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Claims Processing Jobs in Long Beach

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Search Results - Claims Processing Jobs in Long Beach
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...
Robert Half-Long Beach
workflows for claims processing, payment reconciliation, and reporting.  •  Support the creation of test cases for integration and ensure successful validation of system processes. Skills: -Minimum of 5 years+ of experience working with the EZ-CAP system...
roberthalf.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...
Inland Empire Health Plan-Los Angeles, 10 mi from Long Beach
What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! The Supervisor, Claims Processing – Medi-Cal...
Blue Shield of California-Long Beach
The Supervisor, Operations will report to the Sr. Manager, Pharmacist. In this role, you will supervise a team of licensed pharmacy technicians who resolve outpatient pharmacy benefit coverage inquiries, including prescription claim processing problems...
CSN Collision-Santa Ana, 23 mi from Long Beach
claims, processing, payment procedures, repair techniques, repair needs and approximate repair time.  •  Conducts daily meetings with front office staff to ensure accurate updates on vehicles are provided.  •  Finalize and line match supplements...
resume-library.com -
Robert Half-Arcadia (CA), 25 mi from Long Beach
information is accurate and up-to-date.  •  Resolve billing disputes by liaising with patients, insurers, and healthcare providers.  •  Perform billing and collection activities including insurance claims processing.  •  Respond to patient inquiries regarding...
roberthalf.com -
Macpower Digital Assets Edge Private Limited (MDA Edge)-Los Angeles, 10 mi from Long Beach
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 -
Los Angeles, 10 mi from Long Beach
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 -
Discovery Behavioral Health DBH-Irvine, 29 mi from Long Beach
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 -

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