Medical Claims Specialist Jobs in California


62 California Medical Claims Specialist jobs found on Monster.

Jobs 1 to 20 of 62
Health Advocates is seeking an experience Insurance Collector for our main office in Sherman Oaks, CA. (Please note that our main office will relocate to Chatsworth, CA by year end 2014). About our Company: Health Advocates is a Healthcare Revenue Cycle company headquartered in Sherman Oaks, California. Our emphasis is in assisting hospitals to minimize their uncompensated care by qualifying their...
Job Description: We are currently seeking a skilled Claims Resolution Specialist for the North Orange County area. This position is the first line of contact for the providers, assisting with questions related to payment, adjustments and claims related issues. Must follow regulatory and company guidelines, function well in a call center environment (high volume!). Must have strong knowledge of rev...
Generous benefits package includes 401(k) plan which matches $1.00 for each dollar contributed, and qualified retirement plan company contributes % of eligible pay to the accounts of all eligible employees; medical, dental, vision, life and disability coverage. Oversee complex and semi-complex product liability claims handling to ensure accuracy and consistency throughout the claims process. Requi...
Handle, review and coordinate activities involved in complex long tail and latent type claims. Required experience includes, but is not limited to: Reviewing loss notices, interpreting policy coverage, establishing reserves, handling claims involving primary, excess, and umbrella coverage, coordinating defense counsel, expert witnesses, and generally supporting defense, evaluating liability and da...
Company Confidential Cerritos, CA, 90703
Our Company is an established, independent insurance brokerage, providing superior service to our insured clients throughout the U.S. We are currently seeking an experienced claims specialist at our Corporate location in Southern California. The essential duties for this position include: Heavy volume of client/claimant phone contact Daily e-mail correspondence Review and interpret incoming claims...
DESCRIPTION: The ACE Group is one of the world's leading global commercial property and casualty insurance and reinsurance organizations, with more than 19,000 employees worldwide and offices in more than 50 countries. ACE serves the property and casualty insurance needs of businesses of all sizes in a broad range of industries. We also provide specialized insurance products—such as personal accid...
Required Skills • Minimum two years medical claims examination and/or billing experience • Minimum six months experience in customer service/call center environment Preferred Skills Experienced in Claims Processing DESCRIPTION Healthcare BILINGUAL Customer Care Specialist We need call center agents that have 2 years medical experience to answer inbound telephone calls for the Medi-Cal Program for...
ALL APPLICANTS MUST APPLY ONLINE AT: CARE Manager RN Under the direction of the Manager of Care Management, the Health Services Care Manager RN position is responsible for: Facilitation of improvement in the health status and quality of life of members with both complex and non-complex medical needs; Decreasing unnecessary hospitalizations a...
Region: Anaheim, CA Compensation: $45,000-$60,000 Experience: 2-4 years Education: Bachelor’s Degree Landscape Construction Company seeking a talented Insurance Claim Management Specialist with a strong background in Workers Compensation claims management! As the Insurance Claim Specialist, you will partner closely with both operations and office teams across all levels, with a specific focus on e...
DescriptionImplements and manages the Clinical Claims Review process for Coast Healthcare Management (CHM), and insures that policies and procedures are maintained while adhering to state and federal regulations. Qualifications Current CA RN license 3+ years experience Three to five years experience in Utilization Review, Medical Coding or Health Experience preferred Requires comprehensive knowled...
Our Pacific Regional Business Office in Sacramento, CA, is looking for a Medical Collector Specialist. Description: Medical Collector who will be responsible for thorough and timely patient account follow up to ensure maximized revenue is collected. Primary functions are resolution of insurance claims follow up to include patient balances and credit balance management. Strong Appeal Writing, Worki...
Claims Examiner Job Label:MAG28AE3-2 NAS is currently looking for a dynamic Claims Examiner to handle liability and reinsurance claims. The position does not involve medical billing or health insurance. The ideal candidate will be enthusiastic, analytical, customer-service oriented and have excellent communication skills. This position will be fast-paced, challenging and diverse with hands on inst...
Seeking at least 5 years experience reviewing, investigating, and managing claims related to environmental, toxic tort, catastrophic injuries, construction defects, molestation or similar to advise on severe commercial general liability claims. High growth visible position with top company. Salary $90,000 to $130,000 plus bonus plan; company paid full family coverage medical, dental, prescription...
Our world class facilities coupled with our exceptional staff make this opportunity one that should not be passed up. Comprehensive employment packages with medical, dental, 401(k), generous vacation time, and a starting salary up to $130,000 are only parts of the complete package that comes with joining a winning company such as this. Become part of one of the country's fastest growing insurance...
This Field Claims Spec II, MD opening is a work from home role that comes with a company vehicle. The selected candidate will reside and support the Greater Los Angeles/ Los Angeles territory. The ideal candidate will have: - A proven track record of providing exceptional customer service. - Ability to write/review auto estimates. - Insurance experience (preferred). This role may be staffed at the...
abeois a leading anesthesia billing and practice management company with exciting opportunities for enthusiastic, hard working individuals. We offer complete revenue cycle management, practice management and software solutions specificto anesthesiologists. We are currently looking for a full time billing specialist for our Santa Ana, CA office. The duties of the Billing Specialist include, but are...
Team Makena was formed in 2007 through a merger of two DME companies established for over fifteen years in the orthopedic market. Team Makena distributes the highest quality and most technologically advanced products available with unequalled service to our patients and surgeons. With hundreds of DME products and several service solutions, Team Makena is constantly seeking new product opportunitie...
Duties focus on medical insurance company collections, you will be calling insurance companies requesting re-processing and collections for our medical cardiac services.​ We are seeking a inside rep who has the experience and ability to have claims re-processed.​ Responsibilities include answering phones, track the collection process, following up, scheduling.​ This position focuses on "collection...
Hospital Specialist Position Summary: Analyze hospital and surgery center medical claims in accordance with fee schedule guidelines or PPO contracts by utilizing our proprietary software StrataWare to determine appropriateness of codes, excessive charges and unbundling of codes; make coding determinations according to rules and regulations for each state jurisdiction. Contact the client or facilit...
Prospect Medical is searching for a qualified: Contract Specialist SUMMARY Negotiate Memorandum of Understanding (MOUs), maintain and update Contracting Database Application of contracted providers, act as liaison with various internal departments to facilitate and resolve claims, system, customer service and other related issues. Provide support to Provider Contracting Department. ESSENTIAL DUTIE...
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Healthcare Career Tools

Medical Claims Specialist/Examiner


$24,000.00 - $52,000.00
Typical Salary for Medical Claims Specialist/Examiner in California
(240 Respondents)
Source: Careerbenchmarking Tool

Education / Training

Some College Coursework Completed
High School
(187 Respondents)
Source: Careerbenchmarking Tool

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