Claims Examiner
2 weeks ago
POSITION SUMMARY:
The claims examiner reports directly to the claims manager. They are primarily responsible for the processing functions (operation, adjudication, and payment) of UB-92 and HCFA-1500 claims that are received from PHP affiliated medical groups and hospitals for HMO patients.
EDUCATION/EXPERIENCE/TRAINING:
• Minimum of 2 years claims ADJUDICATION related experience in ambulatory, acute care hospital, HMO, or IPA environment
• Knowledge of payment methodologies for: Professional (MD), Hospital, Skilled Nursing Facilities, and Ancillary Services
* Knowledge and understanding of timeliness and payment accuracy guidelines for commercial, senior and Medi-Cal claims
* Knowledge of compliance issues as they relate to claims processing
• Experience in interpreting provider contract reimbursement terms desirable
• Ability to identify non-contracted providers for Letter of Agreement consideration
• Data entry experience
• Training on basic office automation and managed care computer systems
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Claims Examiner
2 days ago
Whittier, United States E-Solutions Full timePOSITION SUMMARY:The claims examiner reports directly to the claims manager. They are primarily responsible for the processing functions (operation, adjudication, and payment) of UB-92 and HCFA-1500 claims that are received from PHP affiliated medical groups and hospitals for HMO patients.EDUCATION/EXPERIENCE/TRAINING:• Minimum of 2 years claims...
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Claims Examiner
2 weeks ago
Whittier, United States E-Solutions Full timePOSITION SUMMARY: The claims examiner reports directly to the claims manager. They are primarily responsible for the processing functions (operation, adjudication, and payment) of UB-92 and HCFA-1500 claims that are received from PHP affiliated medical groups and hospitals for HMO patients. EDUCATION/EXPERIENCE/TRAINING: Minimum of 2 years claims...
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Claims Examiner
2 weeks ago
Whittier, United States E-Solutions Full timePOSITION SUMMARY:The claims examiner reports directly to the claims manager. They are primarily responsible for the processing functions (operation, adjudication, and payment) of UB-92 and HCFA-1500 claims that are received from PHP affiliated medical groups and hospitals for HMO patients.EDUCATION/EXPERIENCE/TRAINING:• Minimum of 2 years claims...
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Medical Insurance Claims Examiner
1 hour ago
Whittier, United States A.P.R., Inc. (AlphaProTemps) Full timeJob DescriptionJob Description* Covid-19 Vaccinated* Flu Vaccinated(Medical and Religious exemptions and declinations allowed)* Initial 3 month contract, may extend Required:Minimum 2 years' relevant experienceUB-92, HCFA-1500 claims experienceCommercial, Medi-Cal ClaimsAdjudication experience in Ambulatory, Acute Care, HMO, or IPAPayment methodologies;...
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Claims Processor
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Whittier, United States vTech Solution Full timeStatus: Open Union Code: Profession: Non-Clinical - Finance/Accounting Specialty: Claims Processor Unit: Claims Examiner/ 110-85300 Shift: Day 5x8-Hour (07:00 - 15:30) Block Schedules: No Start Date: 04/01/2024 Job Duration:13 # of Positions: 1 Non-Bill. Orientation: Overtime Multiplier: 8 regular hours in a day AND 40 regular hours in 1 week : 1.5% Double...
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Medical Claims Processor
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Whittier, United States Alpha Pro Full time**Description**: JOB TITLE: Claims Examiner - Days **LOCATION**: 9557 Greenleaf Avenue, Whittier, CA **SHIFT**: Monday - Friday - 07:00am - 03:30pm **DURATION**: - 13 weeks ** 2 YEARS EXPERIENCE REQUIRED - MUST BE ABLE TO VERIFY HS DIPLOMA or GED or HIGHER EDUCATION** : The claims examiner reports directly to the claims manager. They are primarily...
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Claims Processor
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Whittier, United States Intilify INC Full time**Job Title**: Claims processor **Job Locations**: Whittier, CA **Shift time**: Monday to Friday (7am to 3:30pm) **Contract duration**: 13 weeks + possible extension **Guarantee hours**: 40 hours **Payrate: $30/hr on W2 without benefits** **Start Date**:ASAP **Responsibilities**: - The claims examiner reports directly to the claims manager. - They...
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Non-Clinical - Finance/Accounting
2 weeks ago
Whittier, United States vTech Solution, Inc. Full timeJOB TITLE: Claims Examiner - Days LOCATION: 9557 Greenleaf Avenue, Whittier, CA SHIFT: Monday - Friday - 07:00am - 03:30pm DURATION - 13 weeks 2 YEARS EXPERIENCE REQUIRED - MUST BE ABLE TO VERIFY HS DIPLOMA or GED or HIGHER EDUCATION POSITION SUMMARY: The claims examiner reports directly to the claims manager. They are primarily responsible for the...