Medical Claims Specialist Jobs in California
The Health Plan of San Mateo (HPSM), a managed care health plan seeks a full-time Claims Specialist to: Perform extensive amounts of research of complex, difficult claims problems and issues; resolve problems and issues in a timely, effective and accurate manner. Perform complex pricing of Medicare and Medi-Cal claims and coordinate Medicare and Medi-Cal benefits. Communicate with a variety of peo...
Medical Billing Specialist Position SUMMARY Compiles information and prepares statements for filing insurance claims to all third party payers. All communications are conducted in a manner consistent with positive customer relations, as well as prompt and accurate reimbursement. ESSENTIAL JOB FUNCTIONS include the following. Employees must be able to react to change productively, work overtime as...
General Job Purpose: The AR Specialist position is responsible for the overall recovery and management of accounts receivable as it relates to maximizing accounts receivable collections for CHMB clients. The position involves detailed research and follow-up on medical insurance claims and the careful preparation of appeals and responses to efficiently interact with insurance carriers and resolve t...
General : The Collection Specialist is involved and in daily contact with insurance companies regarding collection account activities. Responsibilities and Duties: • Understands the rules, regulations, appeal process and timely filing regarding insurance billing coverage and collection process. • Understand payer determination, contract fees, covered or non covered items, diagnosis, modifiers, val...
Job_Other_Compensation: Up to $55000.00 Job Description: This Permanent Billing Insurance Specialist Position Features: ? Great Benefits + Stability ? Professional Work Environment ? Great Pay to $55K Candidate MUST have broad knowledge of Medical Billing particularly on the *speech therapy side of billing* Need someone with Medical Billing Software knowledge- Office Ally (proffered) and Quickbook...
Maxim Healthcare Services is currently seeking qualified applicants for the role of a Compliance Specialist - Registered Nurse - RN. The primary responsibility of the Compliance Specialist is to review clinical medical records and claims for accuracy of services related to home health care. The Compliance Specialist maintains a comprehensive understanding of ethical principles and independence in...
Company Confidential Pasadena, CA, 91101
BILLING SPECIALIST-1 abeo is a nationwide medical billing and software company focused on delivering anesthesiology groups and ambulatory surgery centers with medical billing, transcription and coding services; financial and consulting business services; and billing management software. We strive to deliver a level of quality that is above industry standards. To provide great service and products...
HIGH VOLUME MEDICAL BILLING COMPANY FOR EMERGENCY DEPARTMENT PHYSICIANS HAS OPENING FOR QUALIFIED INDIVIDUAL TO: Troubleshoot and resolve any ECS/ERA processes Complete any necessary electronic payer enrollment and verify receipt and activation Coordinate all appropriate Payer enrollments with required electronic ERA/EFT enrollments Recommend and pursue the appropriate clearinghouses and relations...
Below you will find a basic day to day run down of the duties and skills that would be required: Position Purpose: Assist in monitoring utilization of medical services to assure cost effective use of medical resources through processing prior authorizations. Position Responsibilities: Initiate authorization requests for output or input services in keeping with the prior authorization list. Researc...
Click Here to Apply Online Job Description Sinus Dynamics is actively interviewing for a Billing Specialist in the Westlake Village location. www.sinusdynamics.com In summary, the Billing Specialist will process all pharmacy claims by interacting with insurance providers and patients. And to promote ongoing company-wide objectives by: A. Actively supporting localized continuous improvement in all...
Position Description: For more than 40 years, Pharmavite has been a trusted leader in the wellness industry, recognized for providing quality vitamins, minerals and supplements and all natural snacks under our Nature Made, Voots and SOYJOY brand names. Our mission is People creating new products for better health worldwide. Our vision is inspiring the healthiest you through more complete nutrition...
Senior Provider Contracts Specialist L.A. Care, America’s largest publicly operated health plan, has exciting new employment opportunities in this time of great change in health care. We seek an outstanding individual with at least 5 years experience in complex provider contracting to help us serve our diverse membership in L.A. County. The ideal candidate will initiate, negotiate and finalize com...
Job_Other_Compensation: Up to $55000.00 Job Description: If you are a skilled HR Specialist that has strong experience with Worker's Compensation, then this company wants to see you! You will be responsible for the cases of all of the employees for this company to talk with the employees, the health care providers and any witnesses. Will do lots of research and tracking of the cases from the begin...
Some of the most important and exciting careers in the country are performed by U.S. Army Soldiers. Whether it’s working with computers to assisting physicians to fixing helicopters, there’s an Army job that’s right for you. See for yourself the long list of job and leadership training opportunities that give you the skills and strength to succeed in the Army—and in life. Paralegal Specialist A Pa...
We offer the following benefits to our Building and Equipment Maintenance Specialist: hourly pay of $19.45-24.30; Medical, Vision, Dental, and Life Insurance; 401(k); paid holidays and vacations. We are looking for hard-working professional staff for our facility in West Sacramento. Specifically we are looking for a career-minded, experienced, safe, professional Building and Equipment Maintenance...
Description As a part of the Tenet and Catholic Health Initiatives family, Conifer Health Solutions is a leading healthcare business process management services provider working to improve operational performance for more than 600 clients so they can support financial improvement, enhance the patient experience, and drive value-based performance. Through our revenue cycle management , patient comm...
Under close supervision of project team managers, the Benefits Verification Specialist will contact insurance companies, on behalf of the physician's office, to verify patient benefits. The BVS will ask appropriate questions regarding patient's benefits and complete data entry and or appropriate forms to document patient's benefits coverage. Additional for the BVS includes: Working with public and...
Care1st Health Plan is a full service managed care organization offering Medi-Cal, Dental, Medicare and Commercial plans. We are committed to providing health care that is medically excellent, ethically driven and delivered in a patient-centered environment that recognizes the positive relationship between health education, a culture of wellness, an emphasis on prevention and a cost-effective deli...
About Planet Green Planet Green is the world leader of wholesale high quality remanufactured inkjet cartridges. Since the year 2000, quality has been, and continues to be, the focus of every single activity in the company. Our mission is to create quality products, quality services and quality relationships. With these guiding values, Planet Green continues to be the partner of choice for clients...
Job_Other_Compensation: We have an immediate need for a Environmental Health and Safety Specialist JOB DESCRIPTION The Environmental Health and Safety Specialist assists in the development, implementation, coordination and management of Environmental Safety & Health Programs/Policies to comply with federal, state, local and internal Safety & Health Regulations or Policies for field and other compa...
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Can a Brit apply for US jobs from the UK?
To apply for a job in the US online and to be taken seriously by an employer, must I be based in the US at that moment? Do I need a visa? I am a British citizen based in the UK but planning to move to...
What are some good jobs on the clearical side of the medical field?
I have my BA in music. But I want to work in the medical field doing something clearical. What are my options. I was thinking of medical coding and billing, but I want something that will pay well.
Can I move/work in the states if my boyfriend is offered a job there?
My boyfriend is applying to several jobs in the states. We are both Canadians. If he is offered a job there, can I go with him? Would I be able to work there as well?? We are not trying to be american...
How long does it take for a non-US citizen from another country to work in the USA?
How does my friend in the Philippines get a job in the Texas, USA? 1) Does she have to apply online for jobs and let the employer process her paper or whatever? Or she applies for visa? 2) How l...
How can I work from home as a Medical Biller and Insurance Coder?
I have my diploma and i went to school just haven't had luck finding a job.
Healthcare Career Tools
Medical Claims Specialist/Examiner
$24,000.00 - $52,000.00
Typical Salary for Medical Claims Specialist/Examiner in California
Source: Monster.com Careerbenchmarking Tool
Education / Training
Some College Coursework Completed
Source: Monster.com Careerbenchmarking Tool
Medical Claims Specialist/Examiner
Processes medical claims by reviewing and analyzing information; determining actions such as acceptance or denial.
Rate of Growth
Size of Industry in 2006:
Source: Bureau of Labor Statistics, May 2006
Accomplishes organization goals by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments.
Protects operations by keeping claims information confidential.
Popular Medical Claims Specialist Articles
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