Claims Examiner: Healthcare Claims & Denial Resolution
Career Advocates
A healthcare organization in Los Angeles is seeking a Claims Examiner responsible for researching and resolving claims, reviewing denials, and ensuring compliance with regulations. The ideal candidate will analyze claims, identify process improvements, and assist in reporting billing trends. Strong communication skills and familiarity with the Medi-Cal program are preferred. This role offers an opportunity to contribute to departmental improvement initiatives and ensure regulatory adherence. #J-18808-Ljbffr Career Advocates
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Claims Examiner: Healthcare Claims & Denial Resolution in Los Angeles, CA vacancy
$17 per hour
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Glendale, CA3 days ago$84.24k - $126.36k
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WelbeHealth
Los Angeles, CA3 days ago $116k - $165k
...Medical Malpractice Focused Complex Claims Consultant You have a clear vision of where... ...is a market leader in insuring allied healthcare providers, including nurses, nurse practitioners... ...overall investigation, management and resolution of allied healthcare provider claims in...SuggestedWork experience placementWork at officeLocal areaFlexible hoursShift workCNA
Los Angeles, CA4 days ago- ...Role: MedPOINT Management in Sherman Oaks, CA is looking for a detail-oriented Claims Examiner to join our growing team. This is a great opportunity to play a key role in the healthcare management space, ensuring accurate and timely processing of medical claims. If you...SuggestedRemote work
MedPOINT Management
Sherman Oaks, CA1 day ago - A prestigious healthcare company is seeking an experienced Claims Examiner to join their team. In this role, you will conduct claims analyses, adjudicate medical claims, and verify patient eligibility. The ideal candidate has 2-5 years of claims examining experience, a...
- ...compliance with all applicable healthcare regulations and payer... ...regulations. Submit insurance claims accurately and in a timely manner... ...resolve claim edits, rejections, denials, and payment discrepancies.... ...status and ensure timely resolution of unpaid balances. Support...Work at office
$68.48k - $115.49k
ICW Group is hiring a Senior Claims Examiner to manage moderate to complex claims and deliver high service levels... ...strategic recommendations. Utilizes appropriate resolution tactics (e.g., mediation, negotiation, denial, litigation or offer) to proactively drive outstanding...Full timeWork at officeLocal area- ...INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation! Does the idea of doing something... ...professional health. Contribution Profile The Claims Department is a dynamic department that provides claims examination and adjudication for the organization’s multiple...
$88.85k
Authorization and Claims Analytics Data Analyst III Job Category:... ...with substantial exposure to healthcare operations, managed care, or... ...adjudication, and provider dispute resolution. Knowledge of clinical and... ...(e.g., turnaround times, denial rates, appeals outcomes) and...Full time$21.2 - $34.69 per hour
...damages and otherwise adjusts and negotiates claims within limit of authority. Every claim... ..., Claims Administration, Claims Resolution, Claims Review, Insurance Claims Investigations... ..., Quotit, HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star Marketing, Euro...Contract workWork at officeWork from homeVisa sponsorshipWork visaAllstate Insurance Company
Los Angeles, CA2 days ago$25 - $27 per hour
Patient Account Representative, Denials Employment Type: Temporary (conversion potential... ...determine appropriate appeal strategy for each claim Draft and submit formal written appeals... ...Minimum 2 years of experience in healthcare billing, collections, or denials management...Permanent employmentContract workTemporary work- MedPOINT Management is seeking a Claims Processor to join their team in Sherman Oaks, CA. The role offers the opportunity to work in a fast-paced environment while ensuring accurate processing of insurance claims. Applicants should have at least 2 years of experience in...Remote job
- ...to help our insurance carrier clients in Commercial Auto Claims Adjuster / Examiner positions. Responsibilities include: Manage a caseload... ...commercial auto claims from first notice of loss through resolution, ensuring timely, fair and accurate claims outcomes. Set...Full timePart timeWork experience placementWork at officeRemote workWork from home
Work At Home Vintage Experts LLC
Los Angeles, CA4 days ago - cafairplan is seeking a Commercial Property Examiner II in Los Angeles, California. This role involves reviewing and processing complex commercial insurance claims, ensuring valid recommendations for resolution. The examiner will manage claims up to $500,000 and collaborate...
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Sherman Oaks, CA2 days ago - ...The Claims Examiner will be responsible for researchingand resolving pending claims, reviewing claim denials requiring manualreview, and ensuring timely processing in compliance with policies,procedures, and regulatory guidelines. The role involves determiningclaim payments...
Career Advocates
Los Angeles, CA1 day ago $72.75k - $93.36k
...Job Title Claims Analyst Department Ops – Claims Ops... ...to scale in the healthcare industry. Responsibilities... ...Analyze trends in claim denials, payment discrepancies... ...processes and issue resolution Communicate project progress... ...previous experience examining claims Strong...Contract workWork at officeSupportFinity
Monterey Park, CA4 days ago$80k - $100k
...Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner Are you looking for an opportunity to join a global industry... ...well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the...Remote workFlexible hoursSedgwick
Los Angeles, CA4 days ago- ...re building the AI Operating System for healthcare, the foundation that defines how care is... ...and autonomous RCM processing billions in claims, all on a single AI-native platform... ...into intelligent systems. The Rejections & Denials team builds the AI and rules infrastructure...Work at officeImmediate start
$50.57 - $53.57 per hour
...Responsibilities Analyze and process complex workers compensation claims by investigating and gathering information to determine claim... ...Manage claims through structured action plans to ensure timely resolution. Negotiate settlement of claims within designated authority...Remote jobWork at office$34 per hour
...Claims Examiner III Location: Pasadena, CA (Hybrid considered after training once performance... ...: Temp to perm Position Overview: A healthcare IPA is seeking an experienced Claims... ...and adjusted claims Claims pricing, denials, and payment determinations Key Responsibilities...Hourly payPermanent employmentTemporary workMonday to FridayNew Leaf Staffing, Inc.
Pasadena, CA9 days ago$77.5k
...Job Summary Carl Warren & Company is seeking a skilled Senior Claims Examiner, Public Entity to manage property damage and bodily injury claims for public entity clients from assignment through resolution. In this role, you will apply your expertise in litigated auto...Temporary workFor subcontractorWork at officeCWC01 Carl Warren & Company LLC
Los Angeles, CA4 days ago$28 - $32 per hour
..., CA 91754 Department: Ops - Claims Ops Compensation: $28.00 - $3... ...Description Job Title: Claims Examiner III Department: Ops - Claims... ...plan claims inquiries and give resolution in a timely manner Review... ...least 3 years of applicable healthcare claims adjudication experience...Hourly payFull timeWork at officeAstrana Health
Monterey Park, CA3 days ago$23 - $26 per hour
Sycamores in Los Angeles is seeking a Claiming Analyst to manage electronic claiming functionalities within the Electronic Health Record System. This role involves ensuring the accuracy of claims, resolving eligibility issues, and maintaining ‘highest level’ customer service...Hourly pay- ...Care Community Health Center in Los Angeles is seeking a Billing Specialist responsible for managing account payments, submitting claims, and following up with insurance companies. The ideal candidate should have experience in medical billing, strong communication skills...
Via Care Community Health Center
Los Angeles, CA15 hours ago - A leading claims management firm is seeking a Claims Examiner in Glendale, CA for a hybrid role. The successful candidate will analyze and adjudicate workers' compensation claims while ensuring timely resolution and excellent customer service. Required qualifications include...
$100k
...designed to meet the unique coverage and claims-handling needs of businesses. The Argo... ...coordination ofexpertiseresources toassistin case resolution. ~ Preparing reports... ...(including language use restrictions), denial of family and medical care leave, disability...Full timeLocal areaArgonaut Management Services, Inc
Los Angeles, CA2 days ago$27.3 per hour
...launch a meaningful career in insurance and claims management? Avenica has partnered with... ...—from intake and investigation through resolution and settlement. Our customer is a... ...reports on investigations, settlements, claim denials, and individual evaluations of involved...Full timeContract workAvenica
Burbank, CA15 hours ago$100k
...Technical General Liability Bodily Injury Claims Specialist Argo Group is an... ...to the best financial outcome and timely resolution. Properly setting claim reserves.... ...(including language use restrictions), denial of family and medical care leave, disability...Local areaArgo Group
Los Angeles, CA2 days ago
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