Claims Examiner
$24 per hourBizTek People
Job Title
Claims Examiner
Job Description
POSITION SUMMARY: Contract role. Contract to hire potential for the right candidate! The claims examiner reports directly to the claims manager. They are primarily responsible for the processing functions (operation, adjudication, and payment) of UB-92 and HCFA-1500 claims that are received from PHP affiliated medical groups and hospitals for HMO patients.
EDUCATION/EXPERIENCE/TRAINING: High school graduate or equivalent required Minimum of 2 years claims ADJUDICATION related experience in ambulatory, acute care hospital, HMO, or IPA environment Knowledge of payment methodologies for: Professional (MD), Hospital, Skilled Nursing Facilities, and Ancillary Services * Knowledge and understanding of timeliness and payment accuracy guidelines for commercial, senior and Medi-Cal claims * Knowledge of compliance issues as they relate to claims processing Experience in interpreting provider contract reimbursement terms desirable Ability to identify non-contracted providers for Letter of Agreement consideration Data entry experience Training on basic office automation and managed care computer systems COVID vaccine is required.
Location
Whittier, CA
Salary
$24/hr
BizTek PeopleVacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Claims Examiner in Whittier, CA vacancy
- ...Job Description Intro: Are you an experienced Claims Examiner looking for a new opportunity with a prestigious healthcare company? Do you have claims adjudication or facility claims experience in healthcare? Do you want the chance to advance your career by joining a rapidly...SuggestedContract work
HealthCare Support
Monterey Park, CA2 days ago - The Claims Examiner is responsible for processing medical claims in an efficient, cost-effective, and timely manner. Responsible for determining financial responsibility between group, health plans and contracted hospitals for accurate processing of claims. Responsible...SuggestedHourly pay
$28 - $32 per hour
...applicants Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Department: Ops - Claims Ops Compensation: $28.00 - $32.00 / hour Description Job Title: Claims Examiner III Department: Ops - Claims Ops What You'll Do Analyze, process, research, adjust and...SuggestedHourly payFull timeWork at office- ...Claims Examiner Are you a detail-oriented claims professional looking for a flexible, work-from-home opportunity? We are seeking a dedicated Claims Examiner to join an inclusive, collaborative Pharmacy Operations team! In this key role, you will review and process routine...SuggestedWork from homeHome officeMonday to FridayFlexible hours
- ...Job Title To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best...SuggestedRemote work
- ...Senior Claims Examiner in Brea, CA Are you an experienced claims professional looking to advance your career? We are seeking a Senior Claims Examiner to join our dynamic team in Brea, California. This role offers the opportunity to manage complex claims and make impactful...
- ...Sr Claim Examiner- WC 04-month contract with possible extension or conversion Remote Must have multiple years' experience handling CA. The examiner can work remotely. Duties: Interprets and makes decisions using independent judgment on more complex and...Contract workRemote work
$99.6k - $186k
Executive Underwriter - UW07CDSenior Underwriter - UW08CAWe’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish...Full timeTemporary workWork at office3 days per weekThe Hartford Financial Services Group
Brea, CA1 day ago- About Us ✨ At Children's Happy Teeth , we believe every child deserves a bright, healthy smile — and every parent deserves a smooth, stress-free experience. With multiple offices across Southern California, our mission is to make dental visits fun, friendly, and ...Work at office
Children's Happy Teeth & Happy Braces
La Mirada, CA1 day ago - A dynamic insurance claims adjusting firm in California is seeking Independent Insurance Claims Adjusters to join their team. This fulfilling career offers extensive training for both seasoned professionals and newcomers, allowing you to make a meaningful impact while...Flexible hours
- A leading claims adjusting firm is seeking Independent Insurance Claims Adjusters due to increased demand in storm recovery. The role offers comprehensive training, flexibility, and competitive compensation. Candidates should be Licensed Claims Adjusters with prior experience...
- [Santa Fe Springs, CA, 90670], United States 3 - 5 Years N/A Primary Skills microsoft office ERP Systems Aerospace Manufacturing Contracts Administration Cross-Functional Job Description FLAG's mission is to show our contractors & clients the best this industry can offer...For contractorsWork at office
- Benefits: 401(k) matching Bonus based on performance Company parties Dental insurance Health insurance Opportunity for advancement Vision insurance We are a fast-growing company based in Southern California that offers employees a lucrative commission...
THE DUI EXPERTS LLC
Whittier, CA3 days ago - Job Description Job Description Are you a people person, do you enjoy speaking with people, making a difference every day and working in a fast and fun paced environment then Home Organizers is where you want to be. Home Organizers is a premier company in the home ...Full timePart timeImmediate start
Home Organizers, Inc.
Whittier, CA8 days ago - University of Southern California - Keck School of Medicine Division of Infectious Diseases Assistant/ Associate Professor The Department of Medicine of the Keck School of Medicine of the University of Southern California is seeking outstanding applicants for ...Full timeLocal area
University of Southern California
Montebello, CA3 days ago - AboutLos Angeles Orthopedic Surgery Specialists Los Angeles Orthopedic Surgery Specialists provides compassionate, high-quality orthopedic care to help patients reach lifelong wellness.The experienced team of medical providers sees patients from in and around Los Angeles...Work at officeRemote work
$97k - $189k
...potential. Individual contributor responsible for the direct handling and overall management of the most complex, highest exposure claims in the Mass Tort Claims Unit. This individual contributor is recognized as the most senior claims professional. Responsible for handling...Full timeWork experience placementWork at officeLocal areaShift workCNA Financial
Brea, CA4 days ago$30 - $40 per hour
Job Description Job Description Position Summary Our company is an aerospace investment casting (lost-wax) foundry supporting major OEMs and their sub-tier machine shops. The Sales Administrator serves as the primary liaison between the company and its customers...Contract workWork at officeMonday to FridayDay shiftMiller Castings INC
Whittier, CAa month ago$22.99 per hour
Are you a detail-oriented claims professional looking for a flexible, work-from-home opportunity? We are seeking a dedicated Claims Examiner to join an inclusive, collaborative Pharmacy Operations team! In this key role, you will review and process routine pharmacy and...Hourly payPermanent employmentTemporary workWork experience placementWork at officeLocal areaWork from homeHome officeMonday to FridayFlexible hoursShift work- Job DescriptionJob DescriptionYour ideal sales career is waiting. If you are outgoing, entrepreneurial, and motivated, it’s time to find your calling with Aflac. Enjoy unlimited control, flexibility, and earning potential while representing one of the world’s most ethical...Local area
Aflac
Whittier, CA12 hours ago $21 - $24 per hour
Job Description Company: Customer Sign Manufacturing and Design Company Location: Montebello area Position: Bilingual Spanish Administrative Assistant Temp to Hire Hours: M-F// 8a-3:30pm - 35 hours per week Pay: $21-24/hr. Job Duties: * Answer and...Temporary workWork at officeLocal areaUltimate LLC
Montebello, CA2 days ago- ...Claims Supervisor will be responsible for assisting Claims Manager in overseeing the Claims Department. Responsibilities include, but not limited to: • Maintain up-to-date knowledge of procedures for all ICD-10, CPT, HCPC codes including: Contractual agreement rates...
Health Source MSO Inc
Alhambra, CA2 days ago $70k - $90k
Job Description Job Description B2B Insurance Sales Representative For Professionals Who Thrive on Challenge & Victory Company: Divinity Group Location: Flexible / Independent Contractor (Face-to-Face B2B Sales) Salary: $70,000–$90,000+ per year (starting...For contractorsFlexible hoursDivinity Group LLC
Hacienda Heights, CA22 days ago$35 - $45 per hour
Introduction Since 1973, East West Bank has served as a pathway to success. With over 110 locations across the U.S. and Asia, we are the premier financial bridge between the East and West. Our teams of experienced, multi-cultural professionals help guide businesses and ...$20 - $42 per hour
Introduction Since 1973, East West Bank has served as a pathway to success. With over 110 locations across the U.S. and Asia, we are the premier financial bridge between the East and West. Our teams of experienced, multi-cultural professionals help guide businesses and ...Work experience placementLocal area- Job Description Job Description Catalina Bravo Insurance Agency is a brand new, independently owned insurance agency that just opened its doors in Montebello, CA. We are proudly serving our local community and the greater Los Angeles area — and we are growing fast....Local areaFlexible hoursAfternoon shift
Catalina Bravo Farmers Insurance
Montebello, CAa month ago $68k - $123.6k
Senior Underwriter - UH08BAUnderwriter - UH08BB We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish...Full timeTemporary workWork at office3 days per week$69k - $90k
Mortgage Credit Review Specialist The Mortgage Credit Review Specialist is responsible for conducting thorough reviews of mortgage loan files with a focus on collateral valuation, and regulatory compliance. This role includes reviewing appraisal reports for accuracy...$20 - $42 per hour
Mortgage Underwriter East West Bank is seeking a Mortgage Underwriter. The Mortgage Underwriter will be responsible for underwriting FHA and Conventional loans. The position requires that the candidate have the ability to clearly communicate underwriting decisions and...Work experience placementLocal area- Insurance Agent - Whittier, CA Whittier, CA Join Horace Mann and Unlock Your Financial Potential Ready to take control of your financial future? At Horace Mann, we are here to support you in achieving your goals and making a meaningful difference in the lives ...
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Claims Examiner. Be the first to apply!
Related searches