Medical Claims Specialist Jobs in Long Beach, California

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27 Long Beach, CA Medical Claims Specialist jobs found on Monster.

Jobs 1 to 20 of 27
Healthcare Claims Recover and Collections Long Beach, CA 90802 Identify, validate and track overpayments to providers by reviewing claims audits results and provider claims reports. Handle occasional Provider communication regarding overpayment disputes. Essential Functions • Coordinate analyzing claims overpayments not to exceed 1 year and determine collection recovery strategies. • Prepare ...
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...
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...
Tenet Healthcare Corporation Los Alamitos, CA
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 ...
Tenet Healthcare Corporation Los Alamitos, CA
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 maintaining ...
Bowermaster and Associates, located in Cypress, CA, is a family owned (50+ years), insurance management organization with local, national and international clients. We provide a broad range of services including business insurance, personal insurance, employee benefits, HR consulting, and financial services. We areseeking an Employee Benefits Specialist to join a team of experienced and passionate...
Job Responsibilities/Duties : Processing high volume invoices for a variety of 3rd party insurance vendors and DentiCal Verifying accuracy of all patient, provider, and billing information Confirm patient's insurance eligibility and breakdown of dental benefits Bill all claims Call insurance company to check status of submitted claims Respond to the letters of requests and denials received daily ...
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 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 ...
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...
Job Responsibilities/Duties : Processing high volume invoices for a variety of 3rd party insurance vendors and DentiCal Verifying accuracy of all patient, provider, and billing information Confirm patient's insurance eligibility and breakdown of dental benefits Bill all claims Call insurance company to check status of submitted claims Respond to the letters of requests and denials received daily ...
Western Dental Compton, CA, 90223
Job Responsibilities/Duties : Processing high volume invoices for a variety of 3rd party insurance vendors and DentiCal Verifying accuracy of all patient, provider, and billing information Confirm patient's insurance eligibility and breakdown of dental benefits Bill all claims Call insurance company to check status of submitted claims Respond to the letters of requests and denials received daily ...
Swedish Health Services Torrance, CA
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...
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 pe...
Providence Health & Services Torrance, CA
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 up or deni...
Western Dental Westminster, CA
Job Responsibilities/Duties : Processing high volume invoices for a variety of 3rd party insurance vendors and DentiCal Verifying accuracy of all patient, provider, and billing information Confirm patient's insurance eligibility and breakdown of dental benefits Bill all claims Call insurance company to check status of submitted claims Respond to the letters of requests and denials received daily ...
Job Responsibilities/Duties : Processing high volume invoices for a variety of 3rd party insurance vendors and DentiCal Verifying accuracy of all patient, provider, and billing information Confirm patient's insurance eligibility and breakdown of dental benefits Bill all claims Call insurance company to check status of submitted claims Respond to the letters of requests and denials received daily ...
United Surgical Partners International Torrance, CA, 90501
DESCRIPTION We are looking for a motivated performer to join our Facility Team as a Collections Specialist, with an extensive knowledge of claims reimbursement and collection efforts for Managed Care, Medicare, Medicaid, Workers Comp, Commercial plans, etc. We are looking for a top performer with an extensive knowledge of billing, collections and reimbursement of claims processing. This is a fas...
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...
Department of Veteran Affairs Long Beach, CA, 90802
Clinical Pharmacist Specialist (Infectious Diseases Hepatitis C) Long Beach, CA Duties: The incumbent functions as a pharmacist in accordance with the guidance set forth in Pharmacy Service policies and procedures, Pharmacy and Therapeutics Committee minutes, Pharmacist Scope of Practice, established protocols, VA regulations, and State and Federal laws governing the practice of pharmacy. The i...
Molina Healthcare Long Beach, CA, 90802
Job Summary Directly 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 p...

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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

Popular Medical Claims Specialist Articles

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