Medical Claims Specialist Jobs in Irvine, California

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22 Irvine, CA Medical Claims Specialist jobs found on Monster.

Jobs 1 to 20 of 22
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...
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...
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...
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...
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...
Consider joining Eurofins where people are the most important element in our chemistry. With over $1 billion in annual revenues and 15,000 employees across 190 sites in 36 countries, Eurofins Scientific is a leading international group of laboratories providing an unparalleled range of testing and support services to the pharmaceutical, food, environmental and consumer products industries and to g...
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...
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...
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...
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...
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...
Pacific Mercantile Bank is a publicly traded (NASDAQ:PMBC), fast growing, high tech, full service financial institution with corporate offices in Orange County. We are actively seeking an Operations Specialist for our Corporate Office located in Costa Mesa. The Operations Specialist performs multiple operations functions in support of bank branches and departments working within bank guidelines an...
About Us Veros Credit is currently in the process of a nationwide expansion! Our 20+ years of Sub Prime and Near Prime auto lending experience, combined with healthy funding lines have uniquely positioned Veros Credit for our next period of growth. Veros Credit specializes in the acquisition and servicing of motor vehicle retail installment contracts from its network of franchise and independent a...
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...
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...
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...
Job Description: Main responsibilities will be verifying insurance information to ensure proper payment will be received from the insurance/payer policy via internet websites or telephone verification, insuring that all necessary documentation is obtained as it relates to payer requirements, standard operating procedures, entering all patient data, Ancillary supplies and Durable Medical Equipment...
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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 Irvine
(240 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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