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Job DescriptionONLY EXPERIENCED CASE MANAGERS APPLY THIS IS NOT ENTRY LEVEL CASEPEER EXPERIENCE PREFERRED Headquartered in Torrance, California, we focus on catastrophic brain injury cases throughout the entire United States. A fantastic and rare opportunity to be an integral part of a reputable, and rapidly growing law firm that handles significant TBI and catastrophic cases in a positive team focused environment while working along side two "superstars" in the personal injury field. Opportunity to join our management team is available. We are looking to expand our Pre-litigation department and are in immediate need of an EXPERIENCED PRE-LITIGATION Case Manager. The ideal candidate has personal injury pre-litigation case management experience and is comfortable handling severe client injuries with large policy limits. Day to day tasks include frequent client contact, medical records collection, review, and analysis, assisting clients with medical providers, appointments, liability investigations, insurance claims processing, resolving property damage and loss of use, preparing files to submit to our demand department, and providing superior client service. Responsibilities: • Manage all aspects of the PI claims in the pre-litigation phase, • Provide excellent and timely customer service to clients, • Responsible for actively medically managing each assigned matter with attorney approval, including reviewing medical reports and medical recommendations, assisting with scheduling medical appointments, obtaining referrals for additional medical treatment, appointment reminders, etc., • Gather all necessary documents for demand writing team and organize using CRM technology, • Assist and act as a liaison for other departments with the firm, • Provide support to the staff and Attorney with preparing breakdowns, • Handle case load of 100+ files, • Perform other duties as assigned by Management and/or Team LeadersSkills/Qualifications:, • 2+ years’ experience in Personal Injury Pre-litigation handling severe client injuries and large policy limits in a law firm setting, • Bilingual (English and Spanish), • Closer skills preferred., • Tech savvy and comfortable working in a paperless system, • Time management and attention to detail is important, • Possess exceptional organizational skills as well as effective oral and written communication skills, • Experience in a medical office is a plus, • Self-Starter with the ability to effectively manage multiple tasks at once in a fast-paced environment, • Ability to handle high call volume - incoming and outgoing, • Previous experience with CRM software such as CASEpeer preferred but not required, • Proficiency in MS office suite, • Proficiency working with a case management software preferred, • Positive attitude, eagerness, and ability to learn new processes and technology, • Ability to use copier, scanner, fax, and computerLAW OFFICES OF ERICA CHAVEZ offers excellent employee benefits package, life insurance, health, vision, dental insurance, 401k, PTO, free parking, referral program, incentives and bonuses, social outreach opportunities, holiday parties, team bonding events (like escape rooms and Disneyland trips), opportunities for growth and learning from two big names in our field. Join our relaxed, friendly, upbeat environment with unlimited free snacks! BIG OPPORTUNITIES for advancement & opportunities to join our management team.

Job Description We are looking for a dedicated Case Manager to join a stable team in Sherman Oaks looking to add a new member of the team. This firm specializes in personal injury cases, and this role is crucial to ensuring clients receive the support and advocacy they need throughout the claims process. The ideal candidate will thrive in a collaborative and focused environment while demonstrating exceptional organizational and communication skills. Responsibilities: • Manage claims processing with various insurance carriers, including health insurance providers, Medicare, and MediCal., • Resolve property damage and loss of use claims efficiently and effectively., • Coordinate with healthcare providers to schedule medical appointments for injury treatment., • Advocate for clients by monitoring medical treatments and organizing care based on provider recommendations., • Review, analyze, and interpret medical records, surgical reports, and medical bills., • Prepare comprehensive case files for submission to the demands department., • Maintain clear and precise communication with clients, healthcare providers, and internal staff., • Collaborate with team members to ensure seamless case management and support., • Utilize case management software and tools to maintain accurate and organized documentation., • Minimum of 3 years of experience in case management, preferably within personal injury or pre-litigation., • Familiarity with basic medical terminology and the ability to interpret medical records and bills., • Proven ability to manage claims processing with insurance carriers and resolve property damage claims., • Strong organizational skills with attention to detail and the ability to multitask effectively., • Excellent communication skills, both written and verbal, with a detail-oriented approach., • Armenian language skills are a plus but not required., • Positive energy, team-oriented mindset, and a collaborative approach to work., • Proficiency in case management tools and software systems.

Job Description Position Overview: Accounting Manager / Bookkeeper We are currently seeking a motivated, detail-oriented, and trustworthy Accounting Manager / Bookkeeper to join our team. This role provides direct support to management and offers exposure to all aspects of the real estate industry, including project and asset management, design, and real estate finance. As our company grows, this position has significant potential to evolve into a more senior role. Key Responsibilities Accounting & Bookkeeping: • Manage day-to-day bookkeeping operations, including accounts payable (AP) and accounts receivable (AR)., • Prepare financial statements, balance sheets, and income reports., • Reconcile bank accounts, credit cards, and other financial records., • Maintain QuickBooks records accurately and up-to-date., • Prepare monthly financial reports for management., • Monitor cash flow, budgets, and financial forecasts., • Assist with budgeting, project cost analysis, and tracking of property performance., • Track project-related financials, ensuring proper documentation and reporting., • Assist with managing residential property portfolios, including leasing and rent collection., • Bachelor’s degree in Accounting, Finance, or a related field (or equivalent experience)., • 3+ years of accounting or bookkeeping experience, ideally within real estate or construction industries., • Proficiency in QuickBooks required., • Strong Excel skills, including knowledge of financial modeling and reporting tools., • Detail-oriented with excellent organizational skills., • Strong verbal and written communication abilities., • Ability to multi-task and prioritize in a fast-paced environment. Over the past fourteen years, Noesis has contributed to enhancing communities across Greater Los Angeles, including Beverly Hills, Beverlywood, Mar Vista, and the Hollywood Hills. In addition to our core Design and Construction divisions, we offer comprehensive Asset and Property Management services, including leasing, value-add strategies, and repositioning projects.Noesis is a premier full-service real estate design, development, and investment firm based in Beverly Hills, California. Since its founding in 2009, Noesis has specialized in high-end residential projects, delivering cutting-edge design, seamless project management, and superior construction services. Our commitment to excellence ensures significant returns for investors and exceeds client expectations.\r\n\r\nOver the past fourteen years, Noesis has contributed to enhancing communities across Greater Los Angeles, including Beverly Hills, Beverlywood, Mar Vista, and the Hollywood Hills. In addition to our core Design and Construction divisions, we offer comprehensive Asset and Property Management services, including leasing, value-add strategies, and repositioning projects.

We're hiring a Staff Software Engineer to join our Engineering team. As a Staff Software Engineer you'll join our distributed team, leading the design and development of enhancements to our next-generation claims and payment processing systems.

Job Description POSITION SUMMARY The Clinical Audit Manager is responsible for ensuring all UM/CM reporting is completed on or before due dates set by our contracted Health Plans. The Clinical Audit Manager is responsible for completing and passing all Health plan audits by due dates set by our contracted Health Plans. The Clinical Audit Manager will work directly with the UM Manager to ensure functions are conducted in a compliant manner. The Clinical Audit Manager is also responsible for confirming all Corrective Action Plans (CAPS) generated from deficiencies found in our reporting, and/or audits by the Health Plan auditors are completed and closed. Communication will be a high priority with the UM Manager and the Director of Clinical Operations of any CAPS received to ensure the deficiency is understood within the working departments, and improvements can be implemented to prevent further deficiencies resulting in further CAPS. RESPONSIBILITIES-DUTIES • Prepares and coordinates the completion of complex regulatory and compliance reports for submission., • Assists in audit preparations, analyzes information, identifies deficiencies, and tracks corrective action for completion. Processes additional data into the system, ensures that data is processed and researches any interruptions to the process., • Query, analyze, and interpret data for ad hoc analyses., • Participates in quality assurance process for all new department related system/application/process changes., • Ability to understand, work with and organize data from various systems and databases: facts, figures, narratives, and data analysis., • Demonstrate attention to detail and accuracy in work product. Support all levels of claims staff regarding Medicare Commercial, and Medi-Cal, adjudication and coding rules and requirements., • Locate and download all coding sources for system updating., • Ensures all reporting instructions (how to generate) are updated and listed in the corresponding P&P, • Assist UM Manager, Director of Clinical Operations to eliminate CAPs and/or operationalize process improvement techniques for better outcomes., • May assist with automating reports, • Performs as necessary to any departmental changes, workload and/or emergencies, • Understands the UM and CM Departments’ Policies/Procedures, • Ensure templates are accurate per Health Plan including but not limited to new and update information from ICE Website, • Ensures the privacy and security PHI (Protected Health Information) as outlined in AMM policies and procedures relating to HIPPA compliance, • Develop strategies to meet goals, • Set goals and objectives for the team/department, • 4+ years of experience within an MSO, IPA or Health Plan environment, • Must be highly organized and able to perform multiple tasks efficiently, be computer literate and must be very knowledgeable of all claims processing rules and guidelines, • Must have knowledge of CPT Codes and ICD10 Codes, • Must have Knowledge on all lines of business Medicare, Medi-Cal, and Commercial, • Familiar with regulatory agencies such as CMS, DMHC, DHCS (State of Cal), • Familiar with required laws pertaining to HIPPA Security & Privacy, Fraud Waste and Abuse, • Knowledge of health plans, medical groups, and managed care operations and related functions and regulations., • Relevant bachelor’s degree: or equivalent work experience required., • Ability to work in a fast-paced environment., • Knowledge of software applications such as EZCAP., • Must be able to efficiently prioritize multiple high priority tasks. When you join AMM, you’re not just getting a job—you’re getting a benefits package that puts YOU first: • Health Coverage You Can Count On: Full employer-paid HMO and the option for a flexible PPO plan., • Wellness Made Affordable: Discounted vision and dental premiums to help keep you healthy from head to toe., • Smart Spending: FSAs to manage healthcare and dependent care costs, plus a 401(k) to secure your future., • Work-Life Balance: Generous PTO, 40 hours of sick pay, and 13 paid holidays to enjoy life outside of work., • Career Development: Tuition reimbursement to support your education and growth.

Job Description Gurstel Law Firm, P.C. – Mail Entry Specialist GET TO KNOW US Gurstel Law Firm, P.C. (hereinafter “Gurstel” or “Firm”) is a multi-state litigation law firm representing creditors in all aspects of the legal collection process. The Firm is headquartered in Golden Valley, Minnesota with offices in Arizona, California, Iowa, Nebraska, Nevada, Utah, Wisconsin and Wyoming. Its practice is focused on the development of attorneys’ litigation skills, strategies and industry knowledge. CULTURE At Gurstel, we operate on our Core Values of Doing Right, Achieving Results, and Maintaining our Integrity. We champion diversity and are a very fast-paced, enthusiastic group of people! Success is celebrated and we are looking for people who share those same values with the drive to exceed expectations and think outside the box! Our culture is what makes our Firm a fun and rewarding place to work. Job Title: MAIL ENTRY SPECIALIST Home Department: CENTRALIZATION Worker Category: FULL-TIME Job Class: NON-EXEMPT Supervisory Responsibility: NONE The Centralization Department within Gurstel Law Firm. P.C. is a department of four separate teams currently: Judgment Entry, Mail Entry, Frauds & Disputes and Affidavits. The team consists of specific employees that specialists in each of their individual tasks. These sections have been identified as having similar job functions across all of the Firm’s states and therefore, identified to be housed within a specific team for consistency, both with regulatory concerns and client directives. JOB SUMMARY as Mail Entry Specialist, you will be responsible for performing a variety of tasks including, but not limited to: • Data Entry of correspondence into our database system in accordance with all applicable policies, procedures and client directives., • Processing of incoming emails and faxes, both data entry and document correspondence review., • Review of correspondence to ensure accuracy of information entered into the database system., • Uploading correspondence and applicable information to clients via client portal, e-mail, etc., • Perform general clerical duties including data entry, scanning, photocopying, collating, and faxing., • Responsible individual who is able to work both independently and in a team environment., • High School diploma or equivalent GED, • Legal field certificate/2-yr degree (experience may be substituted for education),, • Background in Retail Claims and Creditors’ Rights Laws preferred, • Competency in Microsoft applications including Word, Excel and Outlook. Organizational., • Excellent verbal and written communication skills., • Experience with basic office hardware such as scanners, fax machine, copiers, etc., • Ability to multi-task in a fast-paced environment., • Strong attention to Detail., • Superior problem-solving skills. COMPETENCIES • Adaptability 20%, • Productivity/Accountability 25%, • Teamwork 20%, • Communication 20%, • Initiative/Sense of Urgency 15% COMPENSATION AND BENEFITS, • Medical, Dental, Vision, STD, LTD, Life, 401k and Profit Sharing. We are looking for individuals who share our Core Values: Do Right, Achieve Results, and Maintain Integrity. EOE If you are based in California, you can read information for California residents linked here

Job Description Education and / or Experience: • High School Diploma and 3 years adjudication experience in a managed care setting., • Knowledge of CPT-4, HCPCS, Hospital Revenue, and ICD-9 coding., • Knowledge of HMO, DHS, DMHC, and CMS claims processing guidelines., • Strong knowledge of Microsoft Windows environment such as Word and Excel., • Self-starter, willing to take on multiple tasks., • Must meet minimal claims adjudication production standards., • Strong knowledge of Coordination of Benefits (COB) applications., • Must be able to interpret health plan benefits., • Must be able to review, interpret and apply contract rates., • Ability to communicate effectively orally and written typing 35 words per minute. To evaluate and determine the appropriate path and to assist in the expedited processing of all claims, special projects and escalated reconsiderations originating from various internal and external sources and to serve as the first level of telephonic and written response for such issues. Essential Duties and Responsibilities include the following: • Maintain the workflow of all departmental projects., • Provide reports and on-going updates to Claims management., • Assist in the processing of claims, special projects and medical records from all sources., • Oversees staff activities to maintain high level of productivity., • Monitor claims related functions to ensure health plan and regulatory compliance., • Participate with training determined by unit Supervisor regarding claims adjudication issues discovered in audit or through appeals., • Perform audits of claims activities such as turnaround time for acknowledgement, forwarding of claims to correct payer, and processing timeframes., • Provide primary support to the Supervisor of the Institutional unit including special projects., • Recommend process improvements based on appeal tracking and trending reports., • Support Claims management in other company functions such as Medical Review management., • Handle and document resolution to escalated telephone and written claims., • Implement and coordinate issue resolution processes., • Liaison for department with outside providers and internal departments., • Provide supervisory coverage for Claims unit as needed. The total compensation package for this position may also include other elements, including a sign-on bonus and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered. Details of participation in these benefit plans will be provided if an employee receives an offer of employment. If hired, employee will be in an “at-will position” and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors. As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success. Full Time Position Benefits: The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life. Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options. Health and Wellness: • Employer-paid comprehensive medical, pharmacy, and dental for employees, • Vision insurance, • Zero co-payments for employed physician office visits, • Flexible Spending Account (FSA), • Employer-Paid Life Insurance, • Employee Assistance Program (EAP), • 401k Retirement Savings Plan, • Vacation Time, • Company celebrations, • Employee Assistance Program, • Employee Referral Bonus, • Tuition Reimbursement, • License Renewal CEU Cost Reimbursement Program, • Business-casual working environment, • Sick days, • Paid holidays

Job Description Claims Processor Whittier, CA. We are currently hiring for a Claims Processor in the Whittier, CA area. We have several opportunities available due to our growing needs! We are specifically looking for entry to mid-level candidates who are interested in a long-term career with opportunities for growth, development, and advancement. If you’re interested in such an opportunity, this position could be the right fit for you. Claims Processor Pay Rate: • 1st shift, • The claims examiner reports directly to the claims manager. They are primarily responsible for the processing functions (operation, adjudication, and payment) of UB-92 and HCFA-1500 claims that are received from PHP affiliated medical groups and hospitals for HMO patients., • Investigate the claims filed and decide to deny, pay, or negotiate a settlement with the policyholder themselves or their representatives., • High School Diploma or GED., • Minimum of 2 years Claims Adjudication related experience in ambulatory, acute care hospital, HMO, or IPA environment., • Ability to pass a drug and background check., • Knowledge of payment methodologies for: Professional (MD), Hospital, Skilled Nursing Facilities, and Ancillary Services, • Knowledge and understanding of timeliness and payment accuracy guidelines for commercial, senior and Medi-Cal claims, • Knowledge of compliance issues as they relate to claims processing Job Type: Full-time Salary: From $24.00 -$28.00 per hour Experience level: • 8 hour shift, • Day shift

Job Description Healthcare Fraud Investigator – Medicare Los Alamitos, CA hybrid (OR) Work from Home in CA, AZ, ID, NV, OR, UT, or WA @Orchard LLC is retained by a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business including population health, utilization review, managed care organization quality review, and quality assurance for programs serving individuals with developmental disabilities. Our Client is also a national leader in fighting fraud, waste and abuse for large organizations across the country. In addition, our Foundation provides grant opportunities to those with programs for under-served communities. Ensures the integrity and accuracy of claims processes and protocols. Collects data for audits/investigations into claims, utilizing a combination of analytical skills and attention to detail, reviewing documentation, interviewing involved parties, and communicating with various stakeholders to gather relevant information for successful resolution and closure. Identifies opportunities to target fraud, waste, and abuse or discrepancies in claims submissions. Adheres to industry regulations and policies for managerial follow-up. Analyzes data in order to effectively assess the validity of claims. Provides accurate recommendations to management for claim resolution and closure. Documents and inputs all findings, while preparing comprehensive reports that may be used for legal or audit/investigative purposes. Essential Duties and Responsibilities: • Conducts routine and impartial audits/investigations from start to closure into customer claims, ensuring accurate and fair assessments of claims validity., • Provides customer service by addressing inquiries and concerns, and escalates audit/investigation, as needed., • Compiles detailed and organized records of audit/investigation findings, ensuring accuracy and compliance with legal and regulatory requirements., • Applies functional knowledge to create and implement strategies to identify and prevent fraudulent activities, safeguarding the integrity of the claims process., • Conducts interviews with relevant witnesses, claimants, and other stakeholders to gather additional information and perspectives on claims., • Communicates with appropriate internal teams to ensure the proper processing of audits/investigations, while adhering to legal and regulatory standards., • Communicates audit/investigation findings clearly and professionally to customers, claimants, and other stakeholders, managing expectations and providing updates., • Assists in providing training and support to other auditors/investigators, contributing to the continuous improvement of investigative processes. Education and /or Skills and Experience Required: • Minimum Bachelor's Degree, • Minimum of 2-4 years experience in fraud investigation/detection; 5-7 years experience preferred, • Must possess prior experience in federal or state healthcare programs or a related field that demonstrates expertise in reviewing, analyzing, and making appropriate decisions related to fraud, waste and abuse. Preferred Skills/Experience: • Certified Fraud Examiner or Accredited Healthcare Anti-Fraud Investigator, • Prior successful experience with CMS and OIG/FBI or similar agencies, • Medicare investigation experience strongly preferred If you match the requirements for this opportunity and believe you have the experience and talent to succeed in the role, we need to hear from you! Compensation for the role of Investigator will be determined based on experience and qualifications. The salary range is expected to be $64,000 - $80,000, plus benefits. Established in 2010, @Orchard LLC, also known as, Talent Orchard has an exceptional reputation, providing staffing solutions to time-sensitive, talent scarcity issues to deliver better talent management ROI. Our specialty lies in the critical area of program talent acquisition and resource management, not in one narrow skillset, but across many areas of technical and functional delivery. To learn more about our other exciting opportunities, visit our Jobs Page at .

Job DescriptionProject Administrator/Accountant Temporary position for 6 months plus Will be working onsite, located in San Gabriel Valley Pay: $35.00 to $38.00 per hour We’re seeking a Project Administrator/Accountant for a 6+ month temporary assignment with a client in the San Gabriel Valley. This role is fully onsite and will support project budgeting, reporting, and tracking from initiation through completion. Responsibilities: • Open and close projects, ensuring accuracy of all supporting documentation, • Strong experience with processing the AP and AR, • Track budgets, costs, and schedules across multiple projects, • Perform financial and variance analysis, highlighting potential issues and solutions, • Prepare project reports, closing packages, and supporting schedules, • Collaborate with operations and engineering teams on project updates, • Build and maintain queries in Excel, SQL, and Access for reporting, • Support invoice preparation, claims, and reimbursement documentation, • Ensure compliance with GAAP, SOX, and internal controls, • Assist with special projects, rate case data, and financial reportingRequirements:, • Bachelors in Accounting, Finance, or Business preferred, • 3+ years in accounting, project analysis, or project administration, • Strong Excel skills (vlookups, pivot tables, advanced formulas, queries), • Experience with SQL and Access strongly preferred, • Background in project accounting (AP/AR, budgeting, cost tracking)PandoLogic. Keywords: Water Analyst, Location: Covina, CA - 91724 , PL: 600397979

Job Description At Hyundai Carson, we’re proud to represent one of the most innovative and rapidly growing brands in the automotive industry. We are committed to delivering exceptional service and creating a positive customer experience at every turn. As we continue to grow, we are looking for a highly motivated and detail-oriented Warranties Administrator to join our Hyundai service team. Position Overview: The Hyundai Warranties Administrator ensures accurate and timely submission of warranty claims to Hyundai Motor America (HMA) and applicable third-party providers. This role is crucial in maintaining manufacturer compliance, maximizing warranty reimbursement, and supporting our service team in delivering excellence. Key Responsibilities: • Accurately process and submit warranty claims in accordance with Hyundai Motor America (HMA) policies and procedures, • Audit repair orders for accuracy, proper documentation, and warranty eligibility, • Monitor open claims and follow up on unpaid or rejected submissions, • Maintain up-to-date knowledge of Hyundai technical service bulletins, recalls, and warranty coverage changes, • Liaise with HMA personnel to resolve disputes or inconsistencies, • Coordinate with technicians, service advisors, and management to ensure clear communication and efficient processing, • Attention to Detail: Accuracy in documentation and submission is essential to success in this role, • Diligent and Hard-Working: You’re thorough, persistent, and committed to getting it right the first time, • Team-Oriented Under Pressure: You remain calm and collaborative in a fast-paced dealership environment, • Strong Work Ethic: You take pride in your work and follow through consistently, • Previous experience with Hyundai warranty systems (WebDCS) or dealership DMS platforms (Dealertrack DMS, CDK, Reynolds & Reynolds, etc.) is highly desirable, • Strong organizational, communication, and computer skills, • Competitive pay between $60,000 – $100,000, commensurate with experience, • Health, dental, and vision insurance, • Paid time off, holidays, and 401(k) with match, • Employee discounts on vehicles, parts, and services, • Professional training and growth opportunities within the Hyundai network

Job DescriptionDescription: Revenue Cycle Coordinator Position Overview: The Revenue Cycle Specialist (RCS) is responsible for managing the revenue cycle, which is the process of generating, acquiring, and delivering revenue. Key responsibilities include processing and submitting claims to insurance companies and patients, following up on unpaid claims, resolving discrepancies with payers, ensuring timely collection of payments from insurance companies and patients. The Revenue Cycle Specialist is also responsible for submitting and obtaining all necessary documentation to create revenue for insurance companies. RCS is required to understand and interpret payer contracts. Essential Job Functions: Overall • Meet with Revenue Cycle Supervisor and Director to discuss areas of concern., • Answers questions and provides solutions to Revenue Cycle Management team., • Creates and updates Standard Operating Procedures (SOPs) and Work Aids for both domestic and global revenue cycle teams, • Supports Daily and Weekly Communication of Payer, Product and Process Updates to both domestic and global teams, • Reviews request from team members for updates to payer / system configuration and submits to the appropriate team for system update, • Monitor and report on key performance indicators related to revenue cycle activities, such as claim denial rates, time to payment, and outstanding accounts receivable, to identify areas for improvement., • Work on complex and intricate revenue-related matters., • Supports global team and provides feedback though QA, reviews and huddles., • Monitors work completed by global partners and resolves tasks the global team cannot resolve., • Trains and provides support to domestic and global team members, • Submits price table, payer rule, and system configuration updates to designated team., • Process and submit insurance changes in a timely manner, • Submit updates to insurance selection tools if the insurance change is the result of a risk update that has taken place with the payer, • Process and apply insurance and patient cash in a timely manner, • Monitor cash that is being received mail from payers., • Process and submit insurance claims to various payers, ensuring accuracy in coding and billing information to minimize denials and delays., • Review patient accounts to verify correct insurance billing information, update records as necessary, and resolve any discrepancies in patient account balances., • Analyze denied claims to identify denial reasons and perform the necessary follow-up actions including appealing denied claims with appropriate documentation and justification., • Analyze accounts receivable reports and take appropriate action to resolve repetitive denials., • Coordinate with healthcare providers to obtain necessary medical documentation, referrals, or authorizations required for claim processing and reimbursement., • Discusses areas needing improvement with the authorization and CMN departments as needed and offers solutions., • Engage directly with patients to explain their bills, resolve billing inquiries, and set up payment plans for outstanding balances, ensuring a positive customer service experience., • Engage in written communication and schedule meetings with payers to address aging balances., • Compiles and submits projects to insurance companies., • Meet with Revenue Cycle Supervisor and Director to discuss areas of concern., • Answers questions and provides solutions to RCM team., • Process and submit authorization and CMN requests to medical groups, plans, and physicians’ offices. Follow-up in a timely manner. Requirements: Minimum Qualifications: • Minimum one year of customer service experience, • High school diploma or equivalent required, • Effective verbal and written skills, • Knowledge in all major insurance carrier reimbursement guidelines and eligibility coverage (Medicare, Medi-Cal, Commercial Health Plans), • Able to work in a fast-paced environment, flexible and ability to adapt to changing environment, • Strong interpersonal, communication, time management, and organizational skills required, • Self-Starter with the ability to work independently The conditions herein are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential job functions. Environment: Standard office setting; tasks are regularly performed without exposure to adverse environmental conditions; frequent interaction with staff and the public. The role requires that you wear a headset, access and work within multiple systems while addressing callers’ concerns in real time. Physical: Incumbents require sufficient mobility to work in an office setting; stand or sit for prolonged periods of time; operate office equipment including use of a computer keyboard; light lifting, carrying, pushing and pulling; ability to verbally communicate to exchange information. Vision: See in the normal visual range with or without correction; vision sufficient to read computer screens and printed documents; and to operate assigned equipment. Hearing: Hear in the normal audio range with or without correction. NOTE: This job description is not intended to be all-inclusive. Employee may perform other related duties to meet the ongoing needs of the organization.

Job DescriptionDescriptionJob Title: Supervisor - Claims Revenue & Recovery Department: Ops - Claims Ops About the Role:The Revenue & Recovery Claims Supervisor is responsible for overseeing the daily operations of the claims recovery and revenue integrity team. This role ensures accurate processing of claims, identification of recovery opportunities, compliance with regulatory and contractual recoupment procedures, and effective resolution of discrepancies. The Supervisor provides leadership, guidance, and performance management for staff while partnering with internal departments and external stakeholders to optimize revenue and minimize financial risk. What You'll Do • Supervise the day-to-day operations of the revenue and recovery claims team, ensuring accuracy, efficiency, and compliance, • Monitor claims processing and recovery activities to identify trends, issues, and opportunities for improvement, • Ensure proper review, validation, and resolution of claim discrepancies, denials, overpayments, and underpayments, • Collaborate with payers, providers, and internal teams to address revenue recovery and reconciliation issues, • Develop and implement policies, procedures, and performance standards aligned with organizational goals, • Generate and analyze reports to track performance, recovery outcomes, and key metrics, • Train, coach, and mentor team members; provide regular feedback and performance evaluations, • Support audits, compliance reviews, and reporting requirements related to claims recovery, notices, and revenue integrity, • Escalate unresolved or complex issues to management with recommendations for resolution, • Foster a positive, collaborative team culture focused on accountability and continuous improvement, • Bachelor’s degree in healthcare administration, business, finance, or related field (or equivalent experience)Experience:, • 3–5 years in healthcare claims, revenue cycle, or recovery operations, • At least 2 years in a supervisory or team lead roleKnowledge/Skills:, • Strong understanding of healthcare claims processing, reimbursement methodologies, and regulatory requirements, • Familiarity with payer contracts, denials management, and revenue recovery strategies, • Proficiency with claims systems, reporting tools, and Microsoft Office Suite (Excel, Word, Outlook), • Excellent analytical, organizational, and problem-solving skills, • Strong leadership, communication, and interpersonal abilitiesYou're great for this role if:, • You thrive on solving problems and turning complex claims issues into clear resolutions, • You enjoy leading and developing people, helping them grow while keeping the team focused on results, • You’re detail-oriented and analytical, but can also see the “big picture” when it comes to revenue cycle impact, • You communicate clearly and confidently—whether you’re collaborating with your team, explaining data, designing letter templates. or addressing payers and providers, • You’re adaptable and embrace change as an opportunity to improve processes and outcomes, • Our organization follows a hybrid work structure where expectation is to work both in office and at home on a weekly basis and or with potential need to attend meetings onsite. The office is located at 1600 Corporate Center Drive, Monterey Park, CA 91754, • The total compensation target pay range for this role is: $80,000 - $90,000. The salary range represents our national target range for this role.

Job Description POSITION SUMMARY Strong background on Medi-Cal, Commercial, and Medicare benefits, including coordination of benefits. Works closely with all departments necessary to ensure that processes, programs and services are accomplished in a timely and efficient manner in accordance with AMM policies and procedures and in compliance with applicable state and federal regulations including CMS, MediCal, and DMHC. Claims audit manager ensures incoming claims are processed in accordance with policies, procedures and guidelines , as outlined by AMM and contractual agreements; within mandated timeframes; and according to rate as reflected in respective provider contracts. Manager will be responsible for prepayment, post payment validations and the management of operational reporting, testing and data submissions. RESPONSIBILITIES-DUTIES • Prepares and coordinates the completion of complex regulatory and compliance reports for submission., • Assists in audit preparations, analyzes information, identifies deficiencies, and tracks corrective action for completion. Processes additional data into the system, ensures that data was processed and researches any interruptions to the process., • Query, analyze, and interpret data for ad hoc analyses., • Apply Medicare Claim Payment rules and requirements, including the application of National Coverage Decisions, Local Coverage Decisions, and National Correct Coding requirements to claims received for payment., • Gather information needed for compliance related activities., • Participates in quality assurance process for all new department related system/application/process changes., • Perform pre-payment audits and post payment audits to validate claims for appropriate coding and documentation and validate accurate claim adjudication rules and fee schedules were applied, • Ability to understand, work with and organize data from various systems and databases: facts, figures, narratives, and data analysis., • Demonstrate attention to detail and accuracy in work product. Support all levels of claims staff regarding Medicare Commercial, and Medi-Cal, adjudication and coding rules and requirements., • Locate and download all coding sources for system updating., • Must have excellent verbal and written communication skills., • Performs other duties as assigned / necessary. MINIMUM REQUIREMENTS • Minimum of five years’ experience in healthcare claims processing, or an equivalent combination of education, training, and experience, • Medi-Cal and Medicare claim processing experience preferred, • Strong understanding of claims processing workflow and payment rules, • Detailed knowledge of electronic billing processes and universal billing forms, • Knowledge of CMS pricers and vendor pricing software, • 3+ years of experience within an MSO, IPA or Health Plan environment, • Must be highly organized and able to perform multiple tasks efficiently, be computer literate and must be very knowledgeable of all claims processing rules and guidelines, • Must have knowledge of CPT Codes and ICD9 Codes, • Must have experience in processing all lines of business Medicare, Medi-Cal, and Commercial claims, • Proficient in RBRVS, HCPCS, and CPT coding practices, • Familiar with regulatory agencies such as CMS, DMHC, DHCS (State of Cal), • Familiar with required laws pertaining to HIPPA Security & Privacy, Fraud Waste and Abuse, • Knowledge of health plans, medical groups, and managed care operations and related functions and regulations., • Relevant Bachelor’s degree; or equivalent work experience required., • Ability to work in a fast-paced environment., • Knowledge of software applications such as EZCAP.

Job Description JOB DESCRIPTION Position: Medical Biller/Collections Pay Range: $24.00-$27.00 PER HR Reporting To: Reimbursement Manager Work Type: Hybrid (4 days in office, 1 day remote) POSITION SUMMARY: The Medical Biller’s responsibilities include tasks that require data analysis and sound judgment to help our patients/clients throughout the billing process. In addition, the best candidate for this position will be experienced with billing software and medical insurance policies. The Medical Biller will work directly with the Reimbursement Manager to ensure that all daily and weekly responsibilities are completed within a timely manner. QUALIFICATIONS: • High school diploma or GED preferred., • 3 years+ of prior medical billing experience., • Effective communication skills., • Ability to organize details logically and accurately., • Ability to work independently and be result oriented., • Effective interpersonal skills, including the ability to promote teamwork., • Strong problem-solving skills., • Excellent PC operating skills and use of MS Excel. ESSNENTIAL DUTIES AND RESPONSIBILITIES: The following is a representation of the major duties and responsibilities of this position. The agency will make reasonable accommodations to allow otherwise qualified applicants with disabilities to perform essential functions. • Responsible for charge and payment entry within Companies EMR. Coordinates and clarifies with providers, when necessary, on information that seems incomplete or is lacking for proper account/ claim adjudication., • Responsible for correcting, completing, and processing claims for all payer codes., • Analyze and interpret claims and ensure that they are accurately sent to insurance companies., • Perform follow up with Medicare, Medicaid, Medicaid Managed Care, and Commercial insurance companies on unpaid insurance accounts., • Answer/respond to correspondence related to patient accounts. Is available to answer billing and changes related inquiries by patients, staff, Managed Care Organization, etc., • Research payer denials related to referral, pre-authorization, notifications, medical necessity, non-covered services, and billing resulting in denials and delays in payment., • Independently write professional appeal letters, • Submit retro-authorizations in accordance with payor requirements in response to authorization denials., • Identify denial patterns and escalate to Management as appropriate with sufficient information for additional follow-up, and/or root cause resolution., • Review payor communications, identifying risk for loss reimbursement related to medical policies and prior authorization requirements; escalates potential issues to Management as appropriate., • Other duties as assigned. PHYSICAL REQUIREMENTS: • Stand, sit, talk, hear, reach, stoop, kneel and use of hands and fingers to operate computer, telephone, and keyboard on a frequent basis (up to 75% of the time)., • Close vision requirements due to computer work., • Light to moderate lifting may be required (up to 25lbs).

Job Description Medica Talent Group is excited to share this opportunity with you! Our client, a well-known and reputable Healthcare Organization is seeking a Patient Access Coordinator to join their team in Anaheim, CA Schedule: Monday to Friday, 8AM – 5PM or 9AM - 6PM (Full-time) Assignment Length: Temp – possibility of direct hire based on performance and need* Location: Anaheim, CA PAY: $18/HR Job Description Under the supervision of the Quality Improvement Team Leader, the Patient Access Coordinator is responsible for all aspects of the authorization process. Responsibilities include collecting all necessary documentation, contacting the referring provider office for additional information and completion of the required prior authorization form in order to proceed with the request. The Authorization Specialist will work closely with the clinical staff, claims and billing departments. Must display excellent communication, organization and follow-up skills with the ability to handle multiple assignments simultaneously. In addition, demonstrates good judgement as well as attention to detail. Essential Job Functions Duties include, but are not limited to: • Obtain prior authorization information in accordance with established guidelines., • Must work well independently and in a team environment., • Verify prior authorizations and/or pre-service requirements are met., • Timely completion for all prior and retro authorization requests., • Proactively manages and maintains all authorization requests to ensure billing of clean claims., • Provide outstanding customer service to participants and develop and maintain positive working relationships with internal and other external customers., • Identify and report trends and prior authorization issues relating to billing and reimbursement., • Document all account activity and correspond to inquires in a timely manner., • Reviews accounts on a daily basis while meeting or exceeding all daily, weekly and monthly production goals., • Responsible for documenting authorization status and demonstrating proficiencies with software systems and electronic health records., • Identifies prior authorization trends and/or issues resulting in delayed processing., • Communicates and works effectively with colleagues from other departments., • Follows written and verbal communications., • Follows all health and safety policies and procedures., • Performs other related duties as required or assigned., • Confirm new patients and return appointments in computer system in accordance with physician and/or office guidelines., • Appropriately schedule all specialty appointments, • Coordinate transportation and interpretation services for all specialty appointments as needed., • Follows policies and procedures to contribute to the efficiency of the office., • Prepares correspondence, memos, forms and other typing as requested by supervisor., • Knowledge of basic computer skills such as Microsoft Office Suite (Outlook, Word, Excel, PowerPoint, etc.)

Job DescriptionThe Pack Labs is leading the way in the hemp-derived cannabinoid industry with premium brands like Delta Munchies and Imperial Extraction. With a focus on quality, innovation, and expanding our national presence, we’re committed to creating the highest-quality products that stand out in the market. As we continue to grow, we are seeking a Head of Compliance to lead our regulatory strategy and operations at our new Santa Fe Springs facility. This role is essential to ensuring that our manufacturing processes, product development, and commercial operations remain fully aligned with California hemp laws, FDA and CDPH requirements, and emerging federal and state regulations. The Head of Compliance will report directly to executive leadership and work cross-functionally with operations, quality assurance, legal, and marketing to build and sustain a best-in-class compliance program. This is a hands-on leadership role that combines regulatory knowledge, policy development, internal auditing, and team training into one cohesive, scalable system. Role & Responsibilities • Manage the full lifecycle of business-critical licenses and permits, including hemp extract registration, food processing facility permits, and all related renewals. Prepare supporting documentation for new license applications or modifications based on operational expansion., • Oversee all regulatory compliance efforts across the organization, with a primary focus on California Department of Public Health (CDPH), FDA (for ingestibles), Cal/OSHA, and local health regulations. Monitor and interpret relevant state and federal laws, including HSC §11018.5 and §111920, and provide actionable updates to executive leadership, • Develop and maintain robust Standard Operating Procedures (SOPs) for all regulated processes, ensuring full alignment with cGMP, HACCP, QMS standards, and evolving compliance frameworks. SOPs should clearly govern all manufacturing activities across prerolls, vape filling, and edible production., • Lead the creation of documentation systems that ensure accurate, audit-ready records for all regulatory touchpoints, including batch tracking, raw material COAs, sanitation logs, employee training files, and incident or recall reports., • Establish and execute internal audit schedules to assess compliance adherence across departments. Identify risk, lead root cause analysis, and implement corrective and preventive actions (CAPA) as needed., • Oversee compliance testing protocols for all raw materials and finished products. Confirm results meet required thresholds for potency, contaminants, and microbial content. Review all packaging and labels to ensure compliance with California and FDA regulations, including ingredient panels, QR codes, and health warnings., • Serve as the primary point of contact for state and federal inspections. Lead the organization’s audit preparedness and respond to compliance-related notices, product holds, or consumer complaints in collaboration with legal counsel when necessary., • Design and lead company-wide training initiatives on regulatory expectations, GMP practices, and hygiene protocols. Maintain documentation of all compliance training activities and ensure they are refreshed and up to date., • Support environmentally responsible waste disposal practices and ensure compliance with CalEPA and hazardous materials handling requirements., • Minimum 3 years of compliance leadership experience in a regulated manufacturing environment (cannabis or hemp), • In-depth understanding of California and nationwide hemp regulations, FDA and CDPH standards, and food safety laws, • Strong working knowledge of cGMP, HACCP, QMS, and regulatory audit frameworks, • Proven success developing and enforcing SOPs, maintaining licensing portfolios, and managing regulatory audits and inspections, • Demonstrated ability to build documentation systems that support transparency, traceability, and recall readiness, • Exceptional attention to detail, organizational discipline, and risk management acumen, • Strong communication and leadership skills with the ability to influence and educate across departments and levels of seniority, • Experience collaborating with executive teams and regulatory counsel on compliance strategy and operational impact, • Must be 21+ and authorized to work in the United States What We Offer • Competitive salary: $60,000- $90,000, • Full benefits package including medical, dental, vision, and paid time off, • High-visibility leadership role with significant impact on the company’s growth and operational integrity, • A collaborative, high-performance environment built on accountability, transparency, and innovation THpsGVj0hc

Job Description Claims Examiner Must have listed claims reimbursement experience Must have DOFR Must have processed lab claims • Will Need References to Submit., • Will Need References to Submit., • Will Need References to Submit. ONSITE INTERVIEW REQUIRED LOCATION: 9557 Greenleaf Avenue, Whittier, CA SHIFT: Monday - Friday - 07:00am - 03:30pm PLEASE NOTE ORIENTATION TIME MAY DIFFER THAN SHIFT TIMES LISTED * 2 YEARS EXPERIENCE REQUIRED - MUST BE ABLE TO VERIFY HS DIPLOMA or GED or HIGHER EDUCATION* POSITION SUMMARY: The claims examiner reports directly to the claims manager. They are primarily responsible for the processing functions (operation, adjudication, and payment) of UB-92 and HCFA-1500 claims that are received from PHP affiliated medical groups and hospitals for HMO patients. EDUCATION/EXPERIENCE/TRAINING: • High school graduate or equivalent required. Must have physical proof on hand if background check is unable to verify your education background.

Job DescriptionDescription: Revenue Cycle Auditor Position Overview: The Revenue Cycle Auditor is responsible for managing the revenue cycle, which is the process of generating, acquiring, and delivering revenue. Key responsibilities include processing and submitting claims to insurance companies and patients, following up on unpaid claims, resolving discrepancies with payers, ensuring timely collection of payments from insurance companies and patients. The Revenue Cycle Auditor is also responsible for submitting and obtaining all necessary documentation to create revenue for insurance companies. RCA is required to understand and interpret payer contracts and work on and address any complex and intricate revenue-related issues. In addition, RCA will analyze accounts receivable reports, identify repetitive denials, systematic issues, and schedule meetings with payers. RCA needs to identify internal organizational errors arising from other departments and/or system configuration and take appropriate action to resolve them. Essential Job Functions: • Process and submit insurance claims to various payers, ensuring accuracy in coding and billing information to minimize denials and delays., • Review patient accounts to verify correct insurance billing information, update records as necessary, and resolve any discrepancies in patient account balances., • Analyze denied claims to identify denial reasons and perform the necessary follow-up actions including appealing denied claims with appropriate documentation and justification., • Analyze accounts receivable reports and take appropriate action to resolve repetitive denials., • Coordinate with healthcare providers to obtain necessary medical documentation, referrals, or authorizations required for claim processing and reimbursement., • Discuss areas needing improvement with the authorization and CMN departments as needed., • Engage directly with patients to explain their bills, resolve billing inquiries, and set up payment plans for outstanding balances, ensuring a positive customer service experience., • Engage in written communication and schedule meetings with payers to address aging balances., • Compiles and submits projects to insurance companies., • Meet with Revenue Cycle Manager and Director to discuss areas of concern., • Process and submit authorization and CMN requests to medical groups, plans, and physicians’ offices. Follow-up in a timely manner., • Process eligibility verification and determine payer, benefits, and coverage criteria., • Monitor and report on key performance indicators related to revenue cycle activities, such as claim denial rates, time to payment, and outstanding accounts receivable, to identify areas for improvement., • Work on complex and intricate revenue-related matters., • Supports global team and provides feedback though QA, reviews and huddles., • Monitors work completed by global partners and resolves tasks the global team cannot resolve., • Submits price table, payer rule, and system configuration updates to designated team., • Implement and adhere to compliance standards and regulations related to medical billing and coding, maintaining confidentiality of patient information in accordance with HIPAA guidelines., • Minimum of 2 years’ experience in Revenue Cycle Management, • High school diploma or equivalent required, • Effective verbal and written skills, • Knowledge in all major insurance carrier reimbursement guidelines and eligibility coverage and claims processing guidelines (Medicare, Medi-Cal, Commercial Health Plans), • Thorough understanding of healthcare regulations, coding guidelines, and payer policies/contracts, • Able to work in a fast-paced environment, flexible and ability to adapt to changing environment, • Strong interpersonal, communication, time management, and organizational skills for effectively conveying audit findings to payers as well as with domestic and global staff, • Self-Starter with the ability to work independently, • Proficiency with Microsoft Excel, • Experience with Brightree EHR or other EHR system, • In-depth knowledge of the practices, procedures, and concepts of the healthcare revenue cycle, • Strong analytical and problem-solving abilities, • Working knowledge of MS Office, • Strong ability to analyze financial data, identify discrepancies, and conduct audits The conditions herein are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential job functions. Environment: Standard office setting; tasks are regularly performed without exposure to adverse environmental conditions; frequent interaction with staff and the public. The role requires that you wear a headset, access and work within multiple systems while addressing callers’ concerns in real time. Physical: Incumbents require sufficient mobility to work in an office setting; stand or sit for prolonged periods of time; operate office equipment including use of a computer keyboard; light lifting, carrying, pushing and pulling; ability to verbally communicate to exchange information. Vision: See in the normal visual range with or without correction; vision sufficient to read computer screens and printed documents; and to operate assigned equipment. NOTE: This job description is not intended to be all-inclusive. Employee may perform other related duties to meet the ongoing needs of the organization.

Job DescriptionBenefits: • Opportunity for professional growth, • 401(k), • Competitive salary, • Dental insurance, • Health insurance, • Paid time off Allied Health Solutions Medical Group, an outpatient medical clinic providing primary care services to patients, is seeking a Medical Clerk-EDD Claims Processor.The successful candidate will be responsible for providing administrative services under the supervision of management. The clinic is located in Inglewood, California. This is a full-time position from Monday to Friday, 8:30am to 5:00pm. Position Summary The Medical Clerk EDD Claims Processor is responsible for completing and managing all aspects of EDD-related paperwork and communications. This position plays a key role in ensuring timely and accurate submission of medical documentation required for disability leave claims, while maintaining strict confidentiality and compliance with clinic policies and healthcare regulations. Key Responsibilities • Process and complete EDD disability leave claim forms accurately and efficiently., • Liaise with healthcare providers to obtain necessary medical information and signatures., • Communicate with patients regarding claim status and required documentation., • Submit claims electronically or by mail in accordance with EDD guidelines., • Ensure timely processing of patient check out documents, • Maintain organized records of all submitted claims and correspondence., • Respond to phone inquiries from patients, providers, and EDD representatives in a timely and professional manner., • Review and follow up on patients HIPAA compliant emails and text messages, • Ensure compliance with HIPAA and all relevant state and federal privacy regulations., • Assist with other front office or administrative tasks as needed, including scheduling, patient check-in/check-out, and records management., • Basic knowledge of ICD-10 codes, • Review and follow up on patients HIPAA compliant emails and text messages.Qualifications, • Associate degree or higher qualifications in healthcare administration or equivalent training is required. Medical billing knowledge is a plus., • 12 years of experience in a medical office or healthcare setting preferred., • Familiarity with EDD disability leave forms/processes is strongly preferred., • Excellent organizational and time management skills., • Strong written and verbal communication abilities., • Proficient in Microsoft Office and electronic medical record (EMR) systems., • Ability to handle confidential information with discretion and professionalism.Benefits, • Competitive pay, • Health, dental, and vision insurance, • Paid time off and holidays, • Supportive team environment, • Opportunities for professional growth

Job Description M.S. Aerospace Inc. (MSA) is an aerospace manufacturer of high strength specialty fasteners, including bolts, screws, studs, and pins. Our products are of the highest quality and very close tolerances. Our products support the US Government, including the ISS, Space Shuttle, and the most demanding defense equipment. We also support the most demanding OEMs in the commercial aviation industry. We offer a competitive benefits package including medical, dental, vision, and bonus. Join one of the fastest-growing aerospace companies by applying now ! Environmental Health and Safety Specialist Department: Human Resources Department/ Area: Manufacturing and Administration Position Summary: We are seeking a qualified and motivated individual to coordinate environmental, health, and safety programs, inspections, training, audits and hazard assessments related to CAL OSHA and environmental requirements in support of established safety policies and practices ensuring the wellbeing of employees, contractors and visitors. What You Will Do: · Works with the Human Resource Manager, General Manager, and Directors to continue to build and sustain a strong safety culture through loss analysis · Interact with all levels of the organization and uphold a positive safety and environmental work environment. · Handle safety related activity and initiatives in a collaborative manner to create a culture of interdependence and to create a high-performance workplace. · Ensure that EHS incidents and significant near misses are communicated appropriately and investigated with corrective actions monitored and tracked to closure. · Communicate and initiate improvements based on trends in audit findings, corrective actions, and best practices. · Ensure compliance to CAL OSHA, LA City/County CUPA, LA County Department of Public Health, SCAQMD and other safety regulations that apply to the facility. · Maintain training records & updates training materials, incident report tracking, and updates facility regulatory programs · Perform timely investigations of incidents identification of root cause and rapid correction · Provide guidance and technical expertise to ensure compliance with EHS regulations. · Perform all other duties as assigned to support manufacturing · Responsible for case management of workers’ comp claims and maintained ongoing communication with claim adjusters and attorney to minimize lost time, claim cost, and attended applicant’s deposition Minimum Qualifications: · At least 1 year of experience with safety or health systems in manufacturing and warehousing environment · At least 1 year of experience with environmental compliances in manufacturing and warehousing environment · Intermediate skills in Microsoft Word, Excel & PowerPoint · Workers' compensation experience. · Good working knowledge of CAL OSHA, LA City/County CUPA, LA County Department of Public Health, and SCAQMD · Strong demonstrated passion for safety, a willingness to learn and be developed in a fast-paced demanding environment · Experience leading training and development initiatives in the field of Environment, Health, or Safety · Experience in project leadership · Demonstrate team orientation; proactively communicate and willing to be flexible to meet business needs. · Excellent interpersonal and communication skills. Preferred Qualifications: · OSHA 40 Hour HAZWOPER Certificate · DOT 10 Hour Hazmat Transportation Certificate · Certification as a Safety Professional · Experience working in and driving continuous improvement · Bi-lingual (Spanish) preferred Reporting Relationships: Reports to General Manager and Human Resource Manager Working Conditions: 80% Manufacturing Environment and 20% Office Environment This job description in no way states or implies that these are the only duties to be performed by this employee. He or she will be required to follow any other instructions and to perform any other duties requested by his or her supervisor. M.S. Aerospace Inc. is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law. M.S. Aerospace Inc. will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of Los Angeles Municipal Code, Chapter XVIII, Article 9. M.S. Aerospace Inc. 13928 Balboa Blvd Sylmar, CA 91342. Company DescriptionMSA is a leading manufacturer in the aerospace industry of high-quality specialty fasteners for aerospace, medical and other high performance, applications. M.S. Aerospace, Inc., a leading manufacturer of aerospace products and parts, has the following open degreed/experienced position(s) available in Sylmar, CA: Materials Engineer Evaluates materials and develops machinery and processes to manufacture materials for use in products to meet specialized designs and performance specifications. Performs manufacturing engineering duties such as: read blueprints, use various inspection gages (micrometer, caliper, indicator, comparator) test equipment (microscope, hardness tester, torque tester). Gathers and analyzes information skillfully. Develops alternative solutions as required under the circumstances. Prioritizes and plans work activities making use of time efficiently. Defines and analyzes problems in a timely manner and consistently meets project time deadlines. Performs engineering work related to planning, devising, or adapting methods to improve manufacturing production. Examines equipment, processes, operations, and assembly to determine time or quality revisions and suggests improvements. Responsible for carrying out changes and monitoring operations standards. Analyzes product failure date and laboratory tests results to determine causes of problems and develop solutions. Designs and directs testing or control of processing procedures, monitors material performance and evaluates deterioration. Conducts and supervises tests on raw materials or finished products to ensure their quality. Determines appropriate methods for fabricating and joining materials. Assists and guides technical staff in developing materials for specific uses in products and devices. Will accept a Master's degree or foreign academic equivalent in Manufacturing Engineering, Industrial Engineering, Mechanical Engineering, Electrical Engineering or related field. 40 hours/week; $99,278.00 - $105,000.00/year Apply on-line w/ ref# at: Reference Number: HS-MSA EEO employer: including race, gender, disability & veteran status. We offer Medical, Dental, Vision, and 401K benefits.MSA is a leading manufacturer in the aerospace industry of high-quality specialty fasteners for aerospace, medical and other high performance, applications.\r\n\r\nM.S. Aerospace, Inc., a leading manufacturer of aerospace products and parts, has the following open degreed/experienced position(s) available in Sylmar, CA:\r\n\r\nMaterials Engineer\r\n\r\nEvaluates materials and develops machinery and processes to manufacture materials for use in products to meet specialized designs and performance specifications. Performs manufacturing engineering duties such as: read blueprints, use various inspection gages (micrometer, caliper, indicator, comparator) test equipment (microscope, hardness tester, torque tester). Gathers and analyzes information skillfully. Develops alternative solutions as required under the circumstances. Prioritizes and plans work activities making use of time efficiently. Defines and analyzes problems in a timely manner and consistently meets project time deadlines. Performs engineering work related to planning, devising, or adapting methods to improve manufacturing production. Examines equipment, processes, operations, and assembly to determine time or quality revisions and suggests improvements. Responsible for carrying out changes and monitoring operations standards. Analyzes product failure date and laboratory tests results to determine causes of problems and develop solutions. Designs and directs testing or control of processing procedures, monitors material performance and evaluates deterioration. Conducts and supervises tests on raw materials or finished products to ensure their quality. Determines appropriate methods for fabricating and joining materials. Assists and guides technical staff in developing materials for specific uses in products and devices.\r\n\r\nWill accept a Master's degree or foreign academic equivalent in Manufacturing Engineering, Industrial Engineering, Mechanical Engineering, Electrical Engineering or related field.\r\n\r\n40 hours/week; $99,278.00 - $105,000.00/year\r\n\r\nApply on-line w/ ref# at:\r\n Number: HS-MSA\r\nEEO employer: including race, gender, disability & veteran status.\r\n\r\n\r\n\r\nWe offer Medical, Dental, Vision, and 401K benefits.

Job Description Wednesday and Thursday working in Rosemead, CA. Key Responsibilities Cost Management: • Oversee cost control functions for multiple large-scale projects, ensuring accuracy in the development and maintenance of project budgets, baselines, and expenditure plans for both short- and long-term project durations. Budget & Forecasting: • Develop and manage cost forecasts, tracking project financials, and providing up-to-date expenditure projections. Ensure consistency in maintaining and adjusting budgets to align with project progress and changes. Change Orders: • Handle the financial impacts of frequent change orders, ensuring that cost adjustments are accurately reflected in the project’s financial plans., • Support change control and contract negotiation/claim management processes., • Assist in the implementation, analysis, and reporting of performance using industry metrics (e.g., earned value management). Reporting & Analysis: • Prepare routine and ad-hoc reports to assist project managers (PMs) and organizational units (OU) in monitoring and managing project costs. Reports may include budget vs. actuals, commitment, contingency, earned value, cost per unit, and cost impact analysis. Risk Management: • Develop and maintain a risk register to assess and monitor the contingency required for projects. Use this data to support effective cost control and project decision-making. Data Analysis & Scenario Planning: • Conduct in-depth cost analysis, what-if scenarios, and research to assess the financial impact of different project decisions and conditions. Stakeholder Collaboration: • Work closely with project stakeholders, including PMs, engineers, contractors, and finance teams, to gather relevant data and ensure alignment on project cost management. Communication: • Communicate effectively with stakeholders at various levels of the organization, delivering clear, concise reports and presentations that summarize project costs, risks, and financial performance. Project Controls Data Management: • Prepare project controls data request responses and work papers to support corporate/OU governance, internal/external audits, General Rate Cases, and regulatory filings. Requirements Work Experience: • Seven or more years of experience in cost controls/management., • Demonstrated experience in Project Management, Project Controls, and/or Construction Management, or equivalent experience. Utility construction/CA regulated/regulatory/EPC experience is desirable., • Demonstrated knowledge and experience in contract negotiation/management, handling/reviewing claims, and processing/managing change orders., • Demonstrated experience with Microsoft software (e.g., Word, Excel, PowerPoint, and Visio) and SAP or similar Enterprise Resource Solutions application., • Demonstrated experience with Project Controls software (e.g., Project, Primavera, and Contract Manager). Required Qualifications: • Education: A combination of education, training, and experience generally equivalent to those typically possessed by a 4-year college graduate (from an accredited institution in an applicable profession, business, or engineering/technical discipline). An advanced degree is preferred. Preferred Qualifications: • Excellent Excel Skills and the ability to use advance Excel functions., • Effective communicator; able to speak with many different levels of management., • Able to work independently in meetings., • Experience with SAP is preferred., • Generation, transmission or utility experience is preferred., • PMP or project management experience., • Strong willingness to learn and adapt. Application Process: Interested candidates are invited to submit their resumes to for consideration. Please include "Senior Cost Analyst" in the subject line of your email.

Job DescriptionDescription: About Us: 4M Dental Implant Center is a leading provider of advanced dental implant solutions, dedicated to transforming smiles and improving lives. Our patient-focused approach and commitment to excellence set us apart as a trusted name in dental care. We are seeking a highly organized, motivated, and personable Office Manager to oversee the daily operations of our new office in Glendale, CA. Key Responsibilities: Office Operations Management: • Oversee and manage daily office operations, ensuring efficiency and organization., • Maintain office policies, procedures, and standards to ensure compliance with company guidelines and industry regulations., • Lead, motivate, and manage the administrative and support staff, fostering a collaborative and professional work environment., • Schedule, train, and evaluate staff performance, providing feedback and addressing concerns as needed., • Assist with budgeting, expense management, and financial reporting., • Oversee billing, insurance claims, and patient accounts to ensure timely and accurate processing., • Serve as the main point of contact for patient inquiries, complaints, and feedback., • Ensure a welcoming and professional atmosphere for all patients and visitors., • Manage patient records and maintain confidentiality in compliance with HIPAA regulations., • Oversee the scheduling system to maximize patient flow and operational efficiency.Requirements:, • Education: Bachelor's degree in business administration, healthcare management, or a related field (preferred but not required)., • Experience: At least 3–5 years of experience in dental office management., • Strong leadership and team management skills., • Excellent communication and interpersonal abilities., • Proficiency in office software (e.g., Microsoft Office, scheduling software, and electronic health records)., • Detail-oriented with exceptional organizational skills., • Knowledge of dental terminology, billing, and insurance processes is a plus.

Job DescriptionBenefits: • 401(k), • Health insurance, • Competitive Compensation, • Great Work Environment Responsibilities • Assist clients with processing insurance claims through both private insurance and Medicaid/Medicare, • Note and process all necessary forms from the insurance, • Assist patients in navigating the billing and insurance landscape, including collecting all necessary forms and signatures, • Work with doctors offices and hospitals to obtain charge information and billing details, • Enter all billing and payment information into the system properly and without errors, • Follow up with clients and payments, as needed, • Answer phones, assist clients with questions, take messages, and screen calls, • Maintains the highest level of confidentialityQualifications, • Strong customer service skills, • Previous experience with medical coding and billing a must, • Strong organization skills, • Excellent attention to detail, • must be able to work in office in Long Beach near LBM

Job Description POSITION SUMMARY The Director of Managed Care leads and oversees the operational, financial, programmatic, and employee-related activities within the Managed Care Contracting department. This position is responsible for setting and monitoring goals aligned with Beecan Health's strategic objectives while providing leadership in day-to-day operations, budgeting, and financial oversight. The VP collaborates across departments and with key stakeholders to ensure effective coordination of Managed Care Contracting activities across the organization and maintains crucial relationships with health plans and payers-relationships that are vital to Beecan Health's financial health and growth. DUTIES AND RESPONSIBILITIES • Initiate, develop, negotiate, and monitor contracts for Beecan Health, including contract renewals, amendments, and new agreements. Engage directly with VPs, Medical Directors, CEOs, CFOs, attorneys, and other executives to negotiate payment rates, structures, and contract terms., • Provide senior management with detailed reports and analysis on managed care performance, including key financial and operational KPIs, to support net revenue budgeting, long-term planning, and the strategic development of hospital and clinical programs., • Ensure the Managed Care team prioritizes resources for contract performance reporting and analysis, including monthly, periodic, and ad hoc data queries, with a focus on improving performance and financial outcomes through data-driven insights., • Effectively communicate complex information to both technical and non-technical audiences, while building and maintaining strong relationships with key stakeholders, including health plans, ACOs, hospital systems, and provider networks., • Oversee claims processing, appeals management, and utilization management to prevent revenue leakage and ensure timely and efficient resolution. Monitor and evaluate payer performance to meet operational efficiency standards and compliance requirements., • Facilitate communication with providers and affiliates, ensuring key contract information regarding operational terms, legal requirements, and rates is shared effectively with operational and revenue cycle teams., • Coordinate the alignment and integration of Managed Care Contracting efforts with newly acquired organizations and new partnerships, ensuring a smooth and efficient transition that aligns with Beecan Health's strategic objectives., • Establish and manage annual financial goals, utilizing benchmarking for target setting and financial forecasting. Oversee FTEs, staffing, and operational budgets, ensuring alignment between financial targets and program priorities., • Develop and manage annual operating and capital budgets, ensuring fiscal responsibility and meeting budget targets. Create business plans, justify variances, and analyze cost-benefit aspects of programs., • Guide managers in resource allocation based on patient volume, space availability, budget constraints, and program priorities. Communicate the budget and its context to staff., • Perform other related duties as required, including leading efforts to stay informed on changes to regulatory requirements that may impact managed care contracting and healthcare operations, ensuring timely adjustments to strategies and compliance. The above listing of duties and responsibilities are not intended to be all-inclusive but rather to serve as a description of the range of duties and general nature of the position. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time. KNOWLEDGE, SKILLS, ABILITIES & QUALIFICATIONS • Bachelor's degree in a relevant subject area such as Accounting, Business Administration, Finance, Health Care required; Master's degree in a relevant subject preferred. Certifications such as CMCP or other relevant professional certifications are a plus., • Minimum of 10 years of experience in managed care contracting or provider network management, with a proven track record of success in an insurance or healthcare setting., • Experience in a large academic or complex health program that includes Managed Care experience., • Proven leadership experience in managed care contracting or a related field, with a focus on transformational leadership, cross-functional collaboration, and driving strategic outcomes., • Proven experience negotiating contracts with Medicare Advantage plans, Medicaid Managed Care, and commercial payers, ensuring favorable reimbursement rates and risk-sharing models., • Develop and optimize reimbursement strategies, including risk-sharing models and value-based payment structures, to ensure financial sustainability and align incentives with quality patient care outcomes., • Experience working with C-Suite Executives in a complex healthcare setting., • Ability to convey complex technical information in clear and concise communications to technical and non-technical audiences., • Ability to identify issues, analyze data, develop, recommend, and implement solutions., • Possess initiative, decision-making skills and problem-solving abilities., • Professional knowledge of facility licensing (CDPH), complaint investigation and validation surveys (CMS), Joint Commission accreditation and certifications, and Managed Care Medi-Cal certifications (DHCS)., • Familiarity with evolving healthcare legislation and compliance requirements is a plus., • Strong understanding of facility quality guidelines, compliance, and policy development., • Proven ability to work collaboratively with senior management, providers, and staff., • Working knowledge of laws and regulations governing nursing facilities and principles of nursing home administration., • Commitment to the Beecan mission to consistently deliver high quality, person-centered care with dignity, respect, compassion, and integrity, and to enrich every life we touch. Embracing Beecan values of care & compassion, community, honesty & integrity, teamwork, innovation, and safety., • Ability to represent the Company and interact with others in an ethical and professional manner, and to maintain accountability., • Must have excellent time management skills with a proven ability to prioritize and meet deadlines., • Must have strong analytical and creative problem-solving skills., • Must demonstrate flexibility and ability to adapt to change., • Ability to maintain confidentiality, and to exercise discretion and independent judgment to make logical, practical decisions., • Ability to understand and follow applicable regulations, policies, and procedures fully and consistently.

Job Description • Writes complete estimates/supplements in accordance with company and insurance guidelines with an emphasis on repairing versus replacing parts., • Takes clear and accurate photos of damages., • Order parts, check availability and ensure that we receive the accurate discount from all vendors., • Documents and track vehicle progress throughout the entire repair process. Update statuses in the production schedule., • Assigns labor to Technicians and Painter., • Educate the customer about the collision repair process; including insurance claims, processing, payment procedures, repair techniques, repair needs and approximate repair time., • Conducts daily meetings with front office staff to ensure accurate updates on vehicles are provided., • Finalize and line match supplements prior to vehicle delivery., • Confirm the insurance supplements are scanned and attached to estimating system., • Pre-close files for delivery., • Verifies the exceptions tab in the estimating system throughout the repair process., • Ensure all parts have been received and invoices are posted., • Confirms all labor has been assigned accordingly., • Ensures vehicles are inspected for quality control before vehicles are delivered to customers., • Delivers vehicles, explain areas of the vehicle that were repaired and answer any questions the customer may have., • Prepares file for final bill upload., • Make sure correct verbiage is used on estimate for final billing., • Document in notes that you have completed the file and upload for billing., • Requires little to no experience in discipline, • Minimum 4 year of collision auto body repair experience., • Knowledge of insurance procedures and requirements., • I-CAR certification., • Proficient in the use of estimating software CCC One., • 401(k), • Employee discount, • Life insurance, • Paid time off

Job Description Overview AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation! Does the idea of doing something that really makes a difference in people’s lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its employees? If so, AIDS Healthcare Foundation is the place for you! Founded in 1987, AIDS Healthcare Foundation is the largest specialized provider of HIV/AIDS medical care in the nation. Our mission is to provide cutting edge medicine and advocacy, regardless of ability to pay. Through our healthcare centers, pharmacies, health plan, research and other activities, AHF provides access to the latest HIV treatments for all who need them. AHF’s core values are to be: • Patient-Centered, • Value Employees, • Respect for Diversity, • Nimble, • Fight for What’s Right STILL INTERESTED? Please continue! #INDAHF Responsibilities The Claims Department Manager is responsible for overseeing the day-to-day operations of the health plan’s claims processing unit. This role ensures timely and accurate adjudication of claims, manages a team of claims examiners and support staff, and maintains compliance with regulatory and contractual obligations. The manager will also lead initiatives to improve operational efficiency, manage claim denials and appeals, and collaborate with internal departments and external providers to resolve complex issues. The Claims Department Manager enhances the reputation of AHF by meeting key respobsibities as assigned by department management. You will be a passionate advocate for our top initiatives. To be successful as the Claims Department Manager , it is crucial to ensure that the AHF Core Values and Mission stay top of mind with all that you do. At AHF, we are nimble and able to adapt in a dynamic environment to assist in providing the best experience for our clients and workplace for our employees. AHF has a collaborative organizational structure where staff are accountable to multiple leaders. The Claims Department Manager will work as a part of a close-knit team to description Key Responsibilities:• Team Leadership & Supervision• Manage, coach, and develop a team of claims examiners and department support associates. Monitor performance metrics and conduct regular performance evaluations. Foster a culture of accountability, collaboration, and continuous improvement.• Ensure timely and accurate processing of provider claims in accordance with plan policies and regulatory requirements Oversee daily inventory management to ensure workloads are balanced and service levels are met. Monitor and manage claim denials, rework, and appeals/disputes processes. Ensure compliance with all regulatory requirements.• Quality Assurance & Auditing• Implement and oversee internal audits to ensure claims accuracy and identify trends or training needs. Collaborate with the Quality and Compliance teams to address audit findings and implement corrective actions.• System & Process Management• Partner with IT and vendors to ensure claims system functionality, updates, and issue resolution. Identify and implement process improvements to enhance efficiency and reduce errors.• Provider & Stakeholder Relations• Serve as a liaison with providers to resolve claim disputes and ensure timely communication. Collaborate with Provider Relations, Member Services and UM/Medical Management to address cross-functional issues.• Reporting & Analytics• Generate and analyze operational reports to track productivity, turnaround times, and denial trends. Present findings and recommendations to leadership for strategic planning.• Other Duties• Perform other related duties and special projects as assigned to support departmental and organizational goals Qualifications We at AIDS Healthcare Foundation believe that each individual is entitled to equal employment opportunities without regard to race, color, creed, gender, sexual orientation, gender identity, marital status, national origin, age, veteran status or disability. The right of equal employment opportunity extends to recruiting, hiring selection, transfer, promotion, training and all other conditions of employment. AHF will consider qualified applicants with criminal histories in a manner consistent with the requirements of the ordinance. Company DescriptionFounded in 1987, AIDS Healthcare Foundation is the largest specialized provider of HIV/AIDS medical care in the nation. Our mission is to provide cutting edge medicine and advocacy, regardless of ability to pay. Through our healthcare centers, pharmacies, health plan, research and other activities, AHF provides access to the latest HIV treatments for all who need them.Founded in 1987, AIDS Healthcare Foundation is the largest specialized provider of HIV/AIDS medical care in the nation. Our mission is to provide cutting edge medicine and advocacy, regardless of ability to pay. Through our healthcare centers, pharmacies, health plan, research and other activities, AHF provides access to the latest HIV treatments for all who need them.

Job DescriptionBenefitsPulled from the full job description * 401(k) * Health insurance * Retirement plan * 401(k) matching * Paid time off * Flexible schedule Full job description Company Overview We are a award-winning personal injury law firm dedicated to helping accident victims get the justice they deserve. With over 15 years of experience and more than $350 million recovered for our clients, we specialize in handling cases such as car accidents, wrongful death, and catastrophic injuries. Our team is committed to providing personalized, compassionate representation while fighting to secure maximum compensation. With a 99% success rate and a "No Win, No Fee Guarantee," we make justice accessible to everyone. Contact us today for a free consultation. Summary We are seeking a motivated Pre-Litigation Attorney to join our growing team . This role is essential in managing personal injury claims before litigation begins, ensuring each case is handled with precision and care. The position offers an excellent opportunity for professional growth and the chance to make a meaningful impact on clients' lives. Responsibilities * Drafting Demands: Prepare and draft demand packages for personal injury claims. * File Audits: Conduct audits of case files to ensure accuracy and compliance. * Coordination with Case Managers: Collaborate with case managers to delegate and oversee tasks related to claims processing. * Department Supervision: Assist the Director of Pre-Litigation in supervising departmental operations and procedures. * Statute of Limitations (SOL) Monitoring: Monitor statutes of limitations and ensure timely action on cases. * Case Evaluations: Evaluate claims for merit and provide recommendations for case strategy, including transitions to litigation when necessary. Requirements * Juris Doctor (JD) and active California Bar membership. * 0-2 years of experience in personal injury law. * Strong understanding of the personal injury claim process. * Excellent organizational, communication, and analytical skills. * Ability to manage multiple tasks and deadlines effectively. If you are passionate about advocating for clients' rights and making a difference in their lives Job Type: Full-time Pay: $100,000.00 - $150,000.00 per year Benefits: * 401(k) * 401(k) matching * Flexible schedule * Health insurance * Paid time off * Retirement plan Work Location: In person Company DescriptionW3Global was established in 2006 in Fremont, CA with a vision: simplify the recruiting process and develop an industry-disrupting platform to connect candidates with clients. Our cutting-edge Applicant Tracking System enables us to find the right person for the right job, creating value for job seekers and employers. While W3Global initially focused on IT staffing, we have expanded the business to serve many other industries, including accounting and finance, legal, engineering, human resources, government and more. We’re proud of the investments we’ve made in our team, having grown from four to 1000 employees and evolving into one of the leading recruitment and staffing solution providers in the industry. Our recruiters and account managers are passionate about connecting qualified professionals with the right positions in small, medium, and large companies. Our Services W3Global understands the natural ups and downs of an organization’s staffing needs. We are continuously adapting to industry and economic changes to find the right candidates. We specialize in placing permanent, direct, contract, and temporary positions for companies of any size. Our recruiting services include sourcing, recruiting, screening, interview management, salary negotiations, training, and onboarding. We are committed to helping organizations redefine their recruitment process by delivering our SaaS-based proprietary application tracking system software. Our Expertise W3Global has been delivering staffing solutions for nearly two decades; we know which recruiting strategies work best. Our expert team is committed to developing a customized solution to fit your company’s unique needs. As a W3Global client, you’ll also receive personalized assistance from a seasoned team of staffing specialists. We are committed to providing both technical support and industry expertise to simplify the hiring process. We know that your time matters. W3Global will help you streamline the hiring process, getting it done and getting it right.W3Global was established in 2006 in Fremont, CA with a vision: simplify the recruiting process and develop an industry-disrupting platform to connect candidates with clients. Our cutting-edge Applicant Tracking System enables us to find the right person for the right job, creating value for job seekers and employers. While W3Global initially focused on IT staffing, we have expanded the business to serve many other industries, including accounting and finance, legal, engineering, human resources, government and more.\r\n\r\nWe’re proud of the investments we’ve made in our team, having grown from four to 1000 employees and evolving into one of the leading recruitment and staffing solution providers in the industry. Our recruiters and account managers are passionate about connecting qualified professionals with the right positions in small, medium, and large companies.\r\n\r\nOur Services\r\nW3Global understands the natural ups and downs of an organization’s staffing needs. We are continuously adapting to industry and economic changes to find the right candidates.\r\n\r\nWe specialize in placing permanent, direct, contract, and temporary positions for companies of any size. Our recruiting services include sourcing, recruiting, screening, interview management, salary negotiations, training, and onboarding.\r\n\r\nWe are committed to helping organizations redefine their recruitment process by delivering our SaaS-based proprietary application tracking system software.\r\n\r\nOur Expertise\r\nW3Global has been delivering staffing solutions for nearly two decades; we know which recruiting strategies work best. Our expert team is committed to developing a customized solution to fit your company’s unique needs.\r\n\r\nAs a W3Global client, you’ll also receive personalized assistance from a seasoned team of staffing specialists. We are committed to providing both technical support and industry expertise to simplify the hiring process. We know that your time matters. W3Global will help you streamline the hiring process, getting it done and getting it right.

Job DescriptionMission Statement: The Mission of JWCH Institute is to improve the health status and well-being of under-served segments of the population of Los Angeles area through the direct provision or coordination of health care, health education, services, and research. Position Purpose: The Medical Biller is responsible for reviewing patient encounters, ensuring billing accuracy, and processing claims for various payer sources. This position plays a critical role in maximizing revenue by adhering to payer guidelines, investigating discrepancies, and ensuring timely payment processing. The Medical Biller will also work closely with the Billing Supervisor to provide updates on billing discrepancies, manage rebills, adjustments, write-offs, and ensure payment posting is up to date. Principal Responsibilities: • Review all patient encounters for discrepancies in a timely manner to prevent submission errors to insurance providers., • Monitor and update patient information in the patient management system as necessary., • Ensure billing accuracy by reviewing all patient encounters across payer sources (insurance, Medicare, Medicaid, etc.) with less than 1% error., • Identify discrepancies and initiate necessary corrections promptly., • Adhere to payer-specific guidelines, ensuring all eligible services are billed correctly, and research coverage and non-coverage for all payer types., • Investigate and resolve issues related to eligibility, documentation, coding, procedures, and diagnoses. Collaborate with administrators to address any discrepancies found., • Post payments accurately for various payers and run reports to verify entries. Track payments, reconcile visits, and apply necessary contractual adjustments or write-offs., • Regularly review accounts to identify potential rebills, adjustments, or write-offs, ensuring accuracy in account management and timely follow-up on unpaid charges., • Provide weekly updates to the Billing Supervisor, including error reports and updates on billing discrepancies. Assist with preparing reports on billing activities, discrepancies, and revenue trends., • Enter and maintain up-to-date patient information in the management system, ensuring accuracy and compliance., • Maintain strict adherence to HIPAA and all other regulatory requirements. Submit weekly encounter verification forms and reports on billing activities., • Work closely with the billing team to streamline the revenue cycle, resolve payment delays, and support continuous process improvements., • High school diploma or GED Certification., • Must possess a Billing Certificate., • Must have at least 1 year of Medical billing and collection experience in a Medical office setting., • Experience with Medicare, Medi-cal, Cross over insurances, HMO, County and Sliding Fee Discount billing and collection., • Typing and computer proficiency skills., • Flexible with schedule, willing to travel to multiple sites as needed., • Knowledge of healthcare reimbursement, payment posting, and revenue cycle management., • Excellent attention to detail with a focus on minimizing errors in billing processes., • Strong analytical and problem-solving skills to identify and resolve discrepancies efficiently., • Effective communication skills for working with administrators, the billing team, and management., • Bi- lingual Spanish and English. Employee Benefits: At JWCH Institute, Inc., we believe in taking care of those who take care of others. If you work 30+ hours per week, you’ll enjoy competitive pay and a robust benefits package that includes: • Medical, Dental, Vision, • Monthly employer-sponsored allowance for assistance with health premiums., • Funded Health Savings Account (up to deductible) to assist with carrier-approved medical expenses., • Paid time off (vacation, sick leave) and 13 paid holidays., • 401(k) Safe Harbor Profit Sharing plan., • Mileage reimbursement., • Short- and long-term disability plans (LTD/STD). JWCH Institute, Inc + Wesley Health Centers is an Equal Opportunity and Fair Chance Employer.

Job DescriptionDescription: Revenue Cycle Coordinator Position Overview: The Revenue Cycle Specialist (RCS) is responsible for managing the revenue cycle, which is the process of generating, acquiring, and delivering revenue. Key responsibilities include processing and submitting claims to insurance companies and patients, following up on unpaid claims, resolving discrepancies with payers, ensuring timely collection of payments from insurance companies and patients. The Revenue Cycle Specialist is also responsible for submitting and obtaining all necessary documentation to create revenue for insurance companies. RCS is required to understand and interpret payer contracts. Essential Job Functions: Overall • Meet with Revenue Cycle Supervisor and Director to discuss areas of concern., • Answers questions and provides solutions to Revenue Cycle Management team., • Creates and updates Standard Operating Procedures (SOPs) and Work Aids for both domestic and global revenue cycle teams, • Supports Daily and Weekly Communication of Payer, Product and Process Updates to both domestic and global teams, • Reviews request from team members for updates to payer / system configuration and submits to the appropriate team for system update, • Monitor and report on key performance indicators related to revenue cycle activities, such as claim denial rates, time to payment, and outstanding accounts receivable, to identify areas for improvement., • Work on complex and intricate revenue-related matters., • Supports global team and provides feedback though QA, reviews and huddles., • Monitors work completed by global partners and resolves tasks the global team cannot resolve., • Trains and provides support to domestic and global team members, • Submits price table, payer rule, and system configuration updates to designated team., • Process and submit insurance changes in a timely manner, • Submit updates to insurance selection tools if the insurance change is the result of a risk update that has taken place with the payer, • Process and apply insurance and patient cash in a timely manner, • Monitor cash that is being received mail from payers., • Process and submit insurance claims to various payers, ensuring accuracy in coding and billing information to minimize denials and delays., • Review patient accounts to verify correct insurance billing information, update records as necessary, and resolve any discrepancies in patient account balances., • Analyze denied claims to identify denial reasons and perform the necessary follow-up actions including appealing denied claims with appropriate documentation and justification., • Analyze accounts receivable reports and take appropriate action to resolve repetitive denials., • Coordinate with healthcare providers to obtain necessary medical documentation, referrals, or authorizations required for claim processing and reimbursement., • Discusses areas needing improvement with the authorization and CMN departments as needed and offers solutions., • Engage directly with patients to explain their bills, resolve billing inquiries, and set up payment plans for outstanding balances, ensuring a positive customer service experience., • Engage in written communication and schedule meetings with payers to address aging balances., • Compiles and submits projects to insurance companies., • Meet with Revenue Cycle Supervisor and Director to discuss areas of concern., • Answers questions and provides solutions to RCM team., • Process and submit authorization and CMN requests to medical groups, plans, and physicians’ offices. Follow-up in a timely manner. Requirements: Minimum Qualifications: • Minimum one year of customer service experience, • High school diploma or equivalent required, • Effective verbal and written skills, • Knowledge in all major insurance carrier reimbursement guidelines and eligibility coverage (Medicare, Medi-Cal, Commercial Health Plans), • Able to work in a fast-paced environment, flexible and ability to adapt to changing environment, • Strong interpersonal, communication, time management, and organizational skills required, • Self-Starter with the ability to work independently The conditions herein are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential job functions. Environment: Standard office setting; tasks are regularly performed without exposure to adverse environmental conditions; frequent interaction with staff and the public. The role requires that you wear a headset, access and work within multiple systems while addressing callers’ concerns in real time. Physical: Incumbents require sufficient mobility to work in an office setting; stand or sit for prolonged periods of time; operate office equipment including use of a computer keyboard; light lifting, carrying, pushing and pulling; ability to verbally communicate to exchange information. Vision: See in the normal visual range with or without correction; vision sufficient to read computer screens and printed documents; and to operate assigned equipment. Hearing: Hear in the normal audio range with or without correction. NOTE: This job description is not intended to be all-inclusive. Employee may perform other related duties to meet the ongoing needs of the organization.

Job DescriptionBenefits: • 401(k), • 401(k) matching, • Bonus based on performance, • Company parties, • Competitive salary, • Dental insurance, • Employee discounts, • Flexible schedule, • Health insurance, • Opportunity for advancement Location: 2002 South Hoover Street Los Angeles 90007 Are you a dynamic leader with a passion for excellence in patient care? Do you thrive in a fast-paced environment and excel at managing teams? Restore Dental is seeking an experienced and enthusiastic Bilingual (Spanish) Dental Office Manager to join our thriving practice in Los Angeles, California. About Us: Restore Dental is an associate run practice dedicated to providing exceptional dental care in a warm and welcoming environment. Our commitment to patient satisfaction and our supportive team culture make us a standout practice. As our Dental Office Manager, you will play a pivotal role in maintaining our high standards of care and ensuring the smooth operation of our office. Position Summary: As the Dental Office Manager, you will oversee the day-to-day operations of our practice, ensuring efficiency and excellence in all aspects of patient care and administrative functions. You will lead our team, manage office budgets, handle patient relations, and ensure compliance with dental regulations. Key Responsibilities: • Team Leadership: Supervise and support our administrative and clinical staff, fostering a collaborative and positive work environment., • Office Management: Oversee daily operations, including scheduling, patient flow, inventory management, and office maintenance., • Financial Oversight: Manage office budgets, billing, and financial reporting. Ensure accurate and timely processing of insurance claims and patient payments., • Patient Relations: Address patient concerns and ensure a high level of patient satisfaction. Implement strategies to enhance patient experience and retention., • Compliance: Ensure compliance with dental regulations and standards. Maintain accurate patient records and ensure confidentiality., • Hiring & Firing: You will have the sole responsibility of managing the team including firing and hiring of employees as well as the associates, • Daily Huddle and Reports: You will organize and manage daily huddles and organize daily reporting to provide the ownerRequirements:, • Experience: Proven experience as a Dental Office Manager or in a similar leadership role within a dental practice., • Language Skills: Fluent in both Spanish and English to effectively communicate with our diverse patient base., • Billing Experience: Strong knowledge of dental billing processes and experience with insurance claims., • Software Proficiency: Proficient in Dentrix dental software and office applications., • Leadership Skills: Strong leadership and team management skills with the ability to motivate and guide staff., • Organizational Skills: Exceptional organizational abilities and attention to detail. Ability to multitask and prioritize effectively., • Communication Skills: Excellent verbal and written communication skills.Why Join Restore Dental?, • Professional Growth: Opportunities for professional development and career advancement., • Supportive Environment: Work with a dedicated and supportive team that values collaboration and patient care., • Impactful Role: Make a significant impact on our practice and the well-being of our patients.If you are a motivated and experienced Dental Office Manager looking to join a dynamic team, we want to hear from you! To Apply: Please send your resume and a cover letter to with the subject line "Bilingual Dental Office Manager Application." IMPORTANT: We are NOT currently reviewing any applications that do not have dental experience and that do not speak Spanish Join us at Restore Dental, where leadership meets excellence in patient care!

Job Description About Us Centrally located in Torrance, California, Sunnyside Nursing and Post-Acute Care provides sub-acute nursing care, rehabilitation services, skilled nursing, and long-term care. Our compassionate staff offers individualized care plans for each resident to ensure personalized care is provided to all our patients with a goal to return home. Our team of qualified professionals provides compassionate care by: • Maintaining high medical integrity, • Fostering a team spirit among staff Job Description • The Health Information Manager (HIM) is responsible for the overall management of the Medical Records Department, including the development and implementation of health information policies and procedures. The HIM Director also acts as a liaison between information services and clinical services departments, ensuring that health information policies and procedures are functioning in accordance with the needs of the facility. The HIM Director is also responsible for educational programs relating to health information, when applicable, for facility staff members, including the facility clinical staff., • HIPAA (Health Insurance Portability and Accountability Act): Works to ensure compliance with HIPAA requirements. Participates in ongoing activities related to the development, implementation, maintenance of, and adherence to policy covering the privacy of, and access to, patient privacy practices, • CODING: Serves as the coding specialist and/or oversees the assignment of the appropriate ICD-10-CM diagnostic and procedural codes to individual patient information for data retrieval analysis and claims processing. Queries physicians and/or oversees the query process when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. Abides by the standards of ethical coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. When applicable, serves as a key player in providing oversight in the appropriate assignment of Impairment Groups under the Preferred Payment System (PPS) for Rehabilitation and UDS data submission, as applies to rehab locations., • REPORTING REQUIREMENTS: Timely submits required data to the Center for Medicare and Medicaid Services (CMS)., • CHART AUDITS/COMPLIANCE: Coordinates monthly interdisciplinary record reviews. Assists in performance improvement activities as recommended by QAPI Committee. Tracks, trends, monitors, and reports timeliness of physician documentation including the medical record delinquency number as per HIM policy/guideline to the QAPI Committee, MEC, and Governing Board., • DOCUMENTATION AND RECORD COMPLETION: Works with clinical staff, physicians, consultants, nurses, therapists, etc., to ensure documentation is in compliance with hospital, accrediting, and licensing guidelines and provides ongoing education to staff. Strives to help ensure timely record completion. Reports deficiencies and record completion compliance to appropriate supervisors. Responsible for the monthly calculation of the record completion rate to the Executive Team., • At least 3-5 years of experience as a Medical Records Director/ Health Information Manager of a skilled nursing facility, • Skilled nursing facility (SNF) medical records experience, • Good knowledge and application skills for ICD-10-CM coding, • Expertise working with PointClickCare (PCC), • Ability to speak, write, and read well, • Ability to conduct in-services on health record policy and procedure compliance Full-time (Monday - Friday) Some weekends as Manager of the Day Job Type: Full-time Must be authorized to work in the United States Benefits Why Work for Sunnyside Nursing & Post-Acute Care • Top of the market wages $85,000 - $95,000, • Paid orientation and training, • Opportunities for growth, • Paid sick leave/paid holidays, • Medical, dental, vision, and AFLAC, • 401K If hired, we require that all employees be vaccinated, unless a medical or religious accommodation is needed. EQUAL OPPORTUNITY EMPLOYER We are an equal opportunity employer. We celebrate diversity & pride ourselves on creating an inclusive environment for all employees and residents.

Job Description Overview SP+, a Metropolis company, is an artificial intelligence company for the real world. We use computer vision to enable checkout-free parking experiences. So there’s no fumbling with tickets, machines, apps, or credit cards. You just “drive in and drive out.” We are the largest parking network in America, with over 23,000 employees powering mobility at over 4,000 locations across North America and Europe. Today, we are reinventing parking. Because it’s important, it's everywhere and impacts everyone. Tomorrow, we will power checkout-free experiences anywhere you go to make the everyday experiences of living, working, and playing remarkable - giving us back our most valuable asset, time. Responsibilities Basic Function – Assisting in the day-to-day management of the assigned location ensuring that parking operations are handled within contractual guidelines of the specific location, fostering good client relations and promoting a professional image and approach to the business. • Participate in programs to improve client and customer satisfaction., • Engage in the development of property level financial and operational goals., • Assist in the management of day-to-day activities of the assigned locations including: ensuring appropriate customer interaction, supervising the completion of all evening closing reports, processing bank deposits, scheduling staff, supervising frontline staff (e.g. cashiers, valet attendants, maintenance porters, etc.), preparing month-end reports, auditing daily cashier shift reports, monitoring and checking of time cards, hiring and training of frontline staff, reviewing of damage claims, disbursing petty cash and preparation of the annual budget., • Courteously assist Customers by answering any questions they may have., • Assist in the maintenance and repair of parking equipment and any general maintenance tasks as directed by the Facility Manager., • Report any known accidents, observed or suspected violations of Company policy, safety hazards or any unusual occurrence to the Facility Manager., • Assist with cleanup of debris, water, oil spills and etc., • Have a thorough knowledge of all areas of the garage, thorough knowledge of the major streets, landmarks and freeways in the area of the garage., • Assist Facility Manager with other duties as needed. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Education/Experience Required: High School Graduate. A minimum of six months of parking experience preferred. Availability to Work: Special shift requirements, if any, will vary depending on a location's hiring needs. If applicable, availability to work 2nd shift, 3rd shift and/or week-ends may be required. License Requirement: Must possess a valid state-issued driver’s license with current address and acceptable driving record. Oral Communication: Speaks clearly; Listens and gets clarification; Responds well to questions. Written Communication: Writes clearly and informatively; Able to read and interpret written information. Customer Service: Have a strong customer orientation and positive attitude. Able to responds to requests for service and assistance in a courteous and professional manner. Adaptability: Adapts to changes in the work environment; Able to deal with change, delays, or unexpected events. Judgment: Exhibits sound and accurate judgment. Physical Demands: 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 stand; walk; and use hands to handle cash and equipment. The employee is occasionally required to sit and climb or balance. The employee must occasionally lift and/or move up to 25 pounds. Salary Range: $23.00 per hour Benefits: Eligible employees will participate in the various benefits plans including medical, dental, vision, flexible spending accounts, long/short term disability, life insurance, accident insurance, 401k and paid time off. SP+ is an equal opportunity employer committed in policy and practice to recruit, hire, train, and promote, in all job classifications, without regard to race, color, ancestry, religion, sex, age, national origin, citizenship status, marital status, sexual orientation, veteran status, gender identity, disability or other classes protected by federal or state law. SP+ does not tolerate harassment or retaliation against any employee or applicant based on these characteristics or because the individual exercised their EEO rights. Right to Work Poster SP+, a Metropolis Company, may utilize an automated employment decision tool (AEDT) to assess or evaluate your candidacy for employment or promotion. AEDTs are used to assist in assessing a candidate’s application relative to the required job qualifications and responsibilities listed in the job posting. As part of this process, SP+ retains data relevant to your candidacy, including personal information, for a period that is reasonably necessary for the use of the tool. If you are hired for the position, your data may become part of your employee records. If you are an applicant to a New York City job posting and wish to request an alternative selection process accommodation or have questions about our data retention policy, please contact . We are here to assist you.

Job Description Overview SP+, a Metropolis company, is an artificial intelligence company for the real world. We use computer vision to enable checkout-free parking experiences. So there’s no fumbling with tickets, machines, apps, or credit cards. You just “drive in and drive out.” We are the largest parking network in America, with over 23,000 employees powering mobility at over 4,000 locations across North America and Europe. Today, we are reinventing parking. Because it’s important, it's everywhere and impacts everyone. Tomorrow, we will power checkout-free experiences anywhere you go to make the everyday experiences of living, working, and playing remarkable - giving us back our most valuable asset, time. Responsibilities Basic Function – Assisting in the day-to-day management of the assigned location ensuring that parking operations are handled within contractual guidelines of the specific location, fostering good client relations and promoting a professional image and approach to the business. • Participate in programs to improve client and customer satisfaction., • Engage in the development of property level financial and operational goals., • Assist in the management of day-to-day activities of the assigned locations including: ensuring appropriate customer interaction, supervising the completion of all evening closing reports, processing bank deposits, scheduling staff, supervising frontline staff (e.g. cashiers, valet attendants, maintenance porters, etc.), preparing month-end reports, auditing daily cashier shift reports, monitoring and checking of time cards, hiring and training of frontline staff, reviewing of damage claims, disbursing petty cash and preparation of the annual budget., • Courteously assist Customers by answering any questions they may have., • Assist in the maintenance and repair of parking equipment and any general maintenance tasks as directed by the Facility Manager., • Report any known accidents, observed or suspected violations of Company policy, safety hazards or any unusual occurrence to the Facility Manager., • Assist with cleanup of debris, water, oil spills and etc., • Have a thorough knowledge of all areas of the garage, thorough knowledge of the major streets, landmarks and freeways in the area of the garage., • Assist Facility Manager with other duties as needed. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Education/Experience Required: High School Graduate. A minimum of six months of parking experience preferred. Availability to Work: Special shift requirements, if any, will vary depending on a location's hiring needs. If applicable, availability to work 2nd shift, 3rd shift and/or week-ends may be required. License Requirement: Must possess a valid state-issued driver’s license with current address and acceptable driving record. Oral Communication: Speaks clearly; Listens and gets clarification; Responds well to questions. Written Communication: Writes clearly and informatively; Able to read and interpret written information. Customer Service: Have a strong customer orientation and positive attitude. Able to responds to requests for service and assistance in a courteous and professional manner. Adaptability: Adapts to changes in the work environment; Able to deal with change, delays, or unexpected events. Judgment: Exhibits sound and accurate judgment. Physical Demands: 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 stand; walk; and use hands to handle cash and equipment. The employee is occasionally required to sit and climb or balance. The employee must occasionally lift and/or move up to 25 pounds. Salary Range: $27/hr Benefits: Eligible employees will participate in the various benefits plans including medical, dental, vision, flexible spending accounts, long/short term disability, life insurance, accident insurance, 401k and paid time off. SP+ is an equal opportunity employer committed in policy and practice to recruit, hire, train, and promote, in all job classifications, without regard to race, color, ancestry, religion, sex, age, national origin, citizenship status, marital status, sexual orientation, veteran status, gender identity, disability or other classes protected by federal or state law. SP+ does not tolerate harassment or retaliation against any employee or applicant based on these characteristics or because the individual exercised their EEO rights. Right to Work Poster SP+, a Metropolis Company, may utilize an automated employment decision tool (AEDT) to assess or evaluate your candidacy for employment or promotion. AEDTs are used to assist in assessing a candidate’s application relative to the required job qualifications and responsibilities listed in the job posting. As part of this process, SP+ retains data relevant to your candidacy, including personal information, for a period that is reasonably necessary for the use of the tool. If you are hired for the position, your data may become part of your employee records. If you are an applicant to a New York City job posting and wish to request an alternative selection process accommodation or have questions about our data retention policy, please contact . We are here to assist you.

Job Description Summary: A Hospital Claims Auditor is responsible for the overall quality of claims processes as well as compliance, in accordance with outside regulations and the contractual obligations of the Health Plans and/or Hospital Clients. Research, reviews and contacts provider services for problem claims and issues, as needed. Suggests process improvements to management and is a resource of information to all staff. The Claims auditor also performs special projects and helps department manager and director as needed. They review and audit the Examiners’ adjudicated claims for accuracy and providing feedback. Duties and Responsibilities: · Audit daily processed claims through random selection as outlined by organizational Policies and Procedures. Utilize appropriate system-generated reports applicable to specialty claims. · Conduct Claims Examiner training as required. Document training materials and attendees. · Conduct in-depth research of contract issues, system-related problems, claims processing Policies and Procedures, etc., to confirm cause of trends. Recommend actions/resolutions to Senior Management. · Work with other organizational departments · Assist in the development of Claims Department Policies and Procedures. · Provide backup for other auditors/trainers within the Department. · Perform other tasks as assigned by Senior Management. · Promote a spirit of cooperation and understanding among all personnel. · Attend organizational meetings as required · Adhere to organizational Policies and Procedures. · Adhere to MedPOINT Management’s core value: Accountability, Community, Celebration, Integrity, Innovation & Collaboration Minimum Job Requirements: · High School Diploma required. · Three years of experience in a managed care claims adjudication setting e.g., HMO/MSO, required. · Expertise in coding structure, ICD-10, CPT-4 and Revenue Codes, required. · Definitive understanding of provider and health plan contracting, delineation of risk, medical terminology and standard industry reimbursement methodologies required. Knowledge, Skills and Abilities Required: · Strong organizational, analytical and oral/ written communication (English) skills required. · Proficiency in PC application skills, e.g., word processing, spreadsheets, preferred · Experience in training development and presentation preferred · Must be able to follow directions and also perform independently according to departmental standards.

Job DescriptionFinancial Compliance Auditor III – ClaimsLocation: Los Angeles, CA (Local required) Work Style: Mostly remote — onsite only for initial training and occasional meetings Pay: $63–$66/hour (W2) Type: Contract (13 weeks, potential extension) SummaryThe Financial Compliance Auditor III (Claims) supports the Financial Compliance Unit with auditing claims processed by medical groups and contracted health plans. This role ensures compliance with timeliness and appropriateness standards across Medi-Cal, Medicare, Covered California, and PASC-SEIU. The Auditor independently performs claim audits, prepares reports, monitors plan partner performance, and serves as a subject matter expert and mentor within the team.Key Responsibilities • Perform claims audits for medical groups and health plans; prepare audit workpapers and deliver reports within required timelines., • Evaluate whether claims processing meets contractual and regulatory requirements (timeliness, accuracy, appropriateness)., • Compile and submit the Monthly Timeliness Report (MTR) and provide claims data reporting in the Online Monitor Tool (OMT)., • Support quarterly and annual oversight of plan partners and IPAs., • Analyze medical group and plan partner performance; communicate findings concisely and accurately., • Assist with financial statement analysis and plan partner oversight., • Conduct sub-delegation claims oversight audits of PPGs, capitated hospitals, and plan partners., • Prepare and maintain complete, timely audit workpapers prior to onsite reviews., • Serve as a subject matter expert for claims auditing, mentor junior staff, and provide cross-training., • Perform other duties as assigned.Required Qualifications, • Education: Bachelor’s Degree (Master’s preferred); equivalent education/experience considered., • Experience: Minimum of 5 years in claims auditing or claims processing with Medi-Cal, Medicare, Covered California, or PASC-SEIU., • Skills:, • Self-motivated, detail-oriented, able to prioritize and work independently or as part of a team., • Excellent verbal/written communication and analytical skills., • Professional communication with internal and external stakeholders., • Strong knowledge of healthcare legislation, regulatory bodies, and compliance requirements., • Familiarity with medical records systems applications., • Knowledge of health insurance products, market segments, and industry trends., • Flexible mode of transportation for occasional off-site work.Preferred Qualifications, • Healthcare auditing experience in managed care environments. #STEI

Job Description At Areté, we are on the forefront of utilizing innovative solutions, with great minds from all backgrounds, to help solve the nation’s most complex security challenges. We strive for an inclusive, collaborative team environment that approaches differences as opportunities for innovation and excellence. As an employee-owned company, we foster an atmosphere that propels diverse career opportunities and professional growth. Discover your future with us. We are seeking an experienced Senior Payroll Administrator for the accurate and timely processing of payroll for 460+ employees across 13+ states. This role ensures compliance with federal, state, and local payroll tax laws and company policies. The Senior Payroll Administrator maintains confidential employee payroll records, resolves payroll discrepancies, and provides excellent customer service to employees regarding payroll-related inquiries, as well as handling requests from third parties. Must work independently, consistently exercising discretion and independent judgment on individual work. May serve as lead on routine projects, tasks or assignments of limited scope. This full-time, exempt, non-supervisory position is based in our Northridge, CA office. Payroll Processing: • Review and process weekly timesheets/labor ensuring timekeeping practices are following Federal Acquisition Regulations (FAR)., • Process bi-weekly payroll for all employees in 13+ states, including salary, hourly, and other special payments., • Ensure accurate pay for new hires, terminations, and leaves of absences., • Process statutory and voluntary deductions (e.g., taxes, 401(k), health insurance & other benefits, garnishments, child support, etc.)., • Process 401(k) remittance to provider., • Process manual checks and off-cycle bonus payrolls as required., • Ensure accurate calculation of overtime, PTO, sick leave, and other leave types., • Process bi-weekly leave accruals., • Assist in the payroll side of onboarding, educating employees on timesheets and payroll processes and policies., • Maintain accurate and confidential employee payroll records, including new hires, terminations, changes in compensation, and benefits., • Process and reconcile year-end payroll activities., • Respond to employee inquiries regarding paychecks, deductions, tax withholdings, and other payroll-related matters in a timely and professional manner., • Respond to requests for wage garnishments, unemployment claims, and leave of absence management., • Stay current with federal, state, and local payroll tax laws and regulations across all operating states., • Review and confirm submission of quarterly and annual payroll tax reports., • Reconcile year end reports and process any year-end adjustments necessary for W-2s., • Ensure compliance with all internal payroll policies and procedures. Health & Wellness: • Medical, Dental & Vision Insurance, • Life and Long-Term Disability (LTD), • Vision Reimbursement, • 401(k) Retirement Plan Contributions, • Employee Stock Ownership Plan (ESOP), • Flexible Scheduling, • Paid Time Off (PTO), • Creativity and innovation in solving challenges, • Integrity and responsibility in all actions, • Collaboration across teams and specialties, • Responsiveness in fast-paced environments, • Bachelor’s degree in accounting or finance, and/or equivalent work experience., • Seven plus years of experience processing payroll in a similar role., • Thorough understanding of payroll principles, practices, and regulations, including those for various states., • Strong attention to detail and accuracy., • Excellent organizational and time management skills., • Ability to handle confidential information with discretion., • Strong analytical and problem-solving skills., • Excellent verbal and written communication skills., • Ability to work independently and as part of a team., • Strong customer service orientation., • Experience with ADP Workforce Now (including report writing) and Costpoint Deltek. Other Considerations Areté is committed to the principles of equal employment opportunity and nondiscrimination, and we believe every person has the right to be treated with fairness, dignity, and equal consideration. Areté is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, marital status, national origin, age, veteran status, disability, or any other characteristic protected by applicable federal, state, or local law. U.S. citizenship is required to meet position eligibility. Successful passage of a criminal background screen is required to meet position eligibility. Selected applicants will be subject to a government security investigation and must meet eligibility requirements for access to classified information. Areté will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the Los Angeles Fair Chance Initiative for Hiring. Successful passage of a Department of Transportation (DOT) drug test is required to meet position eligibility. 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 website because of your disability. To request an accommodation, please contact Areté Human Resources at 818-885-2200 for assistance.

Job DescriptionAccounts Payable Clerk The Natural History Museums of Los Angeles County (NHMLAC) include the Natural History Museum in Exposition Park, La Brea Tar Pits in Hancock Park, and the William S. Hart Museum in Newhall. They operate under the collective vision to inspire wonder, discovery, and responsibility for our natural and cultural worlds. The museums hold one of the world’s most extensive and valuable collections of natural and cultural history—more than 35 million objects—used for groundbreaking scientific and historical research, and community engagement. From NHM’s opening in 1913 as the very first museum in Los Angeles, the organization has entered an exciting new era of transformation with building projects and campaigns, exhibitions, community outreach and impactful audience engagement. NHMLAC’s values—adventurous, inclusive, authentic, and intentional—guide our work and visitor experience, committing us to foster a welcoming, safe and respectful workplace environment where innovation and collaboration thrive and every team member can contribute their unique perspectives to advance our mission. NHMLAC seeks candidates who are aligned with our values and priorities, and are passionate about connecting science with the vibrant and diverse communities we serve throughout Los Angeles. The NHMLAC is seeking an Accounts Payable Clerk for our Finance department. The Accounts Payable Clerk is responsible for timely processing invoices while ensuring accuracy, budget verification, routing for approval, importing transactions, scheduling and clearing payments. Maintenance of Accounts Payable account records. Liaise department purchasers and external vendors through the procurement cycle. Assist the finance team in month-end-close procedures, schedules during tax and audit session filing (physical and digital), data entry, reconciling balance sheet accounts, and reporting and presentation preparation as directed. Reports to the Accounts Payable Supervisor. Responsibilities for this position include, but are not limited to: * Audit invoices against vendor payee profile for account detail accuracy, verify budget allowance and encumbrances, research discrepancies, prepare payment requests and check register list for presentation to Controller and CFO * Processes vendor invoices, two way matching them to any corresponding PO, through proper coding and in matching time period * Reviews employee expense reports, out of pocket and through Museum issued credit cards * Assists with maintaining Chrome River Emburse (procurement) system to ensure proper expense approval mapping, and troubleshoot any stuck items for reassignment as needed * Performs data manipulation between exports and imports of fully approved transactions between the procurement, FTP, and accounting system for supervisor review and posting * Performs timely check runs bi-weekly basis or as needed and adhering to all internal controls and protocols to import scheduled 360 Bill Pay, NACHA (EFTs), ACH and wire transfers * Maintains Accounts Payable inbox including retrievable of invoices, responding to inquiries from employees and vendors, and research the status of accounts payable transactions * Assists with maintaining vendor database in both MIP and Chrome River, and ensures vendor information are current in systems including W-8, W-9’s * Assists with preparing quarterly Sales and Use Tax and annual 1099 filing * Chrome River Expense Management and Analysis: * Prepare credit card expenses for the Finance Dept. credit cards and tracking submission of agency wide credit card expenses (including reconciling other agency credit cards Smart & Final, Lowes, Home Depot, Voya) * Identify outstanding personnel credit card Expense claims at monthly cut-off to report status This position has the following requirements: * 1-2 years of accounting experience and at least one of the following: * Bachelor's degree with accounting major or emphasis (preferred) * Associates degree in accounting * Certificate of Achievement in accounting, bookkeeping, or CPA track * Completion of minimum 16 semester units in accounting courses at an accredited college * Knowledge of US GAAP, IRS W-9 and W-8 Knowledge of office applications MS, G Suite, tools, equipment, practices and procedures * Ability to communicate complex accounting transactions in a basic manner to person(s) not having accounting or finance backgrounds * Ability to effectively present information to and respond to questions from groups of managers in other departments * Ability to write reports, business/professional correspondence, and procedure manuals * Ability to read, analyze, and interpret technical procedures, peer-reviewed primary literature, or government regulations * Must be extremely organized and capable of prioritizing time for multiple projects in order to meet agreed upon deadlines * Must demonstrate ability to apply professional judgment, strong work ethics, desire to learn, and initiative to raise questions * Ability to adapt and adjust to changes in procedures, workflows or operations * Ability to work with others on the team, across the organization and external audiences, as well collaborate effectively with all levels within an organization * Ability to effectively identify and utilize different methods of communication depending on the situation, such as email, phone calls, video conferencing, instant messaging, in-person meetings * Proactively perform and anticipate needs and requirements of the scope of work * Clearly articulate any potential discrepancies, ensuring all members are aware of any issues and collaboratively discuss resolution. * Must act with integrity and an ability to carry oneself with the demeanor, decorum, and professionalism needed for the position and its interaction with others NHMLAC is a nonprofit organization committed to fostering a workplace and public environment that uplifts Kindness, Fairness, Openness and Dignity. These values extend not only to our employees, but to our guests, local community, and organizational partners. If you are interested in this position, we encourage you to apply! The hourly rate range for this position is $24.43-$26.26 hourly and includes excellent benefits. This is a Full-Time Regular, non-exempt position. A cover letter, current resume, and list of 3-4 references are required for all applicants. Review of applications begins immediately and continues until the position is filled. Interested candidates, please visit and click the link of the position you are interested in or go directly to the online application.

Job Description ESSENTIAL DUTIES: • Inpatient Support Coordinator:, • Calling hospitals to verify if patients are still in the hospital or have discharged., • Entering and processing hospital face sheets., • Maintaining an updated census for assigned case manager., • Issuing approval letters for admissions, • Discharge Planning Coordinator, • Reviewing hospital discharge orders received for completeness, • Forwarding orders to appropriate case manager for review and decision, • Understanding of basic medical terminology, • Organized, efficient and possess superior attention to detail, • Punctual, prepared and able to meet or beat deadlines, • Excellent written and verbal communication skills, • Medical office or hospital admitting/medical records department experience a plus, • High School diploma, • College degree preferred, • Ability to communicate and speak effectively before co-workers, management, and external contacts, • Ability to fluently speak, write, and understand English, • Ability to write routine emails and other correspondence

Job Description Job Description The Benefits Analyst is responsible for administering and optimizing all aspects of employee benefit programs, leave of absence policies, and workers’ compensation. This position is responsible for the end-to-end coordination of benefit enrollments, claims processing, vendor liaison, and employee support. In addition, the role supports HR systems (HRIS) and develops reporting to provide actionable insights on benefit utilization, leave trends, and compliance metrics. This role contributes to continuous improvement efforts and requires a high level of autonomy, customer service focus, and attention to detail, with the ability to manage competing priorities and support compliance across federal and state laws. Essential Job Functions: • Benefits Administration, • Assist in the administration of group health, dental, vision, life, disability, and 401(k) benefit plans., • Lead new hire onboarding, life events, and annual open enrollment campaigns., • Partner with vendors and brokers to resolve coverage, claims, and eligibility issues., • Prepare employee communications, guides, and training materials., • Audit and reconcile benefits invoices and ensure timely, accurate payments., • Support plan compliance, including ACA, ERISA, COBRA, HIPAA, and IRS filings., • HRIS & Data Reporting, • Maintain benefit and leave data in the HRIS (Dayforce preferred), ensuring integrity and compliance., • Develop and run reports to support audits, compliance filings (EEO-1, 5500, NDT), and internal decision-making., • Collaborate on system configuration and testing related to benefits and payroll integration., • Identify opportunities for process automation and improved employee experience, and assist in implementing integrations with vendors and carriers., • Compliance & Special Projects, • Support annual filings such as 5500s and compliance audits (SOX, ACA, NDT)., • Assist with benefit plan design changes and post-acquisition harmonization projects., • Monitor and interpret legislation affecting 401(k), benefits, and leave policies., • Leave of Absence & Workers’ Compensation, • Assist in managing all leave cases (FMLA, ADA, CFRA, pregnancy, personal), ensuring documentation, tracking, and compliance., • Partner with Payroll, Legal, and department managers to support return-to-work and accommodations., • Administer and track workers’ compensation claims from intake to closure., • Analyze leave and WC data to identify trends and recommend improvements., • Bachelor’s Degree in Human Resources, Business Administration, or related field., • 3 to 5+ years of progressive experience in HR, with a focus on benefits, leaves, and compliance., • Strong understanding of ERISA, HIPAA, FMLA, ADA, COBRA, ACA, CFRA, and California leave laws., • Proficient in HRIS platforms (Dayforce highly preferred) and reporting tools., • Advanced Excel and comfortable working with data (e.g., VLOOKUPs, pivot tables, charts)., • Familiarity with audit processes, system implementations, and process optimization., • Exceptional communication, customer service, and collaboration skills., • Ability to manage sensitive and confidential information with discretion., • Strong analytical and problem-solving skills.

Job Description Order Review & Analysis: • Review incoming orders from the sales team to confirm all necessary measurements and specifications are provided., • Reach out to customers directly to gather any missing details or clarify unclear information., • Ensure the selected security system(e.g., straps, buckles) is appropriate for the specific furniture piece., • Conduct online research to identify furniture pieces, manufacturers, and collections when not clearly specified in the order., • Use Pattern Smith Software to design accurate, Custom patterns for outdoor furniture covers., • Ensure patterns are optimized for both quality and production efficiency., • Compile comprehensive order documentation, including finalized patterns and any necessary notes., • Work closely with the Sales team to ensure smooth order processing and resolve any order-related issues., • Partner with the cutting department to ensure patterns are executed correctly and efficiently., • Review all patterns for accuracy, consistency, and quality before submission., • Experience in pattern design, furniture manufacturing, or a related field., • Familiarity with outdoor furniture covers and production workflows.Company DescriptionCouverture Covers is a premier furniture design company specializing in the customization of high-end luxury outdoor furniture covers. We understand that every piece of furniture is unique, and so are the needs of our customers. Our mission is to provide tailor-made solutions that not only protect your outdoor investments but also enhance their aesthetic appeal.Couverture Covers is a premier furniture design company specializing in the customization of high-end luxury outdoor furniture covers. We understand that every piece of furniture is unique, and so are the needs of our customers. Our mission is to provide tailor-made solutions that not only protect your outdoor investments but also enhance their aesthetic appeal.

Job Description Crystal Stairs, Inc. Improving the Lives of Families through Child Care Services, Research, and Advocacy Crystal Stairs is committed to building and sustaining a diverse workforce and culture. As part of this commitment, Crystal Stairs does not and shall not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin, disability, marital status, sexual orientation, or military status, in any of activities or operations. Provider Services - Claims Administrator 100% Onsite - Los Angles CA 90056 What We're Looking For: We are seeking a qualified candidate for the Claims Administrator position. The Claims Administrator is responsible for managing all payment-related matters for child care service providers, both licensed and license-exempt participating in Child Care Subsidy Programs. This role involves ensuring accurate and timely claim processing while providing high-quality customer service to child care providers and internal stakeholders. The Claims Administrator must maintain the utmost levels of confidentiality when handling sensitive information related to families and providers. RESPONSIBILITIES • Evaluate and review documentation for provider claims to ensure compliance with contractual requirements, applicable regulations, and agency policies and procedures., • Identify, track, and report processing discrepancies to appropriate staff, and resolve all issues by processing payment adjustments and/or authorizations within designated timeframes., • Assist in the preparation and completion of monthly reports to support agency compliance with timely and accurate provider payments., • Research and resolve provider payment inquiries, ensuring timely and thorough follow-up and clear communication of outcomes., • Review claims for accuracy, ensuring all required documentation is complete, appropriate, and properly entered into the system prior to each scheduled provider payment export., • Review and maintain a documented record of all claim returns, payment adjustments, provider income verification requests and stop payment requests, including actions taken and current status., • Collaborate with management to identify and implement process improvements and assist in training staff to enhance efficiency and productivity., • Participate in workgroups, committees, and ad hoc teams as assigned, contributing to collaborative efforts and agency initiatives., • Perform other related duties as assigned by the Supervisor or Manager. EXPERIENCE, KNOWLEDGE, SKILLS AND ABILITIES YOU SHOULD POSSESS: • Preferred Bachelor of Science/Arts degree from an accredited university with a focus on Accounting, Business, or Human/Social Services preferred; related work experience in claims/human services may be substituted for college level education., • Minimum of one to two years experience in a claim or billing environment; preferably worked with child care providers and parents receiving subsidized child or social support services., • Must have knowledge of County, State and Federal provider contract requirements for Alternative Payment and Child Care Subsidy Programs. Demonstrated proficiency with agency data application and the California Statewide Automated Welfare System (CalSAWs) system. Total Package of Benefits • Medical/ Dental/ Vision - 95% paid by agency!, • 401k Matching Options, • Flex Spending, • Pre-paid Legal Services, • Sick and Vacation Time, • Paid Holidays and Winter Break, • Opportunity for Growth and Development, • Robust Learning Management System offering the following continuing education units: PDC, HRCI, CEU, CPE, PDU, SHRM Crystal Stairs, Inc. is committed to building and sustaining a diverse workforce and culture. As part of this commitment, Crystal Stairs, Inc. provides equal opportunity in all of our employment practices, including selection, hiring, promotion, transfer, and compensation, to all qualified applicants and employees without regard to race, color, medical condition as defined by state law, ancestry, religion, sex, national origin, age, marital status, sexual orientation, gender, ethnic group identification, mental or physical disability, pregnancy, childbirth and related medical conditions, or any other legally protected status. Qualified applicants with arrest or conviction records will be considered for Employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. For more information about Crystal Stairs, please visit our website at: Job Posted by ApplicantPro

Job Description We are seeking an experienced and proactive Senior HR Generalist to join our Human Resources team. This role is ideal for an HR professional who thrives in a fast-paced environment and is capable of handling sensitive employee relations matters, leading critical meetings, and making independent decisions within defined HR functions. The Senior HR Generalist will serve as a key point of contact for employees and management, providing guidance on HR policies, compliance, performance management, and organizational development. JOB DUTIES AND RESPONSIBILITIES • Recruits, interviews, and facilitates the hiring of qualified job applicants for open positions; collaborates with departmental managers to understand skills and competencies required for openings., • Conducts or acquires background checks and employee eligibility verifications., • Implements new hire orientation and employee recognition programs., • Performs routine tasks required to administer and execute human resource programs including but not limited to compensation, benefits, and leave; disciplinary matters; disputes and investigations; performance and talent management; productivity, recognition, and morale; occupational health and safety; and training and development., • Handles employment-related inquiries from applicants, employees, and supervisors, referring complex and/or sensitive matters to the appropriate staff., • Lead and manage employee relations matters including investigations, conflict, resolution, and disciplinary actions., • Conduct and manage termination meetings independently, ensuring compliance with legal and internal policies., • Makes autonomous decisions on routine HR matters such as leave management, job changes, and policy interpretation, escalating only complex or high-risk issues., • Maintains compliance with federal, state, and local employment laws and regulations, and recommended best practices; reviews policies and practices to maintain compliance., • Performs other duties as assigned., • Responsible for workers comp claims, monitoring and administration, communications with employees, managers, insurance carriers, and lawyers., • Ensures timely processing of workers comp claims, evaluations accident reports to determine accuracy and completeness and to ensure adequate investigation., • Processing payroll for all Westmont Group company’s, • Distribute payroll checks and payroll related correspondence to employees, • Process final procedures (COBRA, last paycheck, eligibility for Unemployment Insurance, etc.) for all terminated employees, • File, maintain and update the Master file, employee personal, medical, training records, vacation and sick time schedules, time and attendance records, • Coordinate with the Paycor (payroll service), CTE (time clocks) and IT to maintain and update software and hardware, as required, • Processing verifications of employment (dates and titles only) to outside parties; providing further information only if appropriate forms (signed authorization, subpoenas) are provided., • Bachelors degree in Human Resources, Business Administration, or Technical field required., • At least five years of human resource management experience preferred., • Strong knowledge of employment laws and HR best practices., • Excellent interpersonal, communication, and problem solving skills., • Experience leading sensitive conversations and terminations with confidence., • Demonstrated ability to work independently and make sound, timely decisions., • Strong written and verbal communication skills While performing the duties of this job, employees are regularly required to sit, walk and stand; talk or hear, both in person and by telephone; use hands repetitively to finger, handle, feel or operate standard office equipment; reach with hands and arms; and lift up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, and the ability to adjust focus. The work environment characteristics described here represent those employee encounters while performing this job's essential functions. Reasonable accommodation may be made to enable individuals with disabilities to perform essential functions. Employees work under typical office conditions, and the noise level is usually quiet to moderate. However, in certain assignments, an employee may work near moving equipment and be exposed to toxic or caustic chemicals, biological hazards, airborne fumes, outdoor weather conditions, and loud, prolonged noise.

Job Description About Million Dollar Baby Co. Welcome to Million Dollar Baby Co.! We started in 1990 and are proudly family-owned and operated in Los Angeles. Since then, MDB Co. has grown to 6 distinct brands of children's furnishings ranging in style, aesthetic, and price point, while carrying some of the industry's most eco-conscious and award-winning designs. Our family of brands include: Babyletto, DaVinci, Nursery Works, Namesake, Monogram by Namesake, and Carter's by DaVinci. We can be found in mass retailers like Target and Amazon to your local mom-and-pop baby shop to specialty retailers like Pottery Barn Kids and Crate and Barrel. At MDB Co., we credit all our success to our mighty, diverse team of more than 110 smart and fun individuals who make an impact every day! Our team members are our #1 priority and we partner with exceptional suppliers and retailers from around the world who share our values. Lastly, we are proud that we have been awarded Great Place to Work in '23, '24, '25 Built in LA Best of List '23, '24, '25 Fortune Best Places to Work '24. It's truly an amazing place to work! We welcome you to learn more about our company and our fantastic team. Teddy Fong CEO About this job:Your role will focus on supporting the logistics functions of our business. This includes areas such as Order Management, inclusive of reviewing and responding to retailer inquiries via email and or phone, releasing orders, creating payment requests, rate shopping and quoting, scheduling pickups with carriers, and supporting various other order management and logistics functions. You will learn how the entire Supply Chain operates, how to utilize analytics to make data driven decisions, and how to communicate effectively. A typical day might include working with our brick and mortar (B2B) specialty retailers, providing pre and post customer Support, serving as a liaison between logistics and Warehouse, Sales, Marketing and Quality Control teams on order specific tasks while also serving a supporting role on a variety of cross functional, companywide OKRs (Objective and Key Results). These are business fundamentals that will take you far in any future career path. We are passionate about people development, and you will receive mentorship and coaching to set you up for success.What you'll be doing: • Provide retailer facing customer service including responding to pre and post order or shipment related inquiries via email or phone call as necessary. Notifying retailers and management of any shipping issues, addressing shipping errors and discrepancies as they arise., • Creating bill of ladings and requesting for rate quotes, optimizing around transit times and freight costs. Ensuring all shipments are processed and shipped within our internal SLAs, • Review order exceptions, including damages from an operational lens to ensure a best-in-class customer experience, issuing Return Merchandise Authorization (RMA), issuing call tags and or processing parts replacement orders, • Management of claims for all damaged/loss shipments, invoice overcharges and customer chargebacks with the goal of maximizing our claims win rates., • Assist with various Logistics and Order Management functions: shipment processing for small parcel and LTL orders, order entry, customer inquiries, releasing, quoting, routing orders and shipment preparation, including creating payment requests What you bring to the table:, • Extreme attention to detail – you triple check all emails and deliverables and take pride in getting it right the first time, • Super organized – never let anything slip through the cracks, time management is your forte, and you are not shy about following up with internal or external stakeholders, • Effective verbal and written communication skills – communicate to be understood in a concise and clear manner, bring a point of view, • Strong analytical skills – use logical structuring in understanding problems and in creating solutions, don't rely on others to tell you what to do, • Adaptable and flexible – priorities change on a daily or hourly basis, you can pivot, adjust your schedule and re-focus, • Team-oriented -- you jump at the chance to help a team member when assistance is needed, • Intermediate Excel skills California pay range$25—$30 USD Our Benefits: • 100% of your health, dental and vision insurance monthly premiums paid by us!, • Flexible PTO because we respect the need for work/life harmony, • Company matching 401(k), • Vacation reimbursement and health & wellness subsidy programs, • Tuition reimbursement, • Matching charitable donations to the nonprofit organization of your choice, • Company-wide monthly celebrations - lunch is on us!, • Dog-friendly workplace, yes! You can bring your best friend to work Million Dollar Baby Company is committed to providing reasonable accommodations for qualified individuals with disabilities in our job application and/or recruitment process.

Job Description Department: Health Services Reports to: Billing Manager Compensation: $21.47-$28.33 per hour, plus $1.75 per hour Shift Differential Premium for hours worked between 6pm-6am Schedule: Monday-Friday 8:00am-5:00pm Status: 100%, Full-Time, Non-Exempt, Union Probation: 90 days Benefits: Medical, Dental, Vision; also including Life Insurance, Long-Term Disability, Employee Assistance Program, and a 403(b) Retirement Plan Center’s Mission: Building a world where LGBT people thrive as healthy, equal, and complete members of society. DEPARTMENT SUMMARY: As the nation’s largest and most experienced provider of LGBTQ medical and mental health services, we help LGBTQ people lead healthier, happier lives, by keeping their minds and body well. All services are free or low cost. We’re also one of the few Federally Qualified Health Centers in the nation with providers who specialize in primary care for LGBTQ people and with a research team working to advance the care and treatment of people in our community. JOB SUMMARY: Under the direction of the Billing Manager the Patient Account Biller will be responsible for providing administrative and clerical support to the Billing Team. These responsibilities include charge entry, payment entry, account reconciliation, claims follow up and denial management in accordance with all accepted billing and collection practices. ESSENTIAL FUNCTIONS: • Charge entry, coding, and cash reconciliation., • Payment entry including processing refunds on paper and/or electronically., • Generating, reviewing, and transmitting patient’s statements and notices on paper and/or electronically., • Monitor patient accounts for appropriate insurance assignments., • Claim follow up and denial management., • Respond to client questions and complaints regarding billing issues and document the outcome in AllScriptsPM., • Attend Center, Health Services and Health Information Services meetings as required., • Other duties as assigned. JOB QUALIFICATIONS AND EXPERIENCE: • Knowledge of or experience working with the LGBTQ community and familiarity with issues of particular relevance to LGBTQ people., • A passion for the Center’s work and its mission to make the world a better place for LGBTQ people., • Working knowledge of current CPT and ICD10 codes., • Knowledge of medical terminology., • Knowledge of reimbursement and denial codes., • Bilingual skills, a plus (English/Spanish fluency preferred)., • Excellent verbal and written communication skills, including strong organizational skills, strong problem-solving skills, and attention to detail., • Computer skills, including a working knowledge of Excel., • Demonstrated ability to work effectively with people of diverse races, ethnicities, nationalities, sexual orientations, gender identities, gender expression, socio-economic backgrounds, religions, ages, English-speaking abilities, immigration status, and physical abilities in a multicultural environment. The Los Angeles LGBT Center is an Equal Opportunity Employer and is committed to fostering diversity within its staff. Applications are encouraged from all persons regardless of their race, color, ancestry, religious creed, national origin, sex, sexual orientation, gender identity, gender expression, medical/physical/mental condition, pregnancy/childbirth and related medical condition, age, marital status, or veteran status. The Center has implemented a mandatory COVID-19 vaccination policy as a condition of employment for all employees who work on the Center’s premises, subject to applicable federal, state, and local laws. For more information, please contact

Job DescriptionDescriptionWe are seeking an experienced Capitation Processor to join our team, with a strong background in processing capitation payments across a wide range of payer types, including CMS, Medicare Advantage, and Commercial Payers. The ideal candidate will have expertise in calculating and processing capitation payments for healthcare providers, particularly in value-based care models, including CMS ACO programs, Medicare Advantage plans, and commercial payer agreements. This role is key to ensuring the accurate, timely, and compliant distribution of capitation payments while maintaining strong provider relationships and supporting the overall financial operations of the organization. Our Values: • Patients First, • Empowering the Independent Provider, • Be Innovative, • Operate with Integrity & Deliver Excellence, • Calculate, process, and reconcile capitation payments across all payer types, including CMS, Medicare Advantage, and Commercial Payers., • Ensure capitation payments are accurate, timely, and compliant with the terms of provider contracts and regulatory guidelines for each payer type., • Work closely with payer representatives, financial teams, and provider relations teams to ensure smooth payment operations. Payer-Specific Knowledge:, • Apply detailed knowledge of CMS, Medicare Advantage, and Commercial payer capitation methodologies to accurately process payments., • Ensure compliance with payer-specific guidelines, including risk adjustment models, capitation structures, and regulatory requirements., • Stay current on updates to payer guidelines, including CMS ACO program changes, Medicare Advantage plan updates, and evolving commercial payer requirements. Data Analysis & Payment Reconciliation:, • Analyze claims, enrollment, and utilization data to accurately calculate capitation payments for each provider., • Reconcile discrepancies between capitation payments and member utilization or claims data, collaborating with internal teams to resolve any issues., • Investigate and correct discrepancies, including payment errors, adjustments, and underpayments, ensuring that accurate financial records are maintained.Provider Relations & Communication:, • Serve as a point of contact for provider inquiries related to capitation payments, ensuring prompt resolution of any questions or concerns., • Collaborate with the provider relations team to communicate capitation payment processes, adjustments, and trends, ensuring transparency and building strong provider relationships., • Address provider disputes related to payment calculations and work to resolve any conflicts in a timely and professional manner. Reporting & Documentation:, • Prepare and distribute detailed capitation payment reports to internal stakeholders, including finance, compliance, and leadership teams., • Maintain accurate records and documentation related to capitation payments for auditing and compliance purposes., • Support external audits related to capitation payments by providing requested documentation and explanations.Process Improvement & Efficiency:, • Identify opportunities for process improvements in capitation payment workflows, with an emphasis on increasing efficiency, accuracy, and compliance., • Work closely with cross-functional teams to streamline payment processing and reporting, helping to reduce administrative burden and enhance provider satisfaction. Compliance & Risk Management:, • Ensure all capitation payments comply with relevant federal and state regulations, including CMS, Medicare Advantage, and Commercial payer requirements., • Assist with internal audits and external regulatory reviews by providing necessary documentation, reports, and explanations., • Minimum of 3 years of experience in capitation processing, with a strong focus on CMS, Medicare Advantage, and Commercial Payers., • Experience with CMS ACO programs and other value-based care models is strongly preferred., • Prior experience managing provider contracts and capitation agreements for multiple payer types, including government and commercial insurers, is essential. Skills:, • Strong knowledge of capitation payment methodologies, risk adjustment, and payment structures for CMS, Medicare Advantage, and Commercial payers., • Proficiency in claims management systems (e.g., Facets, QNXT, or similar platforms) and financial software., • Strong analytical skills with the ability to reconcile and process complex payment data., • Excellent communication skills to interact effectively with providers, internal teams, and external stakeholders. Education:, • High school diploma or equivalent required; Associate’s or Bachelor’s degree in healthcare administration, finance, or a related field preferred. Certifications:, • Attention to Detail: Exceptional ability to maintain accuracy in capitation payment processing and reporting., • Proactive Problem-Solver: Ability to identify issues, investigate discrepancies, and resolve them efficiently., • Effective Communicator: Strong verbal and written communication skills for interacting with providers, internal teams, and payer representatives., • Organized: Strong organizational skills and the ability to prioritize tasks and meet deadlines in a fast-paced environment., • Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis. The office is located at 9700 Flair Drive, El Monte, CA 91731.

Job Description Position Summary The Senior Manager of Claims Operations is responsible for overseeing the intake, adjudication, and processing of medical claims in compliance with ERISA, CMS, and health plan guidelines. This leadership role ensures strategic operational excellence, fosters vendor and partner collaboration, and drives continuous process improvements. The Senior Manager will provide mentorship to a growing team of claims and appraisal staff, develop and implement policies, and ensure high levels of service delivery for stakeholders. Key Responsibilities Department Leadership & Oversight • Manage day-to-day operations of the claims department, ensuring claims are processed accurately, timely, and in compliance with regulatory requirements., • Supervise and develop appraisal and examination staff while providing technical guidance to claims teams, producers, and account managers., • Ensure compliance with ERISA, CMS, HIPAA, state regulations, and internal health plan policies., • Develop and enforce claims policies and procedures that align with company objectives and legal requirements., • Manage relationships with third-party administrators, vendors, and technology partners to ensure service levels and operational efficiency., • Provide mentorship, coaching, and performance evaluations to team members to foster professional growth and improve retention., • Serve as a point of escalation for stakeholders, including providers, members, and internal departments., • Analyze claims data to identify trends, detect irregularities, and develop strategies to improve efficiency and reduce costs., • Education: Bachelor’s degree required in Healthcare Administration, Business Administration, Finance, or a related field; Master’s degree (MBA, MHA, or equivalent), or equivalent years of experience, • Experience: Minimum of 8–10 years of progressive experience in medical claims operations within a health plan, TPA, or managed care organization, including 5+ years in a leadership/management role., • Technical Expertise: Strong knowledge of ERISA, CMS regulations, Workers’ Compensation statutes, HIPAA, and state-specific health plan requirements. Proficiency with claims adjudication systems (e.g., EZ-CAP, Facets, QNXT, or similar)., • Skills:, • Demonstrated ability to lead and develop high-performing teams., • Strong vendor and partner management experience., • Exceptional analytical and problem-solving abilities., • Excellent communication and negotiation skills., • Proficiency with Microsoft Office Suite, Teams, and reporting tools. When you join AMM, you’re not just getting a job—you’re getting a benefits package that puts YOU first: • Health Coverage You Can Count On: Full employer-paid HMO and the option for a flexible PPO plan., • Wellness Made Affordable: Discounted vision and dental premiums to help keep you healthy from head to toe., • Smart Spending: FSAs to manage healthcare and dependent care costs, plus a 401(k) to secure your future., • Work-Life Balance: Generous PTO, 40 hours of sick pay, and 13 paid holidays to enjoy life outside of work., • Career Development: Tuition reimbursement to support your education and growth.

Job Description Healthcare Fraud Investigator I – Medicare Los Alamitos, CA hybrid (OR) Work from Home in CA, AZ, ID, NV, OR, UT, or WA @Orchard LLC is retained by a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business including population health, utilization review, managed care organization quality review, and quality assurance for programs serving individuals with developmental disabilities. Our Client is also a national leader in fighting fraud, waste and abuse for large organizations across the country. In addition, our Foundation provides grant opportunities to those with programs for under-served communities. Serves as an entry level professional who develops baseline plans for ensuring the integrity and accuracy of claims processes and protocols. Collects data for audits/investigations into claims, utilizing a combination of analytical skills and attention to detail, reviewing documentation, interviewing involved parties, and communicating with various stakeholders to gather relevant information for successful resolution and closure. Identifies opportunities to target fraud, waste, and abuse or discrepancies in claims submissions. Adheres to industry regulations and company policies for managerial follow-up. Analyzes data in order to effectively assess the validity of claims. Provides accurate recommendations to management for claim resolution and closure. Documents and inputs all findings, while preparing comprehensive reports that may be used for legal or audit/investigative purposes. Essential Duties and Responsibilities: • Conducts routine and impartial audits/investigations from start to closure into customer claims, ensuring accurate and fair assessments of claims validity., • Provides customer service by addressing inquiries and concerns, and escalates audit/investigation, as needed., • Compiles detailed and organized records of audit/investigation findings, ensuring accuracy and compliance with legal and regulatory requirements., • Applies functional knowledge to create and implement strategies to identify and prevent fraudulent activities, safeguarding the integrity of the claims process., • Conducts interviews with relevant witnesses, claimants, and other stakeholders to gather additional information and perspectives on claims., • Communicates with appropriate internal teams to ensure the proper processing of audits/investigations, while adhering to legal and regulatory standards., • Communicates audit/investigation findings clearly and professionally to customers, claimants, and other stakeholders, managing expectations and providing updates., • Assists in providing training and support to other auditors/investigators, contributing to the continuous improvement of investigative processes. Education and /or Skills and Experience Required: • Minimum Bachelor's Degree, • Certified Fraud Examiner or Accredited Healthcare Anti-Fraud Investigator, • Prior successful experience with CMS and OIG/FBI or similar agencies, • Medicare investigation experience preferred If you match the requirements for this opportunity and believe you have the experience and talent to succeed in the role, we need to hear from you! Compensation for the role of Investigator will be determined based on experience and qualifications. The salary range is expected to be $55,000 - $71,000, plus benefits. Established in 2010, @Orchard LLC, also known as, Talent Orchard has an exceptional reputation, providing staffing solutions to time-sensitive, talent scarcity issues to deliver better talent management ROI. Our specialty lies in the critical area of program talent acquisition and resource management, not in one narrow skillset, but across many areas of technical and functional delivery. To learn more about our other exciting opportunities, visit our Jobs Page at .