Medical Claims Specialist Jobs in Los Angeles, California

Currently, there are no Medical Claims Specialist jobs available in Los Angeles, 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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People want to be treated like individuals. At Cigna, we get that. That’s why we embrace and encourage peoples’ uniqueness, helping to give them the strength and confidence to show the world who they really are. The coverage, expertise and services we provide are at the very core of how we help people achieve their full potential – and ultimately, improve their health, well-being and sense of secu...
People want to be treated like individuals. At Cigna, we get that. That’s why we embrace and encourage peoples’ uniqueness, helping to give them the strength and confidence to show the world who they really are. The coverage, expertise and services we provide are at the very core of how we help people achieve their full potential – and ultimately, improve their health, well-being and sense of secu...
L.A. Care Health Plan Los Angeles, CA, 90009
Creates and maintains a positive working relationship with all contracted Providers as assigned. Providers will include Participating Physician Groups (PPG's), Hospitals, Ancillary, Specialty Health Plans, Sub-Contracted Health Plans and Long Term Care Providers. Provider Relations Account Specialist is responsible for the day to day monitoring of provider performance including but not limited to...
L.A. Care Health Plan Los Angeles, CA, 90009
DUTIES Facilitation, coordination and approval of medically necessary referrals for direct lines of business (MCLA, Healthy Families, Healthy Kids) that meet established criteria. Assures timely and accurate determination and notification of referrals and reconsiderations based on the referral determination status. Generates approval, modifications and denials communications, to include member an...
Verdugo Hills Health Services Los Angeles, CA, 90009
The University of Southern California (USC), founded in 1880, is located in the heart of downtown L.A. and is the largest private employer in the City of Los Angeles. As an employee of USC, you will be a part of a world-class research university and a member of the "Trojan Family," which is comprised of the faculty, students and staff that make the university what it is. The Office of Compliance ...
University of Southern California Los Angeles, CA, 90009
The University of Southern California (USC), founded in 1880, is located in the heart of downtown L.A. and is the largest private employer in the City of Los Angeles. As an employee of USC, you will be a part of a world-class research university and a member of the "Trojan Family," which is comprised of the faculty, students and staff that make the university what it is. The Office of Compliance ...
Ethos Management Group Inc is a hospital system business office operations specialist handling all aspects of business office operations for our contracted hospital clients. We are looking for a few smart and confident people to serve in the roles: Healthcare Analyst -analyze variances in patient account. -calculate stop/loss payments for medical billing. -understand medical contracts. We pro...
SUMMARY: The Utilization Review Nurse is responsible for resolving preauthorization requests and medical claims issues to ensure that appropriate care has been or will be delivered to our members. ESSENTIAL DUTIES AND RESPONSIBILITIES: · Use evidence based guidelines and medical necessity criteria to review and resolve preauthorization requests and medical claims related issues. · Understand a...

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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 Los Angeles
(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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