Medical Claims Specialist Jobs in California

Currently, there are no Medical Claims Specialist jobs available in California which match this search. You may wish to explore similar job titles on the Healthcare jobs in California page or view related jobs below.
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Billing Specialist - Podiatry Billing Exp (santa rosa) compensation: DOE GENERAL SUMMARY OF DUTIES: Responsible for all aspects of account follow up. Includes submission of appeals, responding to patient and health plan correspondence, telephone calls from offices, health plans, patients and physicians. SUPERVISION RECEIVED: Reports to Director of Business Services or Department Manager SUPERV...
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 "collectio...
Crystal Stairs Inc Los Angeles, CA, 90009
Crystal Stairs: Improving the Lives of Families through Child Care Services, Research, and Advocacy Our Core Values Excellence * Relationships * Integrity Empowerment Crystal Stairs is one of the largest private non-profit child development corporations in the State of California. We help families locate affordable and appropriate childcare through a variety of services, working with childca...
JOB SUMMARY Responsible for the accurate review, input and adjudication of specialists, ancillary, and electronic claims in accordance with outside regulations, internal production standards, and contractual obligations of the organization. EDUCATION & EXPERIENCE 1. One or more years working in a health care or other related business environment; experience in medical billing services and/or a ...
Golden Hour Data Systems, Inc. was founded in 1997.Golden Hour is a software, technology, and medical billing company that has been designed for the air medical transportation industry. Our company has experienced well planned growth with a customer base that reaches across the United States. Please visit our web site at www.goldenhour.com. We are currently recruiting for a Medical Billing Specia...
City & County of San Francisco San Francisco, CA, 94118
Introduction CLASS 2323 CLINICAL NURSE SPECIALIST [MEDICAL/SURGICAL NURSING] TYPE OF APPOINTMENT: Current Permanent Civil Service employees in class 2323 Clinical Nurse Specialist are encouraged to apply. LOCATION: The San Francisco Department of Public Health is now accepting applications in Class 2323 Clinical Nurse Specialist [Medical/Surgical] The eligible list created from this recruitm...
Company: Yoh Registered Nurse Utilization Management Specialist needed for a Permanent opportunity with Yoh's client located in Los Angeles, CA. The Big Picture - Top Skills You Should Possess: - Registered Nurse (RN) in State of CA (Active and in Good Standing) - Three (3) years of Utilization Management Experience in an HMO Setting - Health Plan experience in Utilization Management What Yo...
Utter Health Sacramento San Francisco, CA
SPS-1432097Client Services Specialist II Description The Client Services Specialist II supports the Client Service Coordinators in identification and resolution of physician and client issues related to the services provided by Sutter Physician Services. Working with the operations departments, this position supports many aspects of the service, which may include the billing and accounts receiva...
Utter Health Sacramento San Francisco, CA
MPHS-1435362Risk Management Specialist (Part time) Description The Risk Management Specialist participates in and is supportive of the development, implementation, monitoring and evaluation of those systems, programs and policies designed to reduce or eliminate the loss exposure of Mills-Peninsula Health Services. The Risk Management Specialist is independently responsible for the Occurrence Re...
Maxim Healthcare Services Concord, CA
Start a new search >> Save it Upload Resume Job Overview Company:Maxim Healthcare Services Job Title:Compliance Specialist - Registered Nurse / RN- West Job Location:US-CA-Concord Job Type:QA - Quality Control Nurse Health Care Job Education:Not Specified Required Experience:At least 5 year(s) Job Employment Type: Full-Time Job Travel:Not Specified Job Industry:Other Great Industries...
People want to be treated like individuals. At Cigna, we get that. That’s why we embrace and encourage peoples’ uniqueness, helping to give them the strength and confidence to show the world who they really are. The coverage, expertise and services we provide are at the very core of how we help people achieve their full potential – and ultimately, improve their health, well-being and sense of secu...
People want to be treated like individuals. At Cigna, we get that. That’s why we embrace and encourage peoples’ uniqueness, helping to give them the strength and confidence to show the world who they really are. The coverage, expertise and services we provide are at the very core of how we help people achieve their full potential – and ultimately, improve their health, well-being and sense of secu...
Valley Presbyterian Hospital Van Nuys, CA, 91401
JOB SUMMARY: The Clinical Appeals Specialist is responsible for managing medical denials by conducting a comprehensive analytic review of clinical docuementation to determine if an appeal is warranted.Where an appeal is warranted, the Clincial Appeals Specialist will write sound, compelling factual arguments to appeal the claim. The Clincial Appeals Specialist will track and trend data to idenetif...
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...
Maxim Healthcare Concord, CA, 94519
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...
L.A. Care Health Plan Los Angeles, CA, 90009
Creates and maintains a positive working relationship with all contracted Providers as assigned. Providers will include Participating Physician Groups (PPG's), Hospitals, Ancillary, Specialty Health Plans, Sub-Contracted Health Plans and Long Term Care Providers. Provider Relations Account Specialist is responsible for the day to day monitoring of provider performance including but not limited to...
Molina Healthcare Inc Long Beach, CA
Job SummaryDirectly responsible and accountable for performing chart reviews, physician education, and development of tools to ensure that our provider partners are compliant with Risk Adjustment. Provide overall coding expertise as well as administrative and technical oversight to ensure successful integration of Molina Medicare’s Risk Adjustment initiatives. May require some travel to various pr...
Integrated Healthcare Holdings Santa Ana, CA, 92701
Intergrated Healthcare Holdings, Inc is looking for a dynamice MediCal Specialist to work in their Corp. Business Office. Qualified candidate will br responsible for electronic and hardcopy billing and follow-up of all impatient and outpatient Medi-Cal, CCS hospital claims. Experience/Education: Must have a minimum of one (1) year of acute care hospital billing and follow-up experience preferabl...
POSITION: Peer Specialist (HIV/HCV Test Counselor) DEPARTMENT: Community Wellness Department REPORTS TO: Program Director, Circle of Healing LOCATION: Native American Health Center, Inc. (NAHC) 160 Capp St., San Francisco, CA 94110 WORK HOURS: Full-Time, 32-40 hours per week, 80-100% STATUS: Union, Non-Exempt POSITION SUMMARY The Peer Specialist (HIV/HCV Test Counselor) is a key member of ...
Public Consulting Group Santa Ana, CA, 92701
PCG Human Service: PCG Human Services offers in-depth programmatic knowledge and regulatory expertise to help state and municipal agencies expand program financing options available from public and private sources, reduce or contain costs, improve business processes, and promote improved client outcomes. Social Security Advocacy Management Service SSAMS TM : PCG's SSAMS TM team provides compreh...

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Healthcare Career Tools

Medical Claims Specialist/Examiner

Salaries

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

Education / Training

Bachelor's
23.5%
Some College Coursework Completed
22.5%
Associates
16.6%
High School
14.4%
Certification
11.8%
Vocational
7.5%
(187 Respondents)
Source: Monster.com Careerbenchmarking Tool

Popular Medical Claims Specialist Articles

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