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 3 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
...magic happen in the billing follow-up and denial management world. You'll play a crucial... ...over insurance denials, ensuring prompt resolution and securing payments for all stakeholders... ...secrets of insurance eligibility, correcting claim denials with superhero finesse, and...SuggestedWork at officeRemote workWork from homeFlexible hoursRSI
Glendale, CA2 days ago- ...WelbeHealth is transforming senior care by providing an all-inclusive healthcare option to the most vulnerable senior population, while... ...ensures excellent care delivery for participants, and the Claims Examiner plays a pivotal role in the timely and efficient processing...SuggestedWork at office
WelbeHealth
Los Angeles, CA5 hours 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, CA21 hours 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...Suggested
$80k - $110k
...Senior Claims Examiner Build a brilliant future with Hiscox Bring your passion and enthusiasm... ..., including reservation of rights and denial letters Reviews and analyses claim... ...authority to provide fair and fast resolution of claims for our insured and broker partners...SuggestedTemporary workWork at office2 days per weekHiscox USA
Los Angeles, CA21 hours ago- ...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
$38k - $63k
...up for government and non-government claims. Must work with other departments to... ...may be required to obtain account resolution. Monitors all denials for trends and issues and reports finding... ...within the following sectors: healthcare, insurance, business, finance or customer...Temporary workImmediate startFlexible hoursGuidehouse
El Segundo, CA1 day ago$30 - $45 per hour
Billing & Claims Specialist About Prosperous Health Prosperous Health is dedicated to providing... ...we serve. Join a Growing Behavioral Healthcare Platform Prosperous Health is a rapidly... ...claim submission, payment posting, denial management, and reimbursement optimization...Hourly payWork at office- ...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...
$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, CA3 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
- ...resources About the Role: Join MedPOINT Management as a Claims Processor in Sherman Oaks, CA, where you will play a crucial role... .... About Us: MedPOINT Management has been a leader in healthcare management for over a decade, providing exceptional services to...Work at officeRemote work
MedPOINT Management
Sherman Oaks, CA3 days ago - ...Workers Compensation Claims Examiner Primary Purpose: To analyze complex or technically difficult workers' compensation claims to determine... ...well-developed action plans to an appropriate and timely resolution. Negotiates settlement of claims within designated authority...Work at officeLocal areaRemote work
Mindlance
Pasadena, CA21 hours 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, CA2 days ago $84.24k - $126.36k
...Medical Malpractice Claims Examiner Huntington Hospital Employee Login Expectations: The Medical... ...the investigation, evaluation, and resolution of professional liability claims... ...years of relevant experience working in healthcare. Proven experience in the handling of...Full timeShift workAya Healthcare
Pasadena, CA1 day 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
$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, CA5 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, CA21 hours 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, CA4 hours 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, CA1 day ago $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, CA3 days ago- ...Grade: 12 Next step in progression could include Lead Senior Claims Examiner or Claims Supervisor ATHENS ADMINISTRATORS Explore the... ...issues, and make appropriate recommendations and solutions for resolution Ability to be trustworthy, dependable, and team-oriented for...Full timeWork at officeLocal areaImmediate startRemote workMonday to FridayFlexible hours1 day per week
Athens Administrators
Los Angeles, CA1 day 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, CA3 days 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...
$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
Valley Village, CA-134$80k - $90k
Claims Examiner - Workers Compensation (HYBRID - West Hills, CA / 3 Days Remote) PRIMARY PURPOSE OF THE ROLE To analyze Workers Compensation... ...well‑developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the...Remote jobFlexible hours$28 - $30 per hour
...appropriate path and to assist in the expedited processing of all claims, special projects and escalated reconsiderations originating... ...functions such as Medical Review management. Handle and document resolution to escalated telephone and written claims. Implement and...Hourly payContract workCasual workWork at officeRelocation packageFlexible hoursRadNet
Los Angeles, CA21 hours ago$29.37 - $34.18 per hour
...designed to meet the unique coverage and claims-handling needs of businesses. The Argo... ...to the best financial outcome and timely resolution. Properly set initial claim reserves. Screen... ...(including language use restrictions), denial of family and medical care leave,...Hourly payContract workTraineeshipWork at officeLocal areaArgonaut Management Services, Inc
Los Angeles, CA3 days ago
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