Medical Claims Specialist
Athens Administrators
Athens Administrators, a nationwide family-owned claims administrator, seeks an administrative support specialist at our Orange, CA office. You will process invoice payment requests, maintain claim documentation, and route inquiries to the appropriate team member to support efficient claims operations. The role requires strong attention to detail, reliable attendance, and proficiency with the File Handler system and Microsoft Office. On-site backup coverage for Mail Processor P&C may be needed. #J-18808-Ljbffr
- KabaFusion is seeking an EDI Medical Claims Coordinator in Cerritos, CA. You will monitor the EDI system (Waystar), resolve rejected claim submissions with providers and payors, and ensure accurate adjudication of claims. This role emphasizes cross-functional collaboration...Suggested
$25 - $31 per hour
...Description Kinetic Personnel Group is currently recruiting for a Claims Resolution Specialist for a Public Health Agency (government entity). This... ...interpretation, and referrals/authorizations for medical care. Verifies member eligibility, claims, and authorization...SuggestedPermanent employmentFull timeTemporary workWork at officeRemote work$160k
A health and wellness technology company in Tustin, CA is seeking a strategic legal partner to guide the Engineering and Science teams. This role involves providing legal advice on the development of hardware products, analyzing legal risks, and ensuring compliance with...Suggested$70k - $85k
...Risk Adjustment Coding Specialist II Department: Quality - Risk Adjustment Employment Type... ...provider documentation of diagnostic data from medical records to verify that all Medicare... ...identify, assess, monitor, and document claims and encounter coding information as it...SuggestedFull timeWork at officeRemote workHome office$55.8k
...about C&F, please visit our website: Job Description Examines claims data and conducts investigations into routine and moderately complex... ...Compensation statute claims. Receives lost time and complex medical only assignments. Verifies and determines applicability of...SuggestedWork at officeRemote work- ...Job Summary: Seeking a Senior Claims Specialist to manage a complex caseload of medical malpractice claims, supervise junior claims specialists, and contribute to ongoing training efforts. Key Responsibilities: Manage medical malpractice claims ,...
- CalOptima Health is seeking a Claims Resolution Specialist (Customer Service) to join the Claims Administration team. This role supports providers on claims payments and resolutions, with telework options and California-based on-site needs for partial telework arrangements...Remote job
$110k - $130k
AZAD is seeking a Claims Specialist for a full-time, permanent employment position in Orange, California This position is full-time on-site,... ...team members. Essential Duties and Responsibilities Manage medical malpractice claims, including the assignment, direction, and...Permanent employmentFull timeWork at officeMonday to Friday- ...Claims Specialist Our client is seeking a Claims Specialist to manage medical malpractice claims for their Orange County office. This role involves handling technical and administrative responsibilities for highly complex claim files, participating in litigation processes...Work at office
- ...seeking a detail-oriented Compensation Specialist to join our team. The ideal candidate will... ...with workers' compensation coverage and claims within California. What you'll do... ...settlement negotiations Assist in implementing Medical Provider Networks and ensure proper...Hourly pay
$50 - $52 per hour
A staffing firm based in California is seeking a Workers' Compensation Claims Adjuster to manage California Workers' Compensation Indemnity claims from inception to closure. This remote position requires at least 3 years of experience with California Workers' Compensation...Remote jobHourly pay$163k - $218k
...Production Underwriter: Generally, 5-7 yearsProduction Underwriting Specialist: Generally, 7-9 yearsSenior Production Underwriting Specialist... ...and part-time employees*. Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental leave,...Full timePart timeSeasonal workWork at officeRemote workNight shift$97.7k - $130.3k
...opportunity employer in every sense of the term.Based on eligibility, First American offers a comprehensive benefits package including medical, dental, vision, 401k, PTO/paid sick leave and other great benefits like an employee stock purchase plan.SummaryLocation: USA,...Full timeLocal area$25 - $32 per hour
...Accredited High School diploma, general education development ("GED") credential, or equivalent Comfortable around blood, needles, and medical equipment Physically able to work long shifts on your feet Willing to float between local clinics if needed Flexible...Minimum wageLocal areaFlexible hoursShift workDay shiftAfternoon shift$158.95k - $220k
...Build our future together: The Oncology Account Specialist will engage HCPs who treat NSCLC/NMSC patients within specific accounts - including... ...wellness programs, fitness centers, insurance benefits (e.g. medical, dental, vision, life and disability), paid time off, and...Local area- ...patient care technician provides direct care to patients, assisting with daily activities, monitoring vital signs, and supporting the medical team to ensure patient comfort and well-being. Highlights : Complete in as short as a few weeks to a few months Online and...
- UCI Health seeks a Nursing Assistant to support professional nursing staff by taking vital signs, assisting with hygiene and elimination, and maintaining a clean and safe unit environment. The role requires flexibility to work variable shifts, effective English communication...Shift work
- ...Datavant, the data collaboration platform for healthcare, is seeking an entry-level ROI associate in Newport Beach, CA. You will process medical records requests, safeguard privacy, and ensure HIPAA-compliant releases while delivering high-quality customer service. This on-...Full timeMonday to Friday
- Hemodialysis Technician Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance...Immediate start
$48.79 - $75.74 per hour
...Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues)...Minimum wageFull timeLocal areaShift workDay shift- ...processing. Review and analyze change requests for accuracy and completeness. Collaborate with Account Executives, Brokers, Disclosure Specialists, Underwriters, and management to fulfill requests. Ensure all requests are completed within established Service Level Agreements...Work at office
- ...desirable business, and diligent follow-up on quoted businessOccasionally travels to agencies, team and policyholder meetingsReviews claims activity, loss control surveys, and inspection reports for existing policies, handling as requiredUnderwrite and manage a portfolio...Full time
- ...Claims Examiner - Workers CompensationOur client, a Business Solutions company, is looking for a Claims Examiner - Workers Compensation... ...and disability duration, cost containment principles including medical management practices and Social Security and Medicare...Work at officeRemote work
- ...Claims Examiner - Workers CompensationPRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine... ...and disability duration, cost containment principles including medical management practices and Social Security and Medicare...Work at office
- ...Athens Administrators has an immediate need for a full-time Bilingual Senior Claims Examiner to support our workers' compensation offices in Southern California. The role allows a hybrid schedule with in-office presence once weekly for local employees, and remote work...Full timeWork at officeLocal areaImmediate startRemote work
- ...Non-Exempt Next step in progression could include Lead Senior Claims Examiner or Claims Supervisor. ATHENS ADMINISTRATORS Explore the... ...processing of claims and payment of benefits, managing, and directing medical treatment, setting reserves, and negotiating settlements. The...Full timeWork at officeLocal areaImmediate startRemote workMonday to FridayFlexible hours1 day per week
- ...Job Title: Claims Examiner - Workers Compensation Location (On-site, Remote, or Hybrid?): Orange, CA (Remote) Contract Duration: Contract until 12/11/2026 PRIMARY PURPOSE To analyze complex or technically difficult workers' compensation claims to determine...Contract workRemote work
- ...Come join a company that believes in being a part of something bigger than themselves! Job Description: Cortina is seeking a Military Medical DataAnalyst to provide subject matter expertise and conduct data management and analysis related to military medical systems,...Temporary workFor contractorsWork experience placementLocal areaRemote workFlexible hours
- In the vibrant landscape of Santa Ana, California, where sun-soaked beaches meet cultural richness, a world of opportunity awaits you as a Senior Healthcare Staffing Consultant. At MLR, a trailblazer in tech-enabled healthcare recruiting, we invite passionate individuals...Remote workFlexible hours
- ...assigned. This Is What It Takes Minimum Requirements High School diploma or GED. Three (3) months' experience in a medical or health care environment or equivalent combination of education and experience preferred. Completed documentation of training...Full timeTemporary workWork at officeImmediate startFlexible hoursShift workWeekend workAfternoon shift
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