Medical Claims Specialist Jobs in California
630 California Medical Claims Specialist jobs found on Monster.Jobs 1 to 20 of 630
Claims Processor-Sacramento, CA THOROUGH KNOWLEDGE OF CLAIMS PROCESSING, TERMINOLOGY, PROCEDURES, PRACTICES, EQUIPMENT, MEDICAL TERMINOLOGY AND BUSINESS MATHEMATICS. · CONSIDERABLE SKILLS IN ANALYSIS, INTERPRETATION AND APPLICATION OF PROCEDURES, PRACTICES AND METHODS USED IN CLAIMS PROBLEMS AND RESOLVE IDENTIFIED PROBLEMS WITHOUT CLOSE SUPERVISION · ABILITY TO ESTABLISH AND MAINTAIN EFFECTIVE ...
Open House Saturday, November 8, 2014 & Sunday, November 9th, 2014 9:00 a.m. to 1:00 p.m. Courtyard by Marriott Downtown San Francisco Hotel 299 2nd St. San Francisco, CA 94105 Zenith American Solutions is growing our Medical Claims Processing and Customer Service Call Center teams in San Francisco! If you have experience with medical claims processing or working in a high volume call center...
Summary: Management of claim files that have been resolved by Stipulations leaving the future medical part of the claim opened by performing the following duties. Essential Duties and Responsibilities: Authorization of conservative treatment. Understand the Permanent disability rating system to ensure proper payment of benefits. Monitor payment of Stipulations Award and proper calculation of ...
Mercury Insurance Group is a leading Property and Casualty Insurance provider, named as "One of America's Most Trustworthy Companies" by Forbes magazine. Mercury’s emerging and Auto Claims Branch is currently seeking a talented Claims Specialist I in the Folsom, CA office. Claims Specialists are responsible for adjusting collision and comprehensive auto damage claims. You will determine if Mercur...
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 com...
Manages Claims daily operations including Billing and Follow Up. Provides supervisory coaching and support; issue identification, assessment, and resolution; and technical support in order to achieve desired outcomes and compliance with Sutter Health policies/procedures and standards. Supports internal controls, monitors employee performance, and performs staff development, retention and selection...
Great American Insurance Group’s roots go back to 1872 with the founding of its flagship company, Great American Insurance Company. Based in Cincinnati, Ohio, the operations of Great American Insurance Group are engaged primarily in property and casualty insurance focusing on specialty commercial products for businesses, and in the sale of traditional fixed and fixed-indexed annuities in the educa...
At Gallagher Bassett Services, Inc. (GB) we are constantly seeking skilled professionals who are up for a challenge and take exceptional performance to heart. The professionals we hire help us maintain our reputation as one of the most progressive property/casualty third party claims service organizations in our industry and throughout the world. Gallagher Bassett provides services to Fortune 1000...
Voted one of the World's Leading Top 100 Companies by Forbes magazine Do you have a passion for helping others? Can you work independently? Manage your time efficiently? Are you looking to accelerate your career with a world-renowned company? Allstate Insurance Company has an exceptional career opportunity for a Claims Service Specialist in Diamond Bar, CA. This position will start on Monday, Fe...
Mercury Insurance Group is a leading Property and Casualty Insurance provider, named as "One of America's Most Trustworthy Companies" by Forbes magazine. Mercury’s emerging and Auto Claims Branch is currently seeking a talented Claims Specialist I in the Camarillo, CA office. Claims Specialists are responsible for adjusting collision and comprehensive auto damage claims. You will determine if Mer...
Utter Health Sacramento San Francisco, CA
SSS-1434870Claims Team Lead - Medi-CAL Description Manages Claims daily operations including Billing and Follow Up. Provides supervisory coaching and support; issue identification, assessment, and resolution; and technical support in order to achieve desired outcomes and compliance with Sutter Health policies/procedures and standards. Supports internal controls, monitors employee performance, an...
Molina Healthcare Inc Long Beach, CA
Job Summary Responsible for retrospective medical claim reviews of rendered inpatient and outpatient health care services to confirm medical necessity and appropriateness of billing for Molina members. Collaborates with the Integrated Healthcare Services team and providers to ensure proper payment for appropriate, high quality, cost effective healthcare services according to State and Federal gui...
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 San Diego, CA office. The duties of the Billing Specialist include, but ar...
F/T 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 overt...
Claims Analystneeded for acontractopportunity with Yoh's client located in San Francisco, CA. The Big Picture - Top Skills You Should Possess: - Medical Claims Processing Experience - Thorough knowledge of CPT and ICD-9 Codes What You'll Be Doing: - Will be responsible for acknowledging and understanding Plan Documents to determine benefits to accurately process claims to final adjudication a...
Adecco is currently assisting a local client in their search for Claims Team Members who can support the delivery of all billing services by final/higher level auditing, correcting, and submitting 3rd party claims and patient statements, in the ROSEVILLE, CA area. Ensure that billing services are timely, accurate, and appropriate reimbursement. Conduct all claims related follow up on payment delay...
Required Qualifications: 7 + years of Workers' Compensation indemnity claims handling experience Excellent written and verbal communication skills Must pass criminal background/credit check Claims review of client(s) workers' compensation program, progression and results Work with client(s) to establish and implement return to work programs Confirm and communicate established medical provide...
Job Duties: Claims review of client(s) workers' compensation program, progression and results Work with client(s) to establish and implement return to work programs Confirm and communicate established medical provider networks along with providing training when needed Increase customer awareness of ADA/FEHA exposures and provide training and education to customers/client(s)Work closely with Ris...
Description Medical Collections Specialist, Full Time - Reagan Street Surgery Center - San Ramon, CA The Collections Specialist conducts appropriate account activity on final billed claims by contacting government agencies, third party payors, and patients/guarantors via phone, email, or online. Continues collection activity until account is resolved, sent to legal, or disputed. Responsible for...
To see a list of all Facey locations go to Facey.com Providence is calling a Claims Support Specialist to our Facey Mission Hills/Jade location in Mission Hills, CA. In this position you will: Be responsible for clerical functions such as copying, filing, mailing claims correspondence to various external customers Follow-up on claims forwarded to internal departments for review such as UM, cont...
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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
Maintains quality customer services by following customer service practices; responding to customer inquiries.
Accomplishes organization goals by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments.
Popular Medical Claims Specialist Articles
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