Medical Claims Examiner

Description: Remote from Southern, CA only. Candidates must reside in SCAL. Job Summary:Responsible for the administration of medical malpractice and other professional and general liabilty claims made during the course of conducting company business across the enterprise, having a material impact on legal reserves that are listed as a separate line item on...

JOB SUMMARY: Is responsible for adjudicating complex claims which include high dollar claims. Responsible for accurate manual/auto pricing of claims. Identify provider billing issues that impact claims processing. Works closely with the Supervisor to identify any reporting or training needs and system problems that may be encountered. Maintains quality and...

JOB SUMMARY: Is responsible for adjudicating complex claims which include high dollar claims. Responsible for accurate manual/auto pricing of claims. Identify provider billing issues that impact claims processing. Works closely with the Supervisor to identify any reporting or training needs and system problems that may be encountered. Maintains quality and...

JOB SUMMARY: Is responsible for adjudicating complex claims which include high dollar claims. Responsible for accurate manual/auto pricing of claims. Identify provider billing issues that impact claims processing. Works closely with the Supervisor to identify any reporting or training needs and system problems that may be encountered. Maintains quality and...

JOB SUMMARY: Is responsible for adjudicating complex claims which include high dollar claims. Responsible for accurate manual/auto pricing of claims. Identify provider billing issues that impact claims processing. Works closely with the Supervisor to identify any reporting or training needs and system problems that may be encountered. Maintains quality and...

ESSENTIAL JOB FUNCTIONS:Adjudicates complex professional and institutional claims.Responsible for meeting performance measurement standards for productivity and accuracy.Adjudication of claims adjustment.Follow all appropriate Federal and State regulatory requirements and guidelines applicable to HealthPlan operations or as documented in company policies and...

ESSENTIAL JOB FUNCTIONS:Adjudicates complex professional and institutional claims.Responsible for meeting performance measurement standards for productivity and accuracy.Adjudication of claims adjustment.Follow all appropriate Federal and State regulatory requirements and guidelines applicable to HealthPlan operations or as documented in company policies and...

ESSENTIAL JOB FUNCTIONS:Adjudicates complex professional and institutional claims.Responsible for meeting performance measurement standards for productivity and accuracy.Adjudication of claims adjustment.Follow all appropriate Federal and State regulatory requirements and guidelines applicable to HealthPlan operations or as documented in company policies and...

Job DescriptionJob DescriptionJob SummaryPasadena area Pediatric Cardiology office is seeking a bilingual Medical Assistant. Full-time position in a pleasant busy office. Will perform front and back-office duties. Fluent in ENGLISH and SPANISH (preferred). EKG experience is a plus. Must be able to work with children. Quick learner and computer literate. EMR...

Job DescriptionJob DescriptionJob SummaryAssists physicians, nurses, and other medical staff by performing administrative and clinical duties.General AccountabilitiesPrepares treatment rooms for patient examinations.Cleans treatment rooms following patient examinations.Interviews patients to obtain their medical history.Records patient medical history, vital...

**Medical Assistant - Full-Time | Pediatric Practice | Pasadena, CA** **About the Medical Assistant Position**: ProHealth Staffing is actively seeking a dedicated Medical Assistant to join a pediatrics and adolescent specialty practice in Pasadena, CA. If you possess over two years of experience as a Medical Assistant, with pediatrics/adolescent specialty...

** Internal Workers - Please log into your Workday account to apply** - Huntington Hospital Employee Login Compensation Range: $21.20 - $32.80 / Hour Department: 718003 Madison Expectations: As a member of the patient care team, the Medical Assistant is responsible for positive patient relations, proper telephone communication, verification of patient...

Expectations:As a member of the patient care team, the Medical Assistant is responsible for positive patient relations, proper telephone communication, verification of patient information by interviewing patient and confirming purpose of visit. The Medical Assistant is also responsible to prepare the patients for examination by performing preliminary...

Experience the highest level of appreciation at UM Baltimore Washington Medical Center named Top Workplace in the Baltimore area by The Baltimore Sun two years in a row (2019 & 2020); Top Workplace in the USA for 2021! As part of the acclaimed University of Maryland Medical System, our facility is one of three ANCC Pathway to Excellence designated hospitals...

Experience the highest level of appreciation at UM Baltimore Washington Medical Center — named Top Workplace in the Baltimore area by The Baltimore Sun two years in a row (2019 & 2020); Top Workplace in the USA for 2021! As part of the acclaimed University of Maryland Medical System, our facility is one of three ANCC Pathway to Excellence designated...

Job DescriptionJob DescriptionCompany DescriptionExperience the highest level of appreciation at UM Baltimore Washington Medical Center — named Top Workplace in the Baltimore area by The Baltimore Sun two years in a row (2019 & 2020); Top Workplace in the USA for 2021!  As part of the acclaimed University of Maryland Medical System, our facility is one of...

Introduction Since 1973, East West Bank has served as a pathway to success. With over 120 locations across the U.S. and Asia, we are the premier financial bridge between the East and West. Our teams of experienced, multi-cultural professionals help guide businesses and community members on both sides of the Pacific looking to explore new markets and create...

BE THE CHOICE, NOT THE OPTION Strivector specializes in catering to your specific desired company culture and purpose-filled job needs. We help our clients meet their fast-growing business, new and existing positions with talented individuals like you. Strivector works alongside Fortune 500, mid-sized and Start-ups for full-time and contract positions;...

** Internal Workers - Please log into your Workday account to apply** - Huntington Hospital Employee Login Compensation Range: $43.66 - $56.85 / Hour Department: 834000 Dietary Expectations: The Clinical Dietitian must meet the legal requirement, satisfactory completion of an examination, approved by Commission on Dietetic Registration (CDR) the...

**Description** If you’re looking to use your unique background and expertise to make a difference in others’ lives, you can contribute to exceptional patient experiences at UCLA Health. Take on an important role in a world-class health system by joining the Department of Ophthalmology. This Optometrist position will provide professional optometric...