Medical Claims Specialist Jobs in Long Beach, California

Currently, there are no Medical Claims Specialist jobs available in Long Beach, 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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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...
FINANCIAL TITLE: Accounts Receivable Specialist Description: A local leading organization is currently seeking experienced Accounts Receivable Specialist / AR Specialist in Gardena, CA for a long-term temporary to hire opportunity. Accounts Receivable Specialists / AR Specialists compute, classify, and record numerical data to keep financial records complete. Perform any combination of routine ...
Providence Health & Services Torrance, CA, 90501
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 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 a role model for the values and mission of the o...
Providence Health & Services Torrance, CA
Accounts Receivable Specialist – Sub Acute Job Number: 68638 Schedule: Full-time Shift: Day Job Category: Administrative Support 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 follow up or denials for patient accounts. The incumbent perfor...
Description: Pacific Medical Management Services Inc. is currently searching for a full-time experienced Insurance Account Receivables Specialist. Must have experience in medical billing, collections and appeals (Medi-Cal, Medicare, HMO, PPO, Commercial work comp and private insurance) Collecting on denied claims from the different insurance companies; familiar with re-billing, appeals and the pr...
Toyota Motor Company Long Beach, CA, 90802
Toyota (NYSE:TM), the world's top automaker, is committed to building vehicles for the way people live through our Toyota, Lexus and Scion brands. Over the past 50 years, we’ve built more than 25 million cars and trucks in North America, where we operate 14 manufacturing plants and directly employ more than 40,000 people. Our 1,800 North American dealerships sold more than 2.5 million cars and tru...
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...
Molina Healthcare Inc Long Beach, CA
Job SummaryNegotiates assigned contracts and letters of agreements with hospitals, physician groups and ancillary providers that result in high quality, cost effective and marketable providers. Maintains tracking system and publish reports according to departmental procedures. Essential Functions• Initiates, negotiates, generates and tracks provider Letters of Agreement, contracts and amendments ...
Molina Healthcare Long Beach, CA, 90802
Job Summary Negotiates assigned contracts and letters of agreements with hospitals, physician groups and ancillary providers that result in high quality, cost effective and marketable providers. Maintains tracking system and publish reports according to departmental procedures. Essential Functions • Initiates, negotiates, generates and tracks provider Letters of Agreement, contracts and amendment...
Prodigy Government Services Long Beach, CA, 90802
Workers Compensation Analyst Position Description OIG Workers Compensation Analysts (WCAs) provide local investigative support to OIG Special Agents investigating two types of suspected workers compensation fraud: claimant fraud and medical provider fraud. Special Agents work closely with the Postal Service’s District Health and Human Resource Management (HRM) and U.S. Department of Labor (DOL) ...
Molina Healthcare Inc Long Beach, CA
Job Summary The Medical Records QA Specialist will review medical records and performs assessments to determine errors in the records. Essential Functions • Skilled use of HEDIS software for data entry, over reading, QA queries • Reviews medical records to ensure standards are met as defined by NCQA , Molina, and external auditor. • Identifies standards met and gaps against external auditor s...
Department of Veteran Affairs Long Beach, CA, 90802
Supervisory Social Worker - Homeless Program Long Beach, CA Duties: Two supervisory social work positions within Social Work Services assigned to a multi-disciplinary Homeless Veterans Program located at multiple sites. HUD VASH Supervisor is responsible for five HUD VASH teams located in LA and Orange County. HCHV Supervisor is responsible for multiple programs, to include: Grant Per Diem, Vet...

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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 Long Beach
(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

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