Healthcare Claims Adjudicator - Precision and Compliance
Lsmamso
A management services organization in California is seeking a Claims Examiner to review, analyze, and adjudicate medical claims. The ideal candidate will have at least two years of experience in healthcare claims, strong analytical skills, and knowledge of billing and coding standards. This role involves collaborating with various departments to ensure compliance and efficiency in processing claims, while maintaining high production and quality standards. The position may require occasional weekend work to meet deadlines. #J-18808-Ljbffr
- ...A healthcare service provider in California is seeking a Claims Letter Correspondence Coordinator. In this entry-level role, you will oversee the creation and... ...regulatory requirements. You will work closely with the compliance team to support policy improvements and...Claims
- ...A healthcare management organization is seeking a Quality Control Auditor – Claims Management in California. This role is responsible for auditing claims processing activities to ensure compliance and accuracy. With over five years of experience in managed care claims...Claims
- ...Department: UHC: Managed Care Job Summary: The Claims Adjudicator Sr is responsible mentoring and training Claims Adjudicators. The Lead will also analyze and process professional and hospital HMO Risk claims in accordance with the managed care contract provisions...ClaimsContract workWork at office
- Loma Linda University Health is seeking a Claims Adjudicator Sr responsible for mentoring Claims Adjudicators and processing HMO Risk claims. The candidate will ensure claims are processed accurately and respond to inquiries from other adjudicators. Qualified candidates...Claims
$130k - $190k
...challenges. Why join us? Benefits include: PPO Healthcare, vision, dental, life insurance, and AFLAC... ...documents. Structure transactions to ensure compliance with the Stark Law, Anti-Kickback Statute, False Claims Act, and state analogs, as well as licensing and...ClaimsFor contractorsLocal area$20 - $32 per hour
...A claims management company in San Bernardino, California is seeking a detail-oriented Claims Operations Coordinator. The role involves adjudicating claims and collaborating closely with multiple departments to ensure efficient claims processing. Ideal candidates will...ClaimsFull time$130k - $275k
...time for new parents; long-term care coverage; unpaid leave in compliance with federal Family Medical Leave Act and applicable state regulations... ...collective actions, and Private Attorneys General Act (PAGA) claims. This opportunity is well-suited for a dedicated litigator who...ClaimsRemote work- ...clinical approach, ensuring the right clients find you. Admin Done for You ~ We handle credentialing, billing, claims, EHR, and tech support—so you can focus your time and energy on clinical work. Professional Autonomy ~ Decide...ClaimsLive inWork at officeRemote work
$170.3k - $230k
...Elderly (PACE), which provides enrolled seniors with customized healthcare and social support at PACE Adult Day Health Centers. These... ...through our official systems If you receive a message claiming to represent InnovAge that does not align with the above, it may...ClaimsTemporary workFlexible hours- ...Elderly (PACE), which provides enrolled seniors with customized healthcare and social support at PACE Adult Day Health Centers. These... ...through our official systems If you receive a message claiming to represent InnovAge that does not align with the above, it may...ClaimsTemporary workWork experience placementFlexible hours
$310k - $350k
...in the participant's medical record, in compliance with InnovAge PACE documentation... ...provides enrolled seniors with customized healthcare and social support at PACE Adult Day Health... ...If you receive a message claiming to represent InnovAge that does not align...ClaimsTemporary workMonday to FridayFlexible hours$110.6k - $143.8k
...Participant Nursing - 40% Monitors compliance with all applicable licensing,... ...provides enrolled seniors with customized healthcare and social support at PACE Adult Day Health... ...systems If you receive a message claiming to represent InnovAge that does not...ClaimsContract workTemporary workFlexible hoursWeekend work$69k - $86.3k
...Elderly (PACE), which provides enrolled seniors with customized healthcare and social support at PACE Adult Day Health Centers. These... ...through our official systems If you receive a message claiming to represent InnovAge that does not align with the above, it may...ClaimsTemporary workFlexible hours- ...Associate complaints, harassment allegations, wrongful termination claims, DOL claims and performance management issues. Implement,... ...and enforce Company policies and procedures Ensure compliance with Federal and/or State labor and employment regulation changes...ClaimsTemporary workLocal areaImmediate start
$25 - $30 per hour
...Company Overview: Advance Your Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance... ..., training, licensure, and certification, for healthcare providers and healthcare facilities as required. ~...ClaimsWork at officeLocal area- A leading claims adjusting firm in Highland, California is seeking entry-level Independent Insurance Claims Adjusters. This role offers comprehensive training and equips adjusters with necessary skills to assist clients effectively. You will help individuals and businesses...Claims
- A leading claims adjusting company in California is seeking Independent Insurance Claims Adjusters to join their dynamic team. This role offers a chance to help individuals and businesses recover from disasters, providing vital support during adverse times. Comprehensive...ClaimsFlexible hours
- ...and actionable recommendations. In addition, the role supports transportation financial management, freight claims resolution, and supply chain security compliance, including CTPAT requirements. Operating with a high degree of autonomy, the Senior Transportation...ClaimsWork at officeLocal areaMonday to FridayShift work
- ...within specialty. Collaborate with interdisciplinary healthcare teams to ensure safe, effective, and coordinated care,... ...procedures consistent with training and credentialing including adjudicating complex disability claims. Contribute to teaching, mentorship, and...ClaimsTraineeship
$85k - $95k
...Acrisure is seeking a Workers’ Compensation Claims Examiner to manage California-based workers’ compensation claims from assignment... ...investigate claims, determine compensability, and manage reserves in compliance with California regulations. This fully remote position...ClaimsRemote work- ...identifying, analyzing, and mitigating liability exposures across various sectors. This role involves reviewing incidents and tort claims, preparing findings and defense strategies, and making recommendations to the Risk Management Steering Committee. Ideal candidates...Claims
$115k - $125k
Sedgwick Claims Management Services Ltd in Riverside, CA seeks a Claims Manager for operational oversight in workers compensation. You will ensure compliance with industry standards and manage a team of 25-40 colleagues. The ideal candidate should have a degree, at least...Claims- ...Biller We are looking for a certified coder and biller for our Highland clinic. The role is in‑person and involves coding, billing, claims, payer follow‑up, refunds, and billing queues. Coding visits and entering charges should occur within 48 hours of encounter...ClaimsContract work
$250k - $350k
...review, or medical director decision-making. Perform retroactive claims review for outpatient and inpatient care, as needed.... ...in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting...ClaimsFull timeCasual workRelocation packageFlexible hours- AHMC HealthCare in Riverside, California, is seeking a qualified individual to manage clerical billing functions. Candidates must have... ...ICD-9 coding is essential for this role. The position involves compliance with hospital and federal guidelines, as well as reviewing payor...Claims
- ...Coder and Biller for in-person work at the clinic. The successful candidate will handle responsibilities including coding, billing claims, and follow-up with payers, as well as updating billing spreadsheets for revenue and payments. Qualifications include a CPC or equivalent...Claims
$4,731.91 - $5,186.9 per month
...Responsibilities Act as a point of contact for post-award issues, ensuring compliance with regulations, policies, and funding terms. Perform fiscal... .... Manage, review, and authorize transactions, including travel claims and expenditure documents, ensuring compliance. Conduct budget...ClaimsFull timeTemporary workFor contractorsWork at officeLocal areaMonday to FridayFlexible hours$70.3k
...the best-selling cannabis brands in the market today and has claimed the title of the best-selling vape brand across all BDSA-tracked... ..., ensuring seamless execution of sales, inventory management, compliance, and customer service. Champion a customer-first mentality,...ClaimsCasual workWork at officeLocal areaWorldwideShift workAfternoon shift- ...performance expectations are being met; submission of report logs, claims procedures, and various daily activities.Responsibilities:... ...inspect equipmentAbility to lift up to 50 lbs.AAP/EEO Statement:In compliance with federal law, Parking Veterans does not discriminate...ClaimsHourly payContract workWork at officeFlexible hoursShift work
$68.5k - $121.9k
...a 2-year contract position. The role involves providing guidance on HR strategy and employment law compliance, aligning policies with business objectives, auditing claims, and coordinating training initiatives to mitigate risks. Applicants must have current work authorization...ClaimsFull timeContract work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Healthcare Claims Adjudicator - Precision and Compliance. Be the first to apply!
- medical claims auditor San Bernardino, CA
- manager healthcare San Bernardino, CA
- healthcare team leader San Bernardino, CA
- healthcare administration work from home San Bernardino, CA
- entry level healthcare San Bernardino, CA
- maxim healthcare San Bernardino, CA
- healthcare administration San Bernardino, CA
- united healthcare San Bernardino, CA
- healthcare work from home San Bernardino, CA
- accountant healthcare San Bernardino, CA



