may be necessary, given the business need, to work occasional overtime. We offer 90 days of online and onsite on the job training aligned to your schedule. Primary Responsibilities: • Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing, and adjusting claims, • Analyze and identify trends and provide reports as necessary, • Consistently meet established productivity, schedule adherence and quality standards Required Qualifications: • High School Diploma / GED OR equivalent work experience, • Must be 18 years of age OR older, • 1+ years of experience in a related environment (i.e., office, administrative, clerical, customer service, etc.), using phones and computers as the primary job tools, • Experience using computers and Windows based applications, which includes the ability to learn new and complex computer system applications, • 1+ years of experience using Microsoft Office applications, • 1+ years of experience with processing medical, dental, prescription, OR mental health claims, • Reside within commutable distance to the office at OptumHealth Public Sector, 3131 Camino Del Rio North, Suite 700, San Diego, CA, 92108, • Ability to keep all company sensitive documents secure (if applicable), • Required to have a dedicated work area established that is separated from other living areas and provides information privacy., • Ability to work independently and prioritize tasks, • Display strong work ethic, independence, and dependability, • Exhibit excellent time management, organizational, and prioritization skills, • Demonstrate the ability to multitask, • Possess effective interpersonal, influence, collaboration, and listening skills Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $17.98 - $32.12 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. #RPO

UCSD Layoff from Career Appointment: Apply by 04/22/26 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor. Reassignment Applicants: Eligible Reassignment clients should contact their Disability Counselor for assistance. This position will work a hybrid schedule which includes a combination of working both onsite at Greenwich Drive (San Diego, CA) and remote. Reporting to the Assistant Director of Risk Management, the Clinical Risk Manager serves as a consultative partner supporting UC San Diego Health's enterprise risk management program. The role is responsible for identifying, evaluating, and mitigating clinical and operational risk across the organization through proactive assessment, event investigation, data analysis, and leadership consultation. The Clinical Risk Manager collaborates with clinical, operational, and executive leadership to reduce liability exposure, enhance patient safety, support regulatory compliance, and advance system-wide risk mitigation strategies aligned with organizational priorities. Job Responsibilities: • Leads and coordinates evaluation of professional and general liability events, including multidisciplinary fact-gathering, clinical and operational analysis, and assessment of organizational risk exposure. Synthesizes findings to inform leadership decision-making and recommends system-level mitigation strategies to reduce organizational exposure., • Applies an enterprise risk management framework (ISO 31000) to support risk identification, analysis, evaluation, mitigation, and monitoring. Proactively identifies risk through structured assessments, direct observation, data trending, committee review, third party reports, legal inquires, and administrative referrals. Collaborates with stakeholders to design innovative strategies that reduce the frequency and severity of medical malpractice and patient injury claims. Integrates enterprise risk management principles into operational and clinical environments to support risk-informed decision-making across departments and leadership levels., • Assists with oversight of organizational event reporting processes to ensure effective identification, triage, and escalation of safety and liability risks. Utilizes event data to identify emerging trends, inform leadership, and support development and monitoring of mitigation strategies., • Manages and implements the organization's enterprise risk management program to advance strategic priorities and compliance with state and federal regulatory and accreditation standards. Reviews and drafts policies within the risk management domain and coordinates required reporting to regulatory authorities. Provides subject-matter expertise to leadership regarding risk implications of organizational initiatives, policy development, and regulatory requirements., • Serves as a trusted advisor to physicians, operational leaders, and administrative departments regarding clinical and enterprise risk exposure.. Evaluates emerging initiatives, operational changes, and high-risk activities to support informed organizational decision-making Participates in and partners with multidisciplinary committees to monitor and mitigate high-risk areas ., • Partners with UCSDH Office of Campus Counsel, coordinating legal consultation for staff and physicians as indicated. Develops and delivers targeted education for employees and physicians on relevant risk management topics., • Collaborates with Patient Safety, Quality/Performance Improvement, Patient Experience, and other assigned departments ensuring alignment between risk mitigation activities and organizational quality, safety, and operational goals. Participates in hospital quality and patient safety committees to integrate risk insights into system improvement efforts., • Leads or supports enterprise initiatives involving risk analytics, leadership reporting, and development of system-level recommendations to reduce organizational exposure. Participates in professional risk management organizations through presentations, committee service, and other industry engagement activities. Seven (7) years of related experience, education/training, OR a Bachelor's degree in related area plus three (3) years of related experience/training. Related experience: Healthcare risk management, clinical operations, patient safety, quality/performance improvement, or healthcare legal work. * Experience with and thorough knowledge of healthcare risk management practices, claims administration, and data analysis skills. Demonstrated ability to assess, monitor, investigate, and report. * Thorough knowledge of healthcare risk management practices, claims administration, and data analysis skills. Applies knowledge to assess, monitor, investigate, report. * Knowledge of risk management, medical center, and UC policies and processes. Thorough knowledge of relevant risk management federal, state, and local laws and regulations to identify potential compliance risks, clinical and operational implications. * Strong technical skills to analyze and identify potential risks. Ability to produce high quality work and keep commitments. Productive in work volume, speed, quality and consistency. * Proven ability to manage a project through to completion while performing a wide variety of tasks, adapting to changing priorities, deadlines and directions. * Interpersonal skills to maintain professional relationships with peers, physicians, multidisciplinary team members, and management. * Strong skills to evaluate issues and identify solutions within defined procedures and policies. Proven ability to address problems and suggest solutions through critical thinking process. * Verbal and written communication skills to explain technical risk management concepts and articulate reasoning behind own opinions. * Ability to perform all commonly applicable functions in word processing and spreadsheet software. Comprehensive knowledge of organization's risk management application programs to teach others. * Strong teaching skills. Ability to break down complex concepts in an understandable way. * Thorough knowledge of data management and documentation methods used in risk management. * Master's degree in healthcare administration, public health, nursing, law or related field. * Certification in Healthcare Risk Management (CPHRM) or equivalent certification. * Experience in academic healthcare systems and/or complex acute care systems. * Experience in investigating healthcare safety events, liability claims, or operational risk issues. * Must be able to work various hours and locations based on business needs. * Employment is subject to a criminal background check and pre-employment physical. Pay Transparency Act Annual Full Pay Range: $88,000 - $161,600 (will be prorated if the appointment percentage is less than 100%) Hourly Equivalent: $42.15 - $77.39 Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. The Hiring Pay Scale referenced in the job posting is the budgeted salary or hourly range that the University reasonably expects to pay for this position. The Annual Full Pay Range may be broader than what the University anticipates to pay for this position, based on internal equity, budget, and collective bargaining agreements (when applicable).

Job Description Job Opportunity: Farmers Insurance Agency Customer Service Representative Full Time/ Part Time Position $20-$23 per hour, 30 Hours + Bonuses In Office Monday-Friday No Holidays – No Weekends 10a-5p As a Customer Service Representative with Farmers Insurance, you are responsible for working closely with the agent to service customers and help grow the agency. You'll provide important assistance with everything from policy administration to renewal preparation, cross-selling and marketing coordination. In addition, you will work under the direction of the Agency Owner; learning to solicit, quote, and bind coverage to help customers manage their unique insurance and financial needs. This position is designed to give you on-the-job training and development which will enable you to take on more opportunities for advancement. Additional Duties: Provide timely and accurate feedback to client inquiries on existing policies with regards to policy amendments, billing, claims and upcoming renewals. Participate in the renewal cycle from start to finish; gather update account information, compile submissions and secure renewal quotes. Must be passionate about Consultative SALES and building customer relationships! Handling service requests, processing necessary paperwork, and answering incoming calls. All other duties as determined by Agent. Build relationships with new and existing customers Proactively identify and act on cross-sell opportunities Provide excellent customer service Prospect and generate new business through leads and referrals Customer Service Representative: Preferred: P&C License - Property & Casualty Confident, Self-starter who works well independently Proficient in Microsoft Office products Preferred: 1-3 years minimum insurance experience

?? ??? ??? TrueCare is a trusted healthcare provider serving San Diego and Riverside Counties, offering compassionate and comprehensive care to underserved communities. We are committed to making healthcare accessible to everyone, regardless of income or insurance status. With a focus on culturally sensitive, affordable services, TrueCare aims to improve the health of diverse communities. Our vision is to be the premier healthcare provider in the region, delivering exceptional patient experiences through innovative, integrated care. The Back-End Revenue Cycle Manager is responsible for managing the day-to-day activities of the billing staff to ensure accurate and timely billing of claims, review of denials, adjustments, and write-offs and monitor accounts receivable balances to ensure compliance with TrueCare goals. The Back-End RC Manager will also work collaboratively with Finance and Operations leaders to maximize revenues and Medical Staff Office credentialing to ensure providers are properly enrolled in health plans. Duties & Responsibilities: • Manage the day-to-day operations of the RC department by providing direction, scheduling assignments, coordinating workflow, and assigning priorities., • Develop training and performance standards and measures consistent with industry healthcare standards and ensure achievement of goals., • Provide oversight of the billing cycle to maximize revenue and manage accounts receivable balances., • Establish, implement, and provide direct oversight of departmental productivity standards ensuring accurate and timely submission of all claims to maximize potential revenue., • Develop and implement feedback mechanisms for resolution of most frequent/costly denials in a timely fashion to improve billing efficiencies and cash flow., • Ensure timely billing and collection of all Program Income, including Federal and State agencies, insurance companies, patients, and other third-party payers., • Implement and maintain systems to audit billing submissions, payment posting, collections, denials, and adjustments including write-offs to ensure accuracy of accounts receivable, timely claims adjudication, and revenue maximization., • Operationalize coding changes, program updates, and regulatory changes organization-wide, including RC, practice management (system and key players), and clinical operations., • Assist, as needed, with billing/audit questions, ambulatory inquiries, education, database maintenance, statistical analysis, and processing of reviews of internal audits., • Develop reports and analysis, as needed, to monitor revenue, quality, quantity, timely submissions, coding compliance, and general billing standards to meet Federal, State, health plan, and local requirements., • Analyze trends of coding, charges, collections, adjustments, write offs, and accounts receivable balances and make appropriate changes to align staff and maximize revenue., • In collaboration with the Revenue Cycle Director, ensure health plan information is up to date., • In collaboration with Medical Staff Office, ensure timely insurance plan enrollment for providers., • Manage daily, monthly, and annual close processes including the distribution of system generated financial reports., • Assist in assuring that all billing department policies and procedures are accurately documented on PolicyTech by providing the Revenue Cycle Director with changes as they are identified., • Ensure implementation of all billing and coding plans, programs, and projects among the team., • Maintain a working knowledge of departmental coding operations and act as an in-house expert on issues pertaining to specialty coding and reimbursement., • Assist in the annual independent audit as related to Program Income and Accounts Receivable matters. Provide responses to all internal and external audits as well as compliance audits and issues.Required Qualifications:, • Bachelors degree from an accredited institution in business, healthcare administration, or a related field or an equivalent combination of education and professional experience in a related field., • A minimum of two (2) years prior supervisory experience., • A minimum of three (3) years of experience in healthcare operations, business, or administrative functions., • Experience working in a community clinic or a Federally Qualified Health Center (FQHC)., • Knowledge of HIPAA privacy and security regulations., • Working knowledge of CPT, ICD9 and ICD10 codes, third party payor reimbursement including community clinic or FQHC expertise, billing and insurance regulations, medical terminology, insurance benefits, and appeal processes., • Knowledge of third-party billing and state and federal collection regulations., • Experience with an electronic health record system., • Proficiency in Microsoft Office suite products, including Outlook, Word, Excel, and PowerPoint.Desired Qualifications:, • Management experience., • Experience in an ambulatory setting, with medical billing and collections., • A minimum of one professional coding or healthcare compliance certification (such as Certified Coding Specialist Physician-based, Certified Professional Coder, Registered Health Information Administrator, or Registered Health Information Technician)., • Two to three years of coding experience. Benefits:, • Competitive Compensation, • Competitive Time Off, • Low-cost health, dental, vision & life insurance TrueCare is committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee on the basis of any characteristic protected by applicable federal, state, or local law. Our goal is to support all team members recruited or employed here. Powered by JazzHR Compensation details: 90776-136165 PI201ab4b73b54-26289-39518035

Walgreens is seeking Pharmacy Technicians to assist pharmacists with filling prescriptions, assisting customers, and supporting daily pharmacy operations. Pharmacy Technicians are responsible for receiving prescription orders, entering prescription information into the pharmacy system, counting and measuring medications, labeling prescriptions, processing insurance claims, handling customer transactions, and assisting customers at the pharmacy counter and drive-thru. Technicians also answer phone calls, contact insurance companies for claim processing, restock medications, maintain patient records, and ensure the pharmacy area remains clean and organized. This position typically pays $16 to $22 per hour, with opportunities for overtime pay, holiday pay, and shift differential pay for evening or weekend shifts depending on location and experience. Pharmacy Technicians must follow Walgreens pharmacy procedures, HIPAA privacy regulations, and state pharmacy laws while working under the supervision of a licensed pharmacist. Employees are responsible for maintaining accuracy, protecting patient information, and providing customer service to pharmacy customers. Full-time employees may be eligible for benefits including health, dental, and vision insurance, 401(k) with company match, paid time off, employee discount programs, tuition assistance programs, and opportunities for advancement into Senior Pharmacy Technician, Pharmacy Operations Manager, or Pharmacist training programs. Walgreens may also assist employees with Pharmacy Technician certification and licensing where required by state law.

Job Description Overview Are you an accomplished Board Certified Orthopedic or Neurosurgeon Surgeon physician? Are you passionate about your work/life balance? We are seeking flexible and experienced physicians for our medical reviewstream division. This telecommute role provides the ability for you to customize your schedule and caseload within a Monday - Friday work week and within business hours. Create a flexible work schedule and be compensated on a per case basis as a 1099 independent contractor. Candidates must have a CA license. JOB SUMMARY: Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations Responsibilities MAJOR DUTIES AND RESPONSIBILITIES: • Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical Leave Act (FMLA), Group health and workers’ compensation claims., • Meets (when required) with Concentra Physician Review Medical Director to discuss quality of care and credentialing and state licensure issues., • Maintain proper credentialing and state licenses and any special certifications or requirements necessary to perform the job., • Returns cases in a timely manner with clear concise and complete rationales and documented criteria., • Telephonically contacts providers and interacts with other health professionals in a professional manner. Discusses the appropriate disclaimers and appeal process with the providers., • Attends orientation and training, • Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits., • Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer reviewed literature that support sound and objective decision making and rationales in reviews., • Provides copies of any criteria utilized in a review to a requesting provider in a timely manner Qualifications EDUCATION/CREDENTIALS: -Board certified MD, DO, with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development of policies that support these services. -Current, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board); -Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer. -Must be in active medical practice to perform appeals JOB-RELATED EXPERIENCE: Post-graduate experience in direct patient care JOB-RELATED SKILLS/COMPETENCIES: -Demonstrated computer skills, telephonic skills -Demonstrated ability to perform review services. -Ability to work with various professionals including members of regulatory agencies, carriers, employers, nurses and health care professionals. -Medical direction shall also be provided consistent with the requirement that the physician advisor shall not have a financial conflict of interest -Must present evidence of current error and omissions liability coverage for job duties and activities performed -Managed care orientation -Knowledge of current practice standards in specialty -Good negotiation and communication skills WORKING CONDITIONS/PHYSICAL DEMANDS: -Phone accessability -Access to a computer to complete reviews -Ability to complete cases accompanied by a typed report in specified time frames -Telephonic conferences This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management. Concentra is an Equal Opportunity Employer M/F/Disability/Veteran Concentra's Data Protection Commitment • Concentra is committed to protect patient data and to ensure privacy of personal and medical information., • Every Concentra colleague has the responsibility to adhere to data protection principles., • If a colleague's role includes handling or processing sensitive data, role-specific policies and requirements apply to ensure the protection of patient information.

Job Description Position Summary: The position of ATM/Visa Representative I is established to guarantee the accurate and timely processing of all Automated Teller Machine (ATM) and VISA transactions and inquires, to include PIN, signature debit and signature credit transactions. Investigate process and complete all ATM, credit and debit fraud claims. Maintain quality service standards set by the organization. Minimum Qualifications (Education, Experience, Skills) • High school diploma or equivalent., • 1 year of relevant finance or banking experience, call center experience may be considered; or 6 months of SDCCU member facing work experience., • Comfortable communicating and multitasking with internal employees over the phone in a call center-like environment., • VISA & ATM knowledge preferred., • Effective communications skills with the ability to communicate clearly with all groups of people., • Excellent written and verbal communication skills., • Basic mathematics and accounting principles., • Excellent interpersonal skills., • Ability to work under pressure., • Research and resolve ATM transaction exceptions and problems through the use of the Symitar, Imaging, and STAR/COOP applications., • Process Visa disputes/fraud utilizing Visa’s online application (VROL)., • Research member ATM/Visa disputes/fraud, • Process daily VISA and ATM reports., • Input STAR/CO-OP adjustments online., • Maintain and assist Instant Issue users through the Card Wizard application., • Assist staff and members with all ATM and VISA related inquires via phone, email, and written correspondence., • Analyze and communicate information relating to ATM/VISA fraud., • Process ATM/POS disputes through STAR/COOP applications., • Post and balance general ledger transactions., • Perform VISA account file maintenance and transfers. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to use hands to finger, handle, or feel objects, tools, or controls and talk or hear. The employee is frequently required to stand and reach with hands and arms. The employee is occasionally required to walk; sit; climb or balance; and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. The noise level in the work environment is usually moderate. Required work schedule: Monday-Thursday: 8:00am-5:00pm Friday: 8:00am-6:15pm Saturday: 8:30am-4:15pm Additional Schedule Details: Saturday schedule is rotational 1-2 times a month with another weekday off, depending on dep needs. Friday late shift is rotational with work schedule hours from 9:15am to 6:15pm. Rotation occurs 1-2 times a month depending on department needs. Full Time - 40 hours a week

Job Description The Claims Quality Assurance serves as the technical claims expert for the Claims Operations by auditing compliance with established CorVel, industry and carrier claim handling standards. The primary responsibility is evaluating claim handling quality, accuracy, and timeliness in categories including but not limited to: coverage analysis, investigation, valuation, reserving, compliance and accurate disposition of claims. This role has the ability to interpret results and trends in order to deliver operational reporting, and participate in the development and presentation of training. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: • Model ethical behavior and executes job responsibilities in accordance with CorVel’s core values, ethics, and information protection policies, • Serve as technical QA lead to assigned offices or departments, • Lead QA projects and serve as primary coordinator for senior leadership of assigned offices, • Support the Claims Quality Assurance Program and the EC Operations Team in developing and implementing quality improvement strategies, • Lead the creation, presentation, execution, and calibration of Quality Assurance Training sessions, including integration and delivery of claims training programs in the context of Quality Assurance calibration exercises (e.g. policy, systems, workflows, statutes), taking steps toward target results and the acquisition of target skills-sets, creation, maintenance, and adjustment of quality assurance training materials as needed for use in quality assurance training sessions, • Report on pending payments, reserves, Adjuster POA/Supervisor review compliance, leakage, and various reports to assess operational performance and compliance to CorVel standards, • Monitor claim financials; perform routine follow ups for audits identifying reserve deficiencies or pending aspects of claim liability or compensability; Ensure carrier reporting deficiencies have also been corrected, • Maintain and update in real time quality, quantity, and turn-time standards, • Conduct testing on software, websites, and other technical products to identify and resolve defects, and other potential claims processing issues, • Review claim process specifications to understand the scope, requirements, and function of each product, • Identify appropriate parameters, functions, and data to test and validate; parameters may include general function, validity of results, accuracy, reliability, and compliance with industry standards, • Conduct testing to ensure products perform according to user requirements and within established guidelines; if a product does not perform within specifications, report defects to EC Operations and the BOT teams identifying and recommending solutions, improvements, and updates, • Submit operational QA reporting to EC Ops at durations outlined; operational reporting to include written corrective action plans for areas of deficiency identified during the QA review process, • Participate in strategic operational calls with EC Operations and claims leadership when the QA process has identified a significant operational deficiency, • Work with EC Operations to insert QA corrective action plans required by a carrier or client KNOWLEDGE & SKILLS: • Excellent written and verbal communication; demonstrated ability to provide superior service to internal and external stakeholders, • Effective quantitative, analytical and interpretive skills, • Excellent leadership and mentorship skills, with a demonstrated ability to motivate staff and obtain results through teamwork and education, • Ability to identify priorities, execute and handle multiple responsibilities in a dynamic, fast paced environment, • Strong proficiency with Microsoft Office applications, • Strong interpersonal, time management, project management, and organizational skills, • Ability to maintain a high level of professionalism, • Knowledge of the entire claims administration processes including ancillary services, • Ability to remain poised in stressful situations and communicate with diplomacy, using written and verbal communication, • Ability to work independently or in a team environment while functioning as an educator rather than an auditor EDUCATION & EXPERIENCE: • Bachelor’s Degree with course concentration in Business Administration, or related field; or 5+ years of equivalent combination of education and experience in a complex healthcare, insurance, or third-party claim organization with significant claim management expertise, • Must have significant industry experience and a thorough understanding of CorVel’s proprietary systems and solutions, • Certified Trainer and/or Quality Assurance experience a plus PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $70,304 – $116,942 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT CORVEL CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

Pharmacy Technicians are responsible for receiving prescription orders, entering prescription information into the pharmacy system, counting and measuring medications, labeling prescriptions, processing insurance claims, handling customer transactions, and assisting customers at the pharmacy counter

Pharmacy Technicians are responsible for receiving prescription orders, entering prescription information into the pharmacy system, counting and measuring medications, labeling prescriptions, processing insurance claims, handling customer transactions, and assisting customers at the pharmacy counter

Pharmacy Technicians are responsible for receiving prescription orders, entering prescription information into the pharmacy system, counting and measuring medications, labeling prescriptions, processing insurance claims, handling customer transactions, and assisting customers at the pharmacy counter

Pharmacy Technicians are responsible for receiving prescription orders, entering prescription information into the pharmacy system, counting and measuring medications, labeling prescriptions, processing insurance claims, handling customer transactions, and assisting customers at the pharmacy counter

Job Description Job Title: Commercial Lines Customer Service Representative (CSR) Location: REMOTE Company Overview: Join our dynamic and growing team at Altum , where we specialize in providing comprehensive insurance solutions to businesses of all sizes. We are committed to excellence in customer service and building lasting relationships with our clients. If you're passionate about providing exceptional service and are ready to make a positive impact, we encourage you to apply. Position Overview: We are seeking a dedicated and detail-oriented Commercial Lines Customer Service Representative (CSR) to join our team. The ideal candidate will be responsible for providing superior support to our commercial clients by addressing inquiries, processing policy changes, and assisting with claims. This role requires excellent communication skills, attention to detail, and the ability to thrive in a fast-paced environment. Key Responsibilities: • Serve as the primary point of contact for clients regarding their commercial insurance policies., • Respond promptly and professionally to client inquiries via phone, email, or in person., • Assist clients with policy changes, coverage questions, and billing inquiries., • Collaborate with the underwriting team to ensure accurate policy issuance and modifications., • Coordinate and follow up on claims processing to ensure timely resolution., • Maintain up-to-date and accurate client records and documentation., • Provide support to the sales team with policy renewals and client retention strategies., • Stay informed about industry trends, product offerings, and compliance regulations. Qualifications: • High school diploma or equivalent; Associate’s or Bachelor’s degree preferred., • Previous experience in a customer service role, preferably within the insurance industry., • Strong knowledge of commercial insurance products and services is a plus., • Excellent communication and interpersonal skills., • Strong attention to detail and organizational abilities., • Proficiency in Microsoft Office Suite and insurance management software., • Ability to manage multiple tasks efficiently in a fast-paced environment. What We Offer: • Competitive salary and benefits package., • Opportunities for professional development and career growth., • A supportive and inclusive work environment., • Flexible work arrangements and work-life balance initiatives. Application Process: Interested candidates should submit a resume and cover letter outlining their qualifications and interest in the position to . We look forward to welcoming a new member to our team who shares our passion for excellence in customer service. Altum is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Job DescriptionPosition: Administrative and Legal Coordinator Location: San Diego (Hybrid) Compensation: The salary range for this position is expected to be between $25.00 - $30.00 per hour, depending on geographic location, experience, internal equity and other qualifications of the successful candidate. Status: Part-time / Non-Exempt (20-25 hours per week) | 6-month contract (with potential for conversion)Position Summary: Support the Company’s Legal Department as it relates to responding to subpoenas and document production; and drafting and modifying templated contractual terms and conditions. Additionally, support all Corporate Services departments with daily tasks including but not limited sorting and distributing mail, scanning documents for the different departments, unemployment claims, verification of employments, payroll adjustment forms, reporting, garnishments, benefit audits, and internal and external client and employee inquiries. Responsibilities & Expectations: • Provide assistance with drafting and modifying templated legal contractual terms and conditions, • Provide litigation support to the Legal Department, including reviewing and responding to subpoenas and document requests for personnel and/or employee records; gathering data from internal systems and stakeholders and preparing, redacting, and organizing records for production., • Drafting templated litigation hold notices, • Organize and maintain Excel spreadsheets with employee data when needed for class or collective actions., • Responsible for supporting Corporate Services Departments primarily Paybill, Accounting and Legal, • Assist with mail duties for the suite, • Review, respond, and process all W2 and W2C requests, • Research returned checks, • Respond to and manage all Verifications of Employment, • Respond to and manage all Unemployment Claims, • Processing all garnishments and being the point of contact for garnishment questions, • Assist in pulling all the proper payroll records for litigation request, • Field calls from the payroll hotline, • Light auditing with use of Excel and GoogleSheets, • Uploading of Temp Payroll New Hire reporting to EDD, • Certified Payroll data entry, • Professional office environment., • This role routinely uses standard office equipment including, but not limited to, computers, phones, photocopiers, filing cabinets and fax machines., • While performing the duties of this job, the employee is regularly required to engage in professional and interpersonal written and verbal communications with a wide variety of individuals including, employees, customers, vendors, managers and others., • In accordance with the requirements of a typical office work environment, the employee will be required to attend meetings in person and/or by phone/video conferencing, use keyboards, keypads, dial pads etc., Some overhead reaching, bending and twisting, as per usual office environment and functions., • This position requires the ability to occasionally lift office products and supplies, up to 20 pounds.Minimum Requirements:, • 2+ years’ of experience in legal administrative-based role, • Strong Problem-Solving Skills and using sound discretion on when to escalate, • Adaptability: Comfort working in a fast-paced, rapidly growing environment; flexible in response to changing employee needs; maintain professionalism and composure, • Organizational Skills: Extremely organized; ability to prioritize tasks, • Computer Skills: Proficiency with Microsoft Office & Google Suite, • Experience with Excel, • Comfortable with maintaining operating procedures and running routine reports, • Able to maintain and protect private and/or confidential informationIt would be great if you had these:, • Great at multitasking while prioritizing shifting deadlines, • Works well in a team environment, • Detail-oriented with a focus on customer serviceTravel PERKS & BENEFITS: At the center of Eastridge Workforce Solutions' values is the belief that the most important thing we do is continue to hire the best people and create a workplace where they can thrive. To reward our employees for their great work, we offer the perks and benefits listed below. • Eastridge has an Employee Stock Ownership Plan (ESOP), a tax-qualified retirement benefit plan., • Medical, Dental, Vision, Life Insurance, • 401(k) plan, Roth IRA, and Flexible Spending Account offerings, • Paid Time Off and Sick time, • 12 Paid Holidays annually, • Tuition Reimbursement Program, • Health and Wellness benefits, • Pet Insurance, • Company-sponsored Volunteer Events, • Corporate Discounts - 20-60% off on certain movies, hotels, concerts, sporting events, and more! At Eastridge Workforce Solutions, we do more than connect people with jobs. We help individuals build meaningful careers. For over 50 years, companies have trusted us to deliver innovative Professional and High-Volume recruiting solutions that make attracting and managing talent simple, scalable, and successful. As a 100% employee-owned company (ESOP), every team member shares in our success. As the company grows, so does your equity and long-term wealth-building potential. When you join Eastridge, you’re not just an employee. You’re an owner, empowered to grow your career while benefiting directly from the value you help create. Our culture is built on servant leadership, career development, and continuous innovation. We are committed to providing opportunity and enrichment through work and delivering top-tier service to help both clients and candidates thrive. At Eastridge, we foster an inclusive and supportive workplace where every team member has the opportunity to succeed. If you're excited about this role but don’t meet every qualification, we encourage you to apply. You may be the perfect fit for this or another opportunity with us. Equal Opportunity Employer: Eastridge Workforce Solutions is an Equal Opportunity Employer. We provide an inclusive work environment that celebrates diversity, and all qualified candidates receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, gender expression, religion, national origin, age (40 and over), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. Eastridge Workforce Solutions also prohibits harassment or retaliation of applicants or employees based on any of these protected categories. It is our policy to comply with all applicable federal, state and local laws respecting consideration of unemployment status in making hiring decisions. Please note that Eastridge is unable to provide visa sponsorship to applicants. Background Checks: Eastridge Workforce Solutions will consider qualified applicants with criminal histories in a manner consistent with any applicable federal, state, or local law regarding criminal backgrounds, including but not limited to the California Fair Chance Act, the Los Angeles City Fair Chance Ordinance, Los Angeles County Fair Chance Ordinance for Employers, and the San Francisco Fair Chance Ordinance. Massachusetts Candidates: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Privacy: Information collected and processed as part of your candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Eastridge’s Privacy Policy , as well as Eastridge’s Pre-Use Notice of Collection and Automated Decision-Making Technologies By applying for this job, you agree to receive calls, AI-generated calls, if applicable, text messages, or emails from Eastridge Workforce Solution, and/or its agents and contracted partners related to confirming assignments and job openings. Message frequency may vary. Standard message and data rates may apply depending on your mobile carrier. To opt out of receiving SMS messages from us at any time, simply reply to the text with “STOP.” Please be aware that message and data rates may apply to any SMS messages sent or received. You can access our SMS Terms and Conditions by visiting Powered by JazzHR eFXASOIcJ7

Job Description Under the direct supervision of the Card Payment Services Manager/Assistant Manager; support branches, the call center, back office departments, and members, answering card and payment operations calls regarding ACH, debit, credit, ATM, prepaid, instant issue, and card dispute claims processing. Provide detailed answers, resolve complex issues, support critical department projects and special assignments. Collect data and prepare various structured card payment reports. Conduct card and payment-related training to Card Payment/Branch/MSC staff and provide leadership. Deliver the Orange Experience and act in the best interest of the member. Perform other complex related tasks in support of credit union operations. Supervisory responsibilities The incumbent reports directly to the Card Payment Services Manager/Assistant Manager. There are no direct reports to this position. NATURE & SCOPE • Support branches, call center, departments, and members answering calls on the full range of transactions and maintenance associated with card and payment processes, including ACH, Person to Person (P2P), Account to Account (A2A), EFT, credit and debit card transactions, card ordering and replacement, card dispute claims, and other assigned daily tasks and reports using credit union policies, procedures, and network operating rules. Handles escalated and more difficult, problematic and intricate member concerns., • Review and process various high level reports as assigned making appropriate complex financial adjustments in accordance with Regulations., • Research, analyze, adjust, and respond to complicated account discrepancies, in accordance with Regulation CC, Regulation E, Regulation Z, NACHA rules, Mastercard and other associated card and payment operating rules in order to avoid penalties, fines and legal ramifications., • Collect data in order to prepare or assist in the preparation of high level operations management reports, spreadsheets, and dashboards to assess metrics and performance for monthly/quarterly/annual reporting., • Troubleshoot and resolve escalated transaction exceptions and suspicious transactions in the area of expertise., • Communicate with internal technical support department and/or vendors to research and resolve extremely difficult member or system issues., • Collaborate with others to research, develop and implement new products and services. Perform system testing on new product and service rollouts, software updates, etc. May serve on committees as a Subject Matter Expert., • Assist with internal and external audit responses and exams, performing research and implement resolutions to findings and recommendations., • Reconcile department general ledger accounts, as assigned., • Demonstrate ability to back up and complete all responsibilities expected of a Card Payment Services Specialist I and Card Payment Specialist II., • Perform other advanced duties as required. Education, skills, & abilities The Eight Superpowers • Provides leadership through modeling of behaviors and bringing forward new ideas and new ways of doing things., • Demonstrates empathy, self-reflection, and adjustment of own behaviors, showing effective emotional intelligence., • Practices active listening in communications with others, giving someone full attention and listening to understand, not just respond., • Demonstrates grit, persisting in application of knowledge, skills, and behaviors to achieve goals and address obstacles., • Models intrinsic motivation; is self-driven to meet or exceed objectives, timelines, and quality measures while building and sustaining effective relationships., • Applies creative problem-solving to provide clarity, handle resources under one’s control, and address stressful situations; finds ways to meet individual, team, and member goals, by navigating through barriers., • Shares a diverse set of perspectives, work and life experiences, as well as religious and cultural differences. Actively seeks out differences in values, ideas, and priorities. Respects and value the differences of others, including but not limited to: national origin, language, race, color, disability, ethnicity, gender, age, religion, sexual orientation, gender identity, socioeconomic status, veteran status, and family structures. Believes a diverse workplace is essential to the company’s success., • The experience as acquired from a high school diploma or equivalent plus five (5) years of experience in a financial institution detecting, mitigating and recovering losses due to fraud. Extensive knowledge in either ACH, ATM Network Operations, Debit and Credit Card Operations, or Mastercard chargebacks required, • Excellent ability to effectively communicate verbally and in writing with members and staff to understand, explain, educate, and resolve unusual situations, requests, and grievances., • Proven ability to adapt to changing volumes and re-prioritization of tasks while maintaining excellent organization and customer service skills., • Requires an empathetic demeanor and can-do attitude to achieve the highest level of service and member experience., • Ability to multi-task, work under time constraints to meet work deadlines, and remain calm in stressful situations., • Ability to move between multiple systems quickly and efficiently, as well as the ability to learn new applications quickly., • Sharp skill and ability to perform difficult financial transactions with accuracy and minimal or no errors in daily work., • Ability to work independently and with limited supervision., • Great knowledge of accounting principles., • Innate ability to identify, analyze, and suggest creative ways to improve assigned tasks., • Demonstrate leadership by displaying adaptability as well as a positive, professional can-do attitude at all times., • Answer calls from branches, call center, back office departments, and members regarding operations in area of expertise. Perform research, provide answers, resolve issues, and perform file maintenance as required. Handle escalated and more difficult, problematic and intricate member concerns., • Research, analyze, adjust, and respond to complicated account discrepancies, in accordance with Regulation CC, Regulation E, Regulation Z, NACHA rules, Mastercard and other associated card and payment operating rules., • Sustain excellent organization and meet deadlines., • Collaborate with others to research, develop and implement new products and services. Perform analysis and system testing on new product and service rollouts, software updates, etc. May serve on committees as a Subject Matter Expert., • Maintain the highest level of internal/external member service. Deliver the Orange Experience and act in the best interest of the member., • Perform various advanced tasks, projects and administrative duties as assigned. PHYSICAL REQUIREMENTS • Work is primarily performed within a cubicle office setting. Subject to standard background noise found in a cubicle call center environment. Salary Range (hourly) $28.5658 - $35.7073

Job Description Aldridge Pite, LLP is a multi-state law firm that focuses heavily on the utilization of technology to create work flow synergies with its clients and business partners. Aldridge Pite is a full-service provider of legal services to depository and non-depository financial institutions including banks, credit unions, mortgage servicing concerns, institutional investors, private firms, and other commercial clients. Aldridge Pite is dedicated to providing best-in-class representation across all of its Practice Areas through its unwavering subscription to three fundamental tenets: Partnership, Integrity, and Innovation. Purpose Preparation, Processing and Filing Motions, Orders, Notice of Hearing, Adequate Protection Orders, Response to Motions to Sell, Motions to Approve Loan Modification/Deferrals/Partial Claims Specific Duties, Activities and Responsibilities • Review daily reports to ensure that files are handled efficiently and timely, • Preparation, Processing and Filing Motions, Orders, Notice of Hearing, Adequate Protection Orders, Response to Motions to Sell, Motions to Approve Loan Modification/Deferrals/Partial Claims, • Sending & Monitoring of Declarations/Affidavits in Support of Motions, Assignments, Meet and Confer Letters, and Motions for Client Approval, • Perform SCRA Searches and 48 hour Hearing Status, • Set up of Local Counsel and process Hearing Results, • Process ECF notifications and Attorney paper mail, • Update Client Systems, • Process Calls, Faxes, E-mails, Payment Histories, Disputes, Attorney Assignments and Debtor Checks, • Provide support to Management and attorneys, • Assist with additional projects as needed Job Requirements • High School Diploma, • Previous law firm experience is preferred but not required, • Must have the ability to communicate with Attorneys, • Must have ability to interpret client systems, • Must be proficient in software tools including but not limited to Word, Excel, Outlook and the Internet, • Must be organized and multi-task oriented, • Must have excellent communication skills General Competency Factors • Must be proficient in software tools, including but not limited to Word, Excel, Outlook, and the Internet., • Must possess strong written and verbal communications skills., • Must provide excellent customer service to internal and external customers, • Identifies and solves issues in a timely manner., • Must be a team player and willing to help others in their department whenever necessary., • Must be extremely organized and be able to multi-task., • Conscientious with respect to work completion, deadlines, time management and attendance., • Takes initiative in face of obstacles and identifies what needs to be done and takes action., • Demonstrates commitment to Firm’s vision, mission, and core values., • Analytical and detail oriented, while working at a fast pace and capable of multi-tasking., • Develops professional relationships and builds rapport with others., • Company Paid Life and Disability Insurance plans, • Medical, Dental and Vision Plans with Prescription coverage, • 401K Retirement Savings Plan, • Flexible scheduling (within reason, depending on position), • Generous PTO plan for all full-time employees, • Full equipment station at no cost for remote employees, including dual monitors, • Employee Assistance Plan, offering free 24/7 counseling and consulting services to support emotional health and wellbeing, • Wellness programs and employee discounts, • Learning and development training opportunities for both personal and professional growth

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