Remote Institutional Claims Examiner (Medicare/Medi-Cal)
$31 - $36 per hourLSMA Management, Inc.
- Remote job
LSMA Management, Inc. is looking for an Institutional Claims Examiner in Redlands, California. This role is responsible for the accurate adjudication of institutional medical claims in compliance with various health plans and regulatory requirements. Candidates should have at least five years of managed care claims processing experience and a high school diploma or equivalent, with certifications preferred. The pay range for this position is $31.00 - $36.00 per hour, emphasizing accuracy and compliance in a fast-paced environment. #J-18808-Ljbffr LSMA Management, Inc.
$31 - $36 per hour
...Full-time Description The Institutional Claims Examiner is responsible for the accurate, timely... ...in accordance with applicable HMO, Medi-Cal, Medicare, and Commercial contracts. This... ...professional healthcare office or remote work environment. PAY RANGE...Remote workHourly payFull timeWork experience placementWork at office$31 - $36 per hour
...Management Inc in Redlands, California is seeking an Institutional Claims Examiner responsible for timely and compliant adjudication of institutional... ...of claims processing experience and knowledge of Medicare and Medi-Cal regulations. Ideal candidates will possess strong...Remote job$31 - $36 per hour
...Medical Associates IPA is seeking an Institutional Claims Examiner responsible for the timely and... ...administration, and familiarity with Medicare and Medi-Cal. This full-time position offers a pay... ...healthcare office or a remote setting. #J-18808-Ljbffr LaSalle Medical...Remote jobHourly payFull timeWork at office$30.38 - $36.46 per hour
A healthcare insurance provider in California is seeking a Claims Examiner II to review and resolve Medi-Cal claims. This role demands at least one year of relevant experience in claims examining or Medi-Cal billing within an automated environment. Candidates should possess...SuggestedHourly pay- ImagenetLLC is seeking a Claims Quality Analyst to ensure the accuracy and compliance of claims processing. This remote role requires 3-5 years of experience in healthcare claims, preferably hands-on experience with EZCap. The analyst will conduct audits, analyze disputes...Remote work
$28 - $32 per hour
...requires a CPC certification and 3-5 years of medical billing experience, particularly with Medi-Cal managed care plans in California. Responsibilities include overseeing claims submission, denial management, and collaboration with the Revenue Cycle Management team. Competitive...Remote workHourly payFull time$27 - $30 per hour
Libertana is looking for a Medi-Cal Eligibility Resolution Specialist to identify and resolve eligibility issues impacting access to services... ...coordinating Medi-Cal redeterminations. The role is primarily remote with field visits required for in-person resolutions. Strong...Remote jobHourly pay$27 - $30 per hour
Libertana is looking for a Medi-Cal Eligibility Resolution Specialist to manage eligibility issues impacting member access to services and reimbursement in Riverside, California. The role involves remote work with necessary field visits to county Medi-Cal offices. Responsibilities...Remote jobHourly pay- Claims Auditor Onsite or Remote: onsite Start/end time: 7:00 am to 3:30 pm Shift : Day Next Start date: Immediately Contract length: 3 months... ...; ICD-10, RVS, and CPT coding knowledge; knowledge of Medicare and Medi-Cal guidelines; 10-key skills by touch; excellent...Remote workContract workImmediate startShift work
$27.65 - $39.27 per hour
...Medi-Cal Collections Representative Work Location: Los Angeles, CA, USA Onsite or Remote Flexible Hybrid Work Schedule Monday-Friday 7:30 AM - 4:30 PM Salary Range: $27.... ...designated portfolio of inpatient and outpatient claims, ensuring effective and efficient...Remote workHourly payContract workWork at officeMonday to FridayFlexible hours$22.12 - $27.93 per hour
...to make a direct, lasting impact. As the Medi-Cal Specialist, you’ll help bring PACE (... ...guiding them through new and renewal Medi-Cal/Medicare processes so they can remain safely at... ...Where you’ll work: Hybrid across home/remote, clinic, and community settings. Expect...Remote workTemporary workWork at officeLocal areaMonday to Friday$27 - $30 per hour
Medi-Cal Eligibility Resolution Specialist - Inland Empire Position: Medi-Cal Eligibility Resolution Specialist Pay Range: $27.00-$30.... ...To: Lead Medi-Cal Eligibility Resolution Specialist Work Type: Remote/Field Position Summary The Medi-Cal Eligibility Resolution...Remote workWork at officeLocal area$30 - $45 per hour
...Immediate need for a talented Operations Specialist III – Medicaid / Medi-Cal (Epic + Utilization Review. This is a 06+months contract... ...with long-term potential and is located in Long Beach , CA(Remote). Please review the job description below and contact me ASAP...Remote workContract workLocal areaImmediate start- ...A leading health insurance provider in Seattle is seeking a Claims Processor to oversee claims adjudication for various types. Responsibilities include processing Institutional, Professional, and Dental claims, while adhering to privacy and quality standards. The ideal...Remote workFlexible hours
- ...Claims Examiner - Xcelys Remote, Temporary NTT DATA strives to hire exceptional, innovative and passionate... .... Regarding either Professional or Institutional Claims. Ability to interpret... ...plan contract. Including RBRVS and Medicare guidelines as it applies to contracted...Remote workContract workTemporary workWork at officeFlexible hours
- ...Title: Temporary Claims Specialist II - Provider Claims Assignment Length: Six Months WORK LOCATION: 10801 6th St STE... ...medical claim processing and customer service standards Medi-Cal/Medicare experience and prior experience in a lead role preferred...Remote workTemporary workWork at office
$140k - $180k
...We seek an experienced claims professional to join our growing... ...of FAIRCO, the Complex Claims Examiner will be responsible for adjusting... ...liability, financial institutions, cyber, employment practices... ...office per week, and 2 days remote. Compensation In addition...Remote workContract workWork at officeLocal areaWorldwide$23.15 per hour
...Disability Claims Examiner I FT / PT Status - Full-Time Salary - $23.15 - $23.15 Hourly Wage Remote Work / In-Office - In-Office / On-Site Recruiter - Makenna Powell... ...sources, district offices, private institutions or employers, deciding the most effective...Remote workHourly payFull timeTemporary workWork experience placementWork at office$115k - $140k
...Claim Examiner/Claims Counsel With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress... ...emphasis on employment practices exposures within educational institutions. This role requires advanced legal and analytical expertise,...Remote workTemporary workWork at office$46k - $58k
...Job Family Claims About Us At Transamerica, hard... ...with our nonprofit research institute and foundation, we tune in,... ..., medical providers, medical examiners, and law enforcement. Work... ...Working Conditions ~ Hybrid / Remote *Please note that the...Remote workContract workWorldwideWork visa$6,031 - $7,547 per month
The State of California is seeking an Analyst II for the Medi-Cal Eligibility Division. This position involves researching and analyzing complex issues, writing policy documents, and collaborating with various stakeholders. Candidates must have permanent civil service...Remote workPermanent employment$50k - $55k
...Provider Claims Training Specialist - San Diego, CA - Remote Gainwell Technologies is seeking a Provider Claims Training Specialist (Regional Representative... ...providers and internal departments. The role focuses on the Medi-Cal program and involves travel within the assigned...Remote workFull timeWork at officeWork from homeFlexible hoursNight shift- The Central California Alliance for Health is hiring a Claims Operations Manager in California. The role involves leading the Claims... ...Ideal candidates will have extensive knowledge of MediCal and Medicare, with proven experience in claims processing and a minimum of six...Remote jobLocal area
$46.8k - $66.9k
...Provider Claims Training Specialist - San Diego, CA - Remote Great companies need great teams to propel their operations. Join the group that solves business... ..., and directly with the client in support of the Medi-Cal program. Your role in our mission Under minimal...Remote workFull timeWork at officeWork from homeFlexible hoursNight shift$53.37k - $58.71k
...process all but the most complex manual claims. This position provides manual estimates... ...employees, beneficiaries, and financial institutions to resolve most external conditions preventing... ...Monday-Friday. Ability to work one day remote, per week, after 1 year of hire. Paid...Remote workCasual workMonday to Friday1 day per week$80k - $110k
...for niche markets. Position Summary The Claims Examiner II is responsible for the accurate and... ...Manager | Property & Casualty (Hybrid) Remote Insurance Customer Service Representative... ...) Sr. Claims Specialist - Financial Institutions Loss Prevention Customer Service Associate...Remote workFull timeFlexible hours- ...to change. This is a remote position. Must reside in... ...supervision, responsible for auditing claims data and adjustments for... ...knowledge of regulations governing Medi-Cal as they relate to claims... .../or Managed Healthcare and Medicare auditing experience Billing...Remote workFlexible hours
- ...A leading blockchain ecosystem is seeking a Trading Support Specialist to provide outstanding support for institutional clients. You will serve as the main point of contact for VIP customers, assisting them with Binance's products and systems. The ideal candidate will...Remote workWork from home
- ...Pet Insurance Claims Examiner/Adjuster – Administrative Strategies (AdStrat) Work from home – 1099 full‑time temporary position Overview... ...strong claims processing skills to a 1099 role that is fully remote. Key Responsibilities and Qualifications Minimum of 6 months...Remote workFull timeTemporary workWork from homeWeekend work
$18 per hour
...A leading healthcare provider is hiring a Senior Claims Examiner to work from home, ensuring accurate adjudication of complex claims for SCCIPA contracted plans. The ideal candidate will have a high school diploma and two years of experience in claims processing. Responsibilities...Remote workHourly payFull timeWork from home
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