Medical Claims Specialist Jobs in Long Beach, California

26 jobs

Arcadia, the growing Southern California based manufacturer of contemporary seating and table products for the contract office furniture industry, is seeking a dynamic, multi-faceted individual who is looking to positively impact their professional life and the environment within which they work. This individual must be extremely detailed-oriented, with strong multi-tasking abilities, organizatio...

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...

The Judge Group is currently seeking a Medical Coder I. This job will have the following responsibilities: Serves as the primary resource for medical coding updates and information. Advises client on coding issues, provides in-depth research on new or unusual procedures, and makes recommendations when appropriate. Reviews and researches billed unlisted diagnosis codes to determine if a more sp...

PREFERRED QUALIFICATIONS: Registered Nurse required. (Current and active California RN license in good standing.) May consider LVN/LPN with specific experience/work history. Certified Professional Coder/Certified Professional Utilization Reviewer preferred. 3-5 years of experience in clinical decision making, relative to Medicare patients. Experience using claims processing system. Knowledge...

JOB SUMMARY: VA LONG BEACH HEALTHCARE SYSTEM YOU CAN MAKE A DIFFERENCE POSITION TITLE : LEAD MEDICAL TECHNOLOGIST, GS-0644-11 (PM Shift) Functional Statement # 600-00140A VR-1418080-H38-15-148-TW-BU This announcement will remain opened until filled. Qualified applicants will be referred the selecting official weekly beginning on 6/4/2015. Our Mission: To fulfill President Lincoln's promise "...

JOB SUMMARY: VA LONG BEACH HEALTHCARE SYSTEM YOU CAN MAKE A DIFFERENCE POSITION TITLE : LEAD MEDICAL TECHNOLOGIST, GS-0644-11 (Night Shift) Functional Statement # 600-00140A VR-1418503-H38-15-149-TW-BU This announcement will remain opened until filled. Qualified applicants will be referred the selecting official weekly beginning on 6/4/2015. Our Mission: To fulfill President Lincoln's promis...

Role: Coder Specialist Assignment: Sr Medicare Operations Location: Louisville, KY Humana’s dream is to help our members and our own associates achieve lifelong well-being. Use your clinical experience to work with patients and providers in a nontraditional environment where your knowledge will make a difference. Our associates know their work is vitally important; we strive to ensure we provide ...

Providence is calling a Accounts Receivable Specialist – Sub Acute to One Revenue Cycle in Torrance, CA. This position is accountable for working accounts receivables for Providence St. Elizabeth Care Center and/or for follow up or denials for patient accounts. The incumbent performs all duties in a manner that promotes Providence mission, values, and philosophy. In all aspects, he/she serves as ...

Coder Specialist Requisition ID 145285 Business Overview Humana Inc., headquartered in Louisville, Ky., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing...

Accounts Receivable Specialist – Sub Acute Job Number: 70454 Schedule : Full-time Shift : Day Job Category : Finance & Accounting Location : California-Torrance Providence is calling a Accounts Receivable Specialist – Sub Acute to One Revenue Cycle in Torrance, CA. This position is accountable for working accounts receivables for Providence St. Elizabeth Care Center and/or for follow u...

475022true475022falseSubmission for the position: Accounts Receivable Specialist – Sub Acute - (Job Number: 70454)false475022falsetruehttps://swedish.taleo.net/careersection/jobdetail.ftl?job=70454&lang=enAccounts Receivable Specialist – Sub AcutetrueAccounts Receivable Specialist – Sub Acute7045470454Full-timeFull-timeDayDayFinance & AccountingFinance & AccountingCalifornia-TorranceCalifornia-Tor...

CCC Information Services, Inc. CCC provides the technology, data and insight needed to help our customers make informed, accurate auto collision claims and repair management decisions. The industry leader, CCC works with more than 350 insurance carriers – including the largest carriers in the country – and more than 21,000 repair facilities, processing the majority of automotive claims in the U.S...

CONTRACT-TO-HIRE Appeals & Denials Nurse (RN or LVN) – Managed Care Long Beach, CA ** This is a Full Time, Benefits Available, CONTRACT-TO-HIRE opportunity, expected to last 2-3 months before converting to a Permanent / Direct Hire position! ** Job Summary: The Appeals and Denials Nurse supports the organization by working to resolve provider payment disputes. The Specialist performs advanced...

Description: Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. Here you'll develop and execute the strategies that impact our ability to help people live healthier lives. As a Manager of Health Care Economics, you will guide your team to identify potential areas for medical cost improvements ...

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...

Job SummaryResponsible for implementing and monitoring local QI and HEDIS interventions. Essential FunctionsThe position’s essential functions are as follows: • Coordinates the preparation of annual HEDIS medical records project. • Coordinates medical record collection process with third party vendor and/or MHI. • Validates external data sources to ensure exchange of data (i.e. labs, claims ) ...

Job Summary Responsible for implementing and monitoring local QI and HEDIS interventions. Essential Functions The position’s essential functions are as follows: • Coordinates the preparation of annual HEDIS medical records project. • Coordinates medical record collection process with third party vendor and/or MHI. • Validates external data sources to ensure exchange of data (i.e. labs, claims ...

Description McKesson is in the business of better health and we touch the lives of patients in virtually every aspect of healthcare. McKesson Business Performance Services (BPS) is a leader in physician and hospital revenue cycle management, physician electronic health record and practice managementsystem technology, and strategic consulting services. BPS offerings are uniquely designed to help p...

JOB SUMMARY: A Unified Organization Working as One Team If you would like to be a part of a Federal organization dedicated to serving our Nation and those who defend it, consider a career with the Department of Defense (DoD) Office of the Inspector General (OIG). The agency promotes integrity, accountability and improvement of critical DoD programs and operations to support mission accomplishment...

JOB SUMMARY: Vacancy Identification Number (VIN): 1466969 Salary : Applicant's education and experience will be reviewed by a Professional Standards Board in determining the grade and salary of the applicant selected. The recommended salary may be at any point in the range listed for this vacancy. OUR MISSION: To fulfill President Lincolns promise To care for him who shall have borne the battle,...