Claims Processing Jobs in California
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Search Results - Claims Processing Jobs in California
San Jose
Quality Assurance (QA) Manager and Supervisor, the Claims Specialist Quality Assurance I (CSQA) is responsible for ensuring the integrity of all data created and updated by the Claims Processing staff. The CSQA will utilize quality auditing tools, identify training...
icims.com -
2 similar jobs: San Diego, Los Angeles
Essel-Fairfield
and processing, employee record management, worker's comp and unemployment insurance management and claims processing
Development, Implementation and oversight of HR initiatives, processes and systems
Assists with asset management, background checks, drug...
resume-library.com -
AltaMed-Montebello (CA)
effectively and efficiently delivering and enhancing the claims processing experience. This position is responsible for overseeing the daily claims, including timely and accurate processing of specialty claims for managed care members.
The Director...
Discovery Behavioral Health DBH-Irvine
and obtain accurate, detailed insurance benefit information by phone and via the internet.
Responsibilities
Review data on insurance policies to ensure accurate claim processing and payment.
Accurately utilize the billing system.
Create and submit claims...
resume-library.com -
Machinify Inc.-Palo Alto (CA)
Machinify is the leading provider of AI-powered software products that transform healthcare claims and payment operations. Each year, the healthcare industry generates over $200B in claims mispayments, creating incredible waste, friction...
appcast.io -
Discovery Behavioral Health DBH-Irvine
deadlines as established.
Responsibilities
Review census tracker and KIPU to confirm accuracy of charges to be billed.
Create and submit claims to appropriate payors.
Review data on insurance policies to ensure accurate claim processing and payment...
resume-library.com -
Blue Shield of California-Long Beach
for a comprehensive line-by-line audit and manual claims processing on exceptions to ensure that appropriate billing practices are followed based on facility specific contract language. These exceptions may include medical necessity, DRG validation, stop loss, trauma...
JobGet Staffing-Sacramento
investigations or medical claims processing (Bill Review, Utilization Review, Nurse Case Management, IMEs), or professional experience working with claims adjustors or risk managers.
What's In It For You:
• Opportunity to join an industry leading business...
Machinify, Inc.-Palo Alto (CA)
Machinify is the leading provider of AI-powered software products that transform healthcare claims and payment operations. Each year, the healthcare industry generates over $200B in claims mispayments, creating incredible waste, friction...
appcast.io -
Robert Half-Los Angeles
We are in search of a DMH Medical Billing Manager to join our team in the healthcare industry situated in Los Angeles, California. The role involves meticulous oversight and management of medical claims processing for reimbursement from...
roberthalf.com -
Impresiv Health-Orange
payment methodologies, division of financial responsibility, applicable regulatory legislation, claims processing guidelines and company policies and procedures.
Follows up with providers as needed.
Participates in a mission-driven culture of high...
resume-library.com -
Phil Inc.-San Francisco
Engineering to lead and grow our engineering team focused on processing pharmacy claims and coupons. This role involves overseeing the architecture, development, and optimization of our platform that enables real-time claims processing, coupon management...
appcast.io -
Macpower Digital Assets Edge Private Limited (MDA Edge)-Los Angeles
analytical/technical aptitude evidenced by at least 5 years of successful experience in a quantitative role as a Business Analyst, Data Analyst, Programming Analyst, Claims processing, Encounter Processing.
Bachelor Degree.
Managed Care experience
Duties...
resume-library.com -
Blue Shield of California-Long Beach
data from various internal systems (e.g. Claims processing or membership systems) and external systems (EMR/EHR) and converts those data to actionable insights to guide business decision making for BSC populations' health management and quality of care...
Firstsource-Santa Cruz (CA)
information.
Ensure that claims processing aligns with the company's insurance policies and relevant regulatory requirements.
Conduct investigations, when necessary, which may include speaking with claimants, witnesses, and collaborating with field experts...
jobvertise.com -
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