Medical Claims Specialist Jobs in Irvine, California

41 jobs

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...

Prospect Medical is searching for a qualified: Claims Auditor SUMMARY To perform analysis and monitor trends identified through the audit process. This individual will take the lead to ensure accurate and timely adjudication of claims, as well as identifying potential issues and recommending strategies for resolution. Apply claim and/or inquiry processing experience to audit and analyze simple ...

Care Ambulance Service/Falck USA in Orange is seeking quick thinking, detail oriented individuals with exceptional people and customer service skills to work in our office. The Postbill specialist is responsible for follow up on insurance claims after the initial sent claim in order to facilitate payment from the appropriate source in a timely manner. Duties for this position are outlined below. ...

Advance your career at Liberty Mutual Insurance - A Fortune 100 Company! Are you looking for an opportunity to join a claims team with a responsible company that has consistently outpaced the industry in year over year growth? Liberty Mutual Insurance has an excellent claims opportunity available. As a Bodily Injury Claims Specialist, you will help people resolve problems and live safer more sec...

Advance your career at Liberty Mutual Insurance - A Fortune 100 Company! Are you looking for an opportunity to join a claims team with a responsible company that has consistently outpaced the industry in year over year growth? Liberty Mutual Insurance has an excellent claims opportunity available. As a Bodily Injury Claims Specialist, you will help people resolve problems and live safer more sec...

Bodily Injury Claims Specialist - Aliso Viejo, CA-61962 Description Advance your career at Liberty Mutual Insurance - A Fortune 100 Company! Are you looking for an opportunity to join a claims team with a responsible company that has consistently outpaced the industry in year over year growth? Liberty Mutual Insurance has an excellent claims opportunity available. As a Bodily Injury Claims Spe...

Bodily Injury Claims Specialist - Aliso Viejo, CA-60388 Description Advance your career at Liberty Mutual Insurance - A Fortune 100 Company! Are you looking for an opportunity to join a claims team with a responsible company that has consistently outpaced the industry in year over year growth? Liberty Mutual Insurance has an excellent claims opportunity available. As a Bodily Injury Claims Spe...

Field Property Claims Specialist - Orange County, CA OR Los Angeles, CA-60770 Description Advance your career at Liberty Mutual Insurance - A Fortune 100 Company! Are you looking for an opportunity to join a claims team with a responsible company that has consistently outpaced the industry in year over year growth? Liberty Mutual Insurance has an excellent claims opportunity available. A Field...

Summary: The Principal Regulatory Affairs Specialist works as an independent contributor and is responsible for supporting the development and implementation of the overall objectives and long-range regulatory strategies that impact the introduction of new products, the market status of existing products and the development and maintenance of systems and processes that assure compliance with regu...

Kelly Services® has been providing outstanding employment opportunities to the most talented individuals in the marketplace. We are proud to offer a 1 year, full-time opportunity to work as a Data Entry/Medical Billing Specialist located in Aliso Viejo, CA. By working with Kelly in this role, you would be eligible for: - A competitive hourly pay rate with weekly checks - Online continuing educa...

Western Dental Services, Inc., California’s largest dental services provider and one of the nation’s largest dental HMO’s, is looking for a bright, motivated, Medical Billing Specialist to support Revenue Cycle Management. Key Responsibilities: • Ensures accurate and timely billing of claims. • Performs follow-up on open insurance claims and balances. • Monitors, researches and resolves unpaid...

Description Summary: The Principal Regulatory Affairs Specialist works as an independent contributor and is responsible for supporting the development and implementation of the overall objectives and long-range regulatory strategies that impact the introduction of new products, the market status of existing products and the development and maintenance of systems and processes that assure complia...

Summary: The Principal Regulatory Affairs Specialist works as an independent contributor and is responsible for supporting the development and implementation of the overall objectives and long-range regulatory strategies that impact the introduction of new products, the market status of existing products and the development and maintenance of systems and processes that assure compliance with regu...

Integrated Healthcare Holdings Inc, is looking for a dynamice MediCal Specialist to work in thier busy Corporate Business Office. Qualified candidate will be responsible for electronic and harcopy billing and follow-up of all inpatient and outpaitent Med-Cal, CCS Hospital claims. Qualifications: Must have a minimu;m of one (1) year of acute care hospital billing and folow-up experience preferabl...

Overview: Under minimal supervision performs an assortment of secretarial, financial, and administrative duties in support of the department's responsibilities and goals. This position is Salary Grade K: Min $19.06 – Mid $23.97 – Max $28.89 per hour. The hiring range is from $19.06 - $25.16 per hour. The application deadline for this position is April 30, 2015. Responsibilities: • Answers tel...

Description: Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.(sm) Responsible for the maintenance, processing, reporting, distribution, and reconciliation of monthly PCP capitation ...

At Gallagher Bassett (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 companies thro...

Prospect Medical is searching for a qualified: Contract Configuration Specialist SUMMARY Under minimal supervision, this position is responsible for creating, updating and maintaining vendor contracts, fee schedules, reading and interpreting contracts and/or contract summaries, and assigning fee schedules to providers into the IDX system. Responsible for creating, updating and maintaining capit...

Prospect Medical is searching for a qualified: Contract Configuration Specialist SUMMARY Under minimal supervision, this position is responsible for creating, updating and maintaining vendor contracts, fee schedules, reading and interpreting contracts and/or contract summaries, and assigning fee schedules to providers into the IDX system. Responsible for creating, updating and maintaining capit...

RESPONSIBILITIES: Kforce has a client seeking a Payment Review Specialist in Tustin, California (CA). This position is responsible for medical payment/claim review to ensure accurate payments/reimbursement. This position will work with commercial and government payors: HMO, PPO, Medicare, Medi-Cal. REQUIREMENTS: 3+ years of EOB/payment review in a high production environment Experience with pr...