Talent.com
Claims Examiner
Claims ExaminerLucent Health • Rancho Cordova, CA, US
Claims Examiner

Claims Examiner

Lucent Health • Rancho Cordova, CA, US
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

About Lucent Health

Lucent Health combines top-tier claims management with a compassionate, human-focused, data-driven care management solution. This approach helps self-insured employers provide care management that enables health plan participants to make smarter, cost-saving healthcare decisions. Continuous data analytics offer ongoing insights, ensuring participants receive the right care, at the right cost, at the right time. Join us as we build a company that aims to be a better health benefits partner for self-insured employers.

Company Culture

We believe that the success of Lucent Health relies on having employees who are honest, ethical and hardworking. These values are the foundation of Lucent Health.

Honest

  • Transparent Communication : be open and clear in all interactions without withholding crucial information
  • Integrity : ensure accuracy in reporting, work outputs and any tasks assigned
  • Truthfulness : provide honest feedback and report any issues or challenges as they arise
  • Trustworthiness : build and maintain trust by consistently demonstrating reliable behavior

Ethical

  • Fair Decision Making : ensure all actions and decisions respect company policies and values
  • Accountability : own up to mistakes and take responsibility for rectifying them
  • Respect : treat colleagues, clients and partners with fairness and dignity
  • Confidentiality : safeguard sensitive information and avoid conflicts of interest
  • Hardworking

  • Consistency : meet or exceed deadlines, maintaining high productivity levels
  • Proactiveness : take initiative to tackle challenges without waiting to be asked
  • Willingness : voluntarily offer to assist in additional projects or tasks when needed
  • Adaptability : work efficiently under pressure or in changing environments
  • Summary :

    Government Claims Processor / Examiners are a key part of the department's successful operation. Processor / Examiners are in daily contact with team members, clients and providers. This position reports to the Supervisor, Government Operations. A cheerful, competent and compassionate attitude will directly impact the productivity of the team. Attendance can also directly impact the satisfaction level of our clients and retention of our accounts.

    Responsibilities :

  • Process claims accurately, efficiently and within production requirements
  • Exhibit an attention to detail and a strong work ethic
  • Ability to access research tools for accurate claims entry
  • Be organized and able to manage time and resources efficiently and effectively
  • Thorough knowledge of coding structures (CPT, HCPCS, Rev codes, ICD 9 / 10 etc)
  • Ability to perform arithmetic calculations
  • Knowledgeable of COB
  • Familiarity with benefits and benefit calculations
  • Ability to handle many types of claims pricing (Network, Medicare, UCR etc)
  • Performs duties in a HIPAA compliant manner
  • Participate as a Team Member to ensure the smooth operation of the entire department
  • Maintain guidelines and notes with detail to enable accurate claims examination
  • Maintain production goals regarding the number of claims entered and accuracy percentages.
  • Qualifications :

  • Proficient in the use of desktop computer software.
  • Excellent communication via written, telephonic and personal
  • Ability to manage and follow through consistently and accurately
  • Attention to detail
  • Completion of all responsibilities in a timely manner
  • Highly organized work habits
  • Equal Employment Opportunity Policy Statement

    Lucent Health is an Equal Opportunity Employer that does not discriminate based on actual or perceived race, color, creed, religion, alienage or national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth and related medical conditions), gender identity, gender expression, transgender status, sexual orientation, marital status, military service and veteran status.

    serp_jobs.job_alerts.create_a_job

    Examiner • Rancho Cordova, CA, US

    Job_description.internal_linking.related_jobs
    Workers Compensation Claims Adjuster II - California - Roseville, CA

    Workers Compensation Claims Adjuster II - California - Roseville, CA

    PMA Companies • Roseville, CA, United States
    serp_jobs.job_card.full_time
    Workers Compensation Claims Adjuster II - California.As a member of our Claims team, utilize your knowledge of Workers Compensation Claims to independently investigate, evaluate and resolve assigne...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Patient Coordinator (Laguna Creek Optometry)

    Patient Coordinator (Laguna Creek Optometry)

    VSP Vision • Elk Grove, CA, United States
    serp_jobs.job_card.full_time
    Compensation range for the role is listed above.Applicable salary ranges may differ across markets.Actual pay will be determined based on experience and other job-related factors permitted by law.A...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Manager, Patient Safety

    Manager, Patient Safety

    Firefly Recruiting • Sacramento, CA, US
    serp_jobs.job_card.full_time
    The Manager of Patient Safety is appointed as the hospital’s Patient Safety Officer and is responsible for the overall administration, leadership and management of the Patient Safety Programs...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Risk Control Consultant- Northern California

    Risk Control Consultant- Northern California

    Sentry Insurance • Sacramento, CA, United States
    serp_jobs.job_card.full_time
    We are currently seeking a risk control professional that is technically proficient, self-motivated and results driven to fill an open position within our West Region Shared Services division.The p...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Remote Product Tester – $45 / hr + Free Products – Start Now!

    Remote Product Tester – $45 / hr + Free Products – Start Now!

    OCPA • Lincoln, California, us
    serp_jobs.filters.remote
    serp_jobs.job_card.part_time +1
    Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies. We guarantee 15-25 hours per week with an hourly pay of bet...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Physical Therapist - $2,800 per week

    Travel Physical Therapist - $2,800 per week

    CompHealth Inc. • Galt, CA, United States
    serp_jobs.job_card.permanent
    Physical Therapist for a travel job in Galt, California.Job Description & Requirements.CompHealth exists to make the locums process easier. Not only will we search for jobs that fit your interests, ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Workers Compensation Claims Examiner | Dedicated Account | Rancho Cordova (3 Days Remote)

    Workers Compensation Claims Examiner | Dedicated Account | Rancho Cordova (3 Days Remote)

    Sedgwick • Rancho Cordova, CA, US
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    Workers Compensation Claims Examiner | Dedicated Account | Rancho Cordova.By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people a...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
    Travel Outpatient Physical Therapist - $2,326 per week

    Travel Outpatient Physical Therapist - $2,326 per week

    Jackson Therapy Partners • Galt, CA, United States
    serp_jobs.job_card.full_time +1
    Jackson Therapy Partners is seeking a travel Outpatient Physical Therapist for a travel job in Galt, California.Job Description & Requirements. Looking for a change of scenery and a chance to help o...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Work-from-Home Tester - Try Online Side Gigs and Give Feedback

    Work-from-Home Tester - Try Online Side Gigs and Give Feedback

    Finance Buzz • Lincoln, California, US
    serp_jobs.filters.remote
    serp_jobs.job_card.temporary
    We're on the hunt for curious, motivated individuals to test and review online money-making opportunities featured on FinanceBuzz. If you enjoy discovering new platforms and sharing your experience,...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    CT Technologist - $49-73 per hour

    CT Technologist - $49-73 per hour

    Adventist Health • Acampo, CA, United States
    serp_jobs.job_card.full_time
    Adventist Health is seeking a CT Technologist for a job in Acampo, California.Job Description & Requirements.Centered in the heart of San Joaquin County, Adventist Health Lodi Memorial has been one...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    United States Customs and Border Protection Officer

    United States Customs and Border Protection Officer

    U.S. Customs and Border Protection • Thornton, California, US
    serp_jobs.job_card.full_time +1
    Customs and Border Protection Officer (CBPO).A high number of candidates may make applications for this position, so make sure to send your CV and application through as soon as possible.Customs an...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Plans Examiner

    Plans Examiner

    Willdan Group, Inc. • Sacramento, CA, United States
    serp_jobs.job_card.part_time
    At Willdan, we believe the future is now.Through our subsidiary Public Agency Resources (PARS), we are proud to be "Envisioning the Future" of Building & Safety-partnering with cities, buildings, a...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Senior Triage Examiner

    Senior Triage Examiner

    ICW Group • Sacramento, CA, United States
    serp_jobs.job_card.full_time +1
    Are you looking to make an impactful difference in your work, yourself, and your community? Why settle for just a job when you can land a career? At ICW Group, we are hiring team members who are re...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Safe Patient Handling and Mobility Program Administrator

    Safe Patient Handling and Mobility Program Administrator

    University of California- Davis Health • Sacramento, CA, United States
    serp_jobs.job_card.full_time +1
    Add to Favorite Jobs Email this Job.Under the direction of the Patient Support Services Director, the SPHM Program Administrator is responsible for regulatory oversight of the Safe Patient Handling...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Claims Examiner I

    Claims Examiner I

    Astiva Health, Inc • Sacramento, CA, US
    serp_jobs.job_card.full_time
    Orange, CA is a premier healthcare provider specializing in Medicare and HMO services.With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize acc...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Optician 2 (EyeOptics Optometry Center)

    Optician 2 (EyeOptics Optometry Center)

    VSP Vision • Elk Grove, CA, United States
    serp_jobs.job_card.full_time
    Compensation range for the role is listed above.Applicable salary ranges may differ across markets.Actual pay will be determined based on experience and other job-related factors permitted by law.A...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Occupational Therapist - $1,932 per week

    Travel Occupational Therapist - $1,932 per week

    Uniti Med • Elk Grove, CA, United States
    serp_jobs.job_card.full_time
    Uniti Med is seeking a travel Occupational Therapist for a travel job in Elk Grove, California.Job Description & Requirements. Cigna medical, MetLife dental and vision insurance .License reimburseme...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Sales Associate (No Experience Required) - Elk Grove, CA

    Sales Associate (No Experience Required) - Elk Grove, CA

    Eyetastic Services • Elk Grove, CA, US
    serp_jobs.job_card.full_time
    Are you ready to kickstart your career in an exciting and dynamic environment? A fantastic opportunity has emerged for an Optician position that welcomes individuals with a passion for helping othe...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted