Claims processor serp_jobs.h1.location_city
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Claims processor • downey ca
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Montebello, CA (Hybrid after initial training onsite is completed).HR depending on years of experience.AM - 3PM, 7AM - 4PM, 8AM - 5PM.
Minimum 2 - 3 years of previous claims examiner experience, not...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
An Enrollment Processor ensures that each incoming student has the correct paperwork required to start classes as dictated by accreditation standards and school policy.
They review and approve any d...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Essential Duties and Responsibilities : .Obtain required loan documentation and process less complex loan applications.Order credit verifications and third-party services.
Track receipt of and review ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Are you a seasoned insurance professional with a passion for advocacy and problem-solving Do you thrive in complex claims environments and enjoy helping clients navigate challenging situations At M...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
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...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
At Volt, our greatest strength is our people Volt is immediately hiring for a Payroll Processor in Los Angeles, CA.As a Payroll Processor, you will : Process semi-monthly payroll for a workforce ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
The Patient Business Services Disability Claims Processor is responsible for abstracting medical information and diagnosis, using ICD-9 codes as required.
Coordinates disability claims with employer...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
NY,CA,CO,WA,MD,CT,IL,NV,,KY,MI,NJ,ME,MO,MA,MT).The Brink's Company (NYSE : BCO) is a leading global provider of cash and valuables management, digital retail solutions, and ATM managed services.O...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Arixa Capital Advisors, LLC is a respected private credit investment manager, managing a loan portfolio in excess of with $2B.
Our strategy is to lend on single family and multifamily projects acros...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
East West Bank is currently seeking a Mortgage Loan Processor.The Loan Processor is responsible for reviewing loan applications for completeness and accuracy, verifying supporting income, asset and...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Contract to hire potential for the right candidate! The claims examiner reports directly to the claims manager.They are primarily responsible for the processing functions (operation, adjudication, ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
If you are as passionate about helping those in need as you are about growing your career, consider AltaMed.At AltaMed, your passion for helping others isn't just welcomed it's nurtured, celebrate...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Contract Status : Closed and Not Awarded Contract ID# : 221508 (Posted by Amy Campbell) Signup Starts : 8 / 8 / 2022 12 : 00 AM EST Signup Ends : 11 / 27 / 2022 12 : 00 AM EST Need Status : Offered Date Range : 9 / 5 / ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
We’re seeking a highly organized, detail-oriented Leasing Processor to join our growing team! This role is ideal for someone who thrives in a structured, task-focused environment and takes pr...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Take on an important role within a world-class health organization.Provide specialized expertise that enables the efficient operation of a complex health system.
Take your career to the next level.Y...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
A company is looking for a Medical Claims Processor - Remote.Key Responsibilities Review and compare data in the claim processing system with corresponding claim information Evaluate medical rec...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Cash / Claims Processor needs 3 years vision billing experience.Cash / Claims Processor requires : .Vision claims coding and billing and cash apply.
Knowledgeable in continuous improvement and problem sol...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours)
In the ever expanding city of Los Angeles, Trojans need reliable and convenient transportation options.USC Transportation has risen to meet that need, operating parking structures, busses, student-...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Specialty : Non-Clinical – Finance / Accounting.Shift : Day (5 x 8 Hours) 07 : 00 – 15 : 30.Minimum 2 years of claims adjudication in ambulatory, acute care hospital, HMO, or IPA environment.Hi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
We 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...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Claims Examiner
North American Staffing GroupMontebello, CA, USjob_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.permanent
job_description.job_card.job_descriptionProcess medial claims, professional and institutional as it relates to the appropriate Federal and State regulations based on the member’s Line of Business; Medicare, Medi-Cal, Commercial, PACE Lines of Business. Read and interpret DOFRs as it relates to the claim in order to ensure that group is financially at risk for payment. Read and interpret provider contracts to ensure payment / denial accuracy. Read and interpret Medi-Cal and Medicare Fee Schedules. Correct claims payment / denial errors identified by the Claims Auditor prior to a check run. Must maintain an error accuracy of under 3%. Communicate with Claims Management for any issues relating to provider, fee schedule, eligibility, authorization, or system issues. Assist in the creation of any business rules and training in order for the Claims Department to become more efficient and accurate. Coordinate with the Recovery Department for any identified overpayments. Attend monthly departmental meetings and provide feedback when requested. Other duties as assigned. HS Diploma or GED 2+ years of Claims Processing experience in a managed care environment. Must be knowledgeable of Medi-cal regulations. Preferred knowledge of Medicare and Commercial rules and regulations. Knowledge of medical terminology. Must have an understanding to read and interpret DOFRs and Contracts. Must have an understanding how to read a CMS-1500 and UB-04 form. Must have strong organizational and mathematical skills.
Job Description
Job Description
Position Type : Direct Hire
Location : Montebello, CA (Hybrid after initial training onsite is completed)
Hourly Rate : $24 - 30 / HR depending on years of experience
Schedules Available : 6AM - 3PM, 7AM - 4PM, 8AM - 5PM
Requirements :
- Minimum 2 - 3 years of previous claims examiner experience, not medical billing.
- Experience communicating with Health Plans, IPAs / Hospitals, and insurances.
- Experience processing private and Medical / Medicare claims.
Overview :
A Claims Examiner is responsible for analyzing and the adjudication of medical claims as it relates to managed care. Performs payment reconciliations and / or adjustments related to retroactive contract rate and fee schedule changes. Resolve claims payment issues as presented through Provider Dispute Resolution (PDR) process or from claims incident / inquiries. Identifies root causes of claims payment errors and reports to Management. Responds to provider inquiries / calls related to claims payments. Generates and develop reports which include but not limited to root causes of PDRs and Incidents. Collaborates with other departments and / or providers in successful resolution of claims related issues.
Responsibilities :
Qualifications :
INDMED