Medical Claims Specialist Jobs in San Diego, California

21 jobs

Medical Claims Specialist San Diego, CA Healthcare Medical industry related company currently hiring for a Medical Claims Specialist for their office located in Rancho Bernardo. This position requires previous experience working with and understanding contractual agreements and obligations, medical billing compliance, general medical coding, insurance claims and monitoring initiating claim appea...

Children's Physicians Medical Group (CPMG) is an Independent Physicians Association (IPA) comprised of Pediatricians and Pediatric Specialists associated with Rady Children's Hospital-San Diego. CPMG contracts with Health Plans and third parties to support the Children's Healthcare Integrated Delivery System in a managed care environment. Children's Physicians Medical Group is dedicated to caring ...

ESSENTIAL JOB FUNCTIONS: Verify insurance/recipient eligibility, billing and collection follow-up on claims to Private Insurer Payers. Medicare and Medicaid follow-up may be included. Review unpaid and/or denied claims, appeals and follow-up on accounts to zero status. Research and respond to Private Insurer Payers inquiries regarding billing issues and insurance updates. Medicare and Medicaid ...

San Diego Imaging (SDI) is one of the premier radiology medical groups in San Diego County. The company provides professional radiology services to local hospitals and staffs four outpatient imaging centers. SDI’s business office is located in Kearny Mesa, and we are currently hiring for a Patient Account Specialist for the Follow Up team in the billing department. Position Summary: The Patient ...

JOB SUMMARY: OUR MISSION : To fulfill President Lincoln's promise "To care for him who shall have borne the battle, and for his widow, and his orphan" by serving and honoring the men and women who are America's Veterans. How would you like to become a part of a team providing compassionate care to Veterans? As a VA professional, your opportunities are endless. With many openings in the multiple f...

HOME INSTALLATION SPECIALIST Summary Support Miele's delivery and installation program of large major appliances (i.e. washers, dryers, dishwashers, refrigerators and much more) as part of a two-person team. Adherence to Miele's core principles, professional appearance and conduct standards. Essential Functions Assist with the loading and/or unloading of appliances by hand or with the use of a...

Description The Risk Management Specialist participates in and is supportive of the development, implementation, monitoring and evaluation of those systems, programs and policies designed to reduce or eliminate the loss exposure of Mills-Peninsula Health Services. The Risk Management Specialist is independently responsible for the Occurrence Reporting Program to include entering reports, analysi...

Encounter Data Submission (EDI) Specialist Department: CHOC Managed Service Organization Facility: Copley Drive - Kearny Mesa Union: Schedule: Casual - Full Time - Benefits Eligible Shift: Days Hours: 80 Req Number: 45095 Job Details: JOB SUMMARY: This is a Casual position. Under the general supervision of the Eligibility and Benefits Supervisor, the incumbent will assume responsibility...

Encounter Data Submission (EDI) Specialist Department: CHOC Managed Service Organization Facility: Copley Drive - Kearny Mesa Union: Schedule: Casual - Full Time - Benefits Eligible Shift: Days Hours: 80 Req Number: 45095 Job Details: JOB SUMMARY: This is a Casual position. Under the general supervision of the Eligibility and Benefits Supervisor, the incumbent will assume responsibility for buildi...

About Personable Insurance Personable Insurance is a growing non-standard auto insurance provider that is building an extraordinary business around an exceptional team of people. Personable is headquartered in San Diego California with offices in Atlanta Georgia, Royse City (Rockwall County) Texas, and Irvine California. Personable is focused on delivering the best selection of non-standard perso...

JOB SUMMARY: Vacancy Identification Number (VIN): 1461757 OUR MISSION : To fulfill President Lincoln's promise "To care for him who shall have borne the battle, and for his widow, and his orphan" by serving and honoring the men and women who are America's Veterans. VHA provides patient centered care, delivered by engaged, collaborative teams in an integrated environment that supports learning an...

JOB SUMMARY: A career with the Forest Service will challenge you to manage and care for more than 193 million acres of our nation's most magnificent lands, conduct research through a network of forest and range experiment stations and the Forest Products Laboratory, and provide assistance to State and private forestry agencies. It's an awesome responsibility - but the rewards are as limitless as t...

JOB SUMMARY: A career with the Forest Service will challenge you to manage and care for more than 193 million acres of our nation's most magnificent lands, conduct research through a network of forest and range experiment stations and the Forest Products Laboratory, and provide assistance to State and private forestry agencies. It's an awesome responsibility - but the rewards are as limitless as ...

JOB SUMMARY: This is a Casual position. Under the general supervision of the Eligibility and Benefits Supervisor, the incumbent will assume responsibility for building a strong team of EDI Processors. The incumbent will also ensure claim files received on a daily basis are inloaded into the claims processing system and maintain compliance with AB1455. The incumbent will act as a liaison between Ra...

JOB SUMMARY: The mission of the United States Air Force is to fly, fight and win in air, space and cyberspace. To achieve that mission, the Air Force has a vision of Global Vigilance, Reach and Power. That vision orbits around three core competencies: Developing Airmen, Technology-to-Warfighting and Integrating Operations. Core competencies and distinctive capabilities are based on a shared commi...

JOB SUMMARY: The mission of the United States Air Force is to fly, fight and win in air, space and cyberspace. To achieve that mission, the Air Force has a vision of Global Vigilance, Reach and Power. That vision orbits around three core competencies: Developing Airmen, Technology-to-Warfighting and Integrating Operations. Core competencies and distinctive capabilities are based on a shared commi...

JOB SUMMARY: The mission of the United States Air Force is to fly, fight and win in air, space and cyberspace. To achieve that mission, the Air Force has a vision of Global Vigilance, Reach and Power. That vision orbits around three core competencies: Developing Airmen, Technology-to-Warfighting and Integrating Operations. Core competencies and distinctive capabilities are based on a shared commi...

JOB SUMMARY: The Navy and Marine Corps team offers innovative, exciting and meaningful work linking military and civilian talents to achieve our mission and safeguard our freedoms. Department of the Navy provides competitive salaries, comprehensive benefits, and extensive professional development and training. From pipefitters to accountants, scientists to engineers, doctors to nurses-the care...

Location This position is located in Kearny Mesa, San Diego County Hours 8-hour shift: 9:00am - 5:30pm; no weekends Required Skills and Qualifications High School diploma or GED equivalent Minimum five (5) years processing or auditing medical claims in a HMO environment to include: Health Plan Division of Financial Responsibility (DOFR) determination, vendor contract application and plan ben...

JOB SUMMARY: Vacancy Identification Number (VIN): 1209928 *THE CLOSING DATE OF THIS ANNOUNCEMENT HAS BEEN EXTENDED TO FRIDAY, AUGUST 15, 2015.* *THIS IS A REPOST OF VIN 1209928. ALL APPLICANTS WHO PREVIOUSLY APPLIED DO NOT NEED TO REAPPLY FOR CONSIDERATION. YOUR APPLICATION WAS TRANSFERRED TO THIS NEW VIN 1209928-R1.* OUR MISSION: To fulfill President Lincoln's promise "To care for him who shal...