Claims Examiner

Job SummaryMedPOINT Management is seeking a highly skilled Claims Examiner to join our team. As a Claims Examiner, you will be responsible for accurately reviewing and processing medical claims in accordance with regulatory guidelines and company policies.Key ResponsibilitiesReview and verify incoming provider claims to ensure all necessary information is...

Job DescriptionJob Description Summary:Accurate review, input and adjudication of provider specialty claims, including UB04s, in accordance with outside regulations, internal production standards and the contractual obligations. Knowledge of medical terminology necessary. Strong knowledge of Commercial, Medicare and Medi-Cal codes. Basic PC knowledge with...

Job DescriptionJob Description Summary:Accurate review, input and adjudication of provider specialty claims, including UB04s, in accordance with outside regulations, internal production standards and the contractual obligations. Knowledge of medical terminology necessary. Strong knowledge of Commercial, Medicare and Medi-Cal codes. Basic PC knowledge with...

Job DescriptionJob DescriptionThe claims examiner is responsible for the adjudication of claims, in accordance with outside regulations and the contractual obligations of the Health Plans and/or the Hospital Client. Researches, reviews and contacts provider services for problem claims and issues, as needed. Suggests process improvements to management and is...

Job DescriptionJob DescriptionThe claims examiner is responsible for the adjudication of claims, in accordance with outside regulations and the contractual obligations of the Health Plans and/or the Hospital Client. Researches, reviews and contacts provider services for problem claims and issues, as needed. Suggests process improvements to management and is...

Job DescriptionJob DescriptionOverviewAMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation!Does the idea of doing something that really makes a difference in people’s lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its...

Job SummaryWe are seeking a highly detail-oriented and organized Claims Processor to join our team at MedPOINT Management. As a Claims Processor, you will play a critical role in ensuring the accurate review and processing of claims in accordance with regulatory requirements and organizational standards.Key ResponsibilitiesVerify the completeness and...

Claims Examiner Los Angeles, CA - On-site Tokio Marine HCC - Surety Group, a member of the Tokio Marine Group of Companies, has an exciting opportunity for an Associate Claims Examiner position on-site at our office in Los Angeles, California. Do you have good investigative instincts? Are you highly skilled with written communications, grammar, spelling,...

Description : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of...

Position Overview:We invite you to explore an exciting opportunity with MedPOINT Management as a Claims Examiner. This role is essential for ensuring the accurate processing and evaluation of provider specialty claims.Role Summary:The Claims Examiner will be responsible for the meticulous review, input, and adjudication of provider specialty claims,...

Job Overview:We invite you to explore an exciting opportunity with MedPOINT Management as a Claims Examiner. Please review the details below to understand the responsibilities and qualifications required for this role.Position Summary:The Claims Examiner will be responsible for the meticulous evaluation, input, and adjudication of provider specialty claims,...

Job OverviewSummary:Effectively manage, evaluate, and process provider specialty claims, including UB04 forms, in accordance with external regulations, internal protocols, and contractual obligations. A solid grasp of medical terminology is essential. Extensive knowledge of Commercial, Medicare, and Medi-Cal coding is required. Basic computer proficiency is...

Position OverviewThe Healthcare Claims Analyst plays a crucial role in the evaluation and processing of claims, ensuring compliance with external regulations and the contractual commitments of MedPOINT Management and its healthcare partners. This position involves thorough research, review, and communication with provider services to resolve claim-related...

Job DescriptionJob DescriptionSummary:A Hospital Claims Auditor is responsible for the overall quality of claims processes as well as compliance, in accordance with outside regulations and the contractual obligations of the Health Plans and/or Hospital Clients. Research, reviews and contacts provider services for problem claims and issues, as needed....

Job DescriptionJob DescriptionSummary:A Hospital Claims Auditor is responsible for the overall quality of claims processes as well as compliance, in accordance with outside regulations and the contractual obligations of the Health Plans and/or Hospital Clients. Research, reviews and contacts provider services for problem claims and issues, as needed....

Job DescriptionJob DescriptionResponsible for accurate review and input of claims in accordance with outside regulation, internal production standards and contractual obligations of the organization. Duties and Responsibilities1. Accurately review all incoming claims to verify if required fields are populated.2. Process claims information into the...

Job DescriptionJob DescriptionResponsible for accurate review and input of claims in accordance with outside regulation, internal production standards and contractual obligations of the organization. Duties and Responsibilities1. Accurately review all incoming claims to verify if required fields are populated.2. Process claims information into the...

Salary Range:  $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.)   Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2...

Job SummaryMedPOINT Management is seeking a highly skilled Claims Processor to join our team. As a Claims Processor, you will play a critical role in ensuring the accurate review and processing of claims in accordance with regulatory requirements, internal standards, and contractual obligations.Key ResponsibilitiesAccurately review all incoming claims to...

Job SummaryMedPOINT Management is seeking a skilled Healthcare Claims Auditor to join our team. As a key member of our Claims Department, you will be responsible for ensuring the accuracy and compliance of claims processes.Key ResponsibilitiesAudit daily processed claims through random selection, utilizing system-generated reports to identify trends and...