Claims Processor
2 weeks ago
Job Title - Claims Processor Job Location - Whittier, CA 90601 Hourly Pay - $30/hr Shift - Day 5x8-Hour (07:00 - 15:30) Job Description - SPECIFIC SKILLS NEEDED Knowledge of HMO/or IPA operations; medical terminology; ICD-10, RVS, and CPT coding knowledge; knowledge of Medicare and Medi-Cal guidelines; 10-key skills by touch; excellent communication skills; knowledge of system applications; ability to function effectively under time deadlines; strong organizational skills. Required: Formal training will be indicated by a high school diploma or equivalent; Four years medical claims processing. DUTIES AND RESPONSIBILITIES 1. Safeguards and preserves the confidentiality of patient's protected health information in accordance with State and Federal (HIPAA) regulatory requirements, hospital and departmental policies. 2. Ensures a safe patient environment and adherence to safety practices per policy. 3. With consideration to age, employee utilizes the approved process to resolve biophysical, psychological, educational and environmental needs of patient/significant other when administering care. 4. Assist the Claims Director in the training and education of the Claims department staff 5. Coordinate the generation and review of claims audit, status and pending claims reports ensuring authorized claims are paid in accordance with company guidelines 6. Investigate, process and track payment adjustments including refunds, overpayments and underpayments 7. Act as a confidential and professional resource for group providers and other staff. 8. Act as a resource for providers, members, insurance carriers, attorneys and co-workers, researching and responding to questions in a timely manner 9. Create, maintain and generate system reports 10.Review and audit member liability denials and Provider Dispute Resolution claims to ensure compliance with regulatory requirements and passing audit scores from health plans
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Claims Processor
2 weeks ago
Whittier, CA, United States Pacer Staffing Full timeJob Title - Claims Processor Job Location - Whittier, CA 90601 Hourly Pay - $30/hr Shift - Day 5x8-Hour (07:00 - 15:30) Job Description - SPECIFIC SKILLS NEEDED Knowledge of HMO/or IPA operations; medical terminology; ICD-10, RVS, and CPT coding knowledge; knowledge of Medicare and Medi-Cal guidelines; 10-key skills by touch; excellent communication skills;...
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Claims Processor
2 weeks ago
Whittier, CA, United States Pacer Staffing Full timeJob Title - Claims Processor Job Location - Whittier, CA 90601 Hourly Pay - $30/hr Shift - Day 5x8-Hour (07:00 - 15:30) Job Description - SPECIFIC SKILLS NEEDED Knowledge of HMO/or IPA operations; medical terminology; ICD-10, RVS, and CPT coding knowledge; knowledge of Medicare and Medi-Cal guidelines; 10-key skills by touch; excellent communication skills;...
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Claims Processor
2 weeks ago
Whittier, United States Pacer Staffing Full timeJob Title - Claims Processor Job Location - Whittier, CA 90601 Hourly Pay - $30/hrShift - Day 5x8-Hour (07:00 - 15:30) Job Description -SPECIFIC SKILLS NEEDEDKnowledge of HMO/or IPA operations; medical terminology; ICD-10, RVS, and CPT coding knowledge; knowledge of Medicare and Medi-Cal guidelines; 10-key skills by touch; excellent communication skills;...
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Claims Processor
2 weeks ago
Whittier, United States Pacer Staffing Full timeJob Title - Claims Processor Job Location - Whittier, CA 90601Hourly Pay - $30/hrShift - Day 5x8-Hour (07:00 - 15:30)Job Description -SPECIFIC SKILLS NEEDEDKnowledge of HMO/or IPA operations; medical terminology; ICD-10, RVS, and CPT coding knowledge; knowledge of Medicare and Medi-Cal guidelines; 10-key skills by touch; excellent communication skills;...
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Claims Processor
2 weeks ago
Whittier, United States Pacer Staffing Full timeJob DescriptionJob Title - Claims Processor Job Location - Whittier, CA 90601Hourly Pay - $30/hrShift - Day 5x8-Hour (07:00 - 15:30)Job Description -SPECIFIC SKILLS NEEDEDKnowledge of HMO/or IPA operations; medical terminology; ICD-10, RVS, and CPT coding knowledge; knowledge of Medicare and Medi-Cal guidelines; 10-key skills by touch; excellent...
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Whittier, United States Aya Healthcare Full timeA healthcare staffing company in Whittier, CA is seeking a Claims Processor to join their team. This role requires at least 1 year of experience in claims processing. The position offers exceptional benefits starting from day one, including medical, dental, and vision insurance, a generous 401(k) match, and paid company housing. The expected pay ranges from...
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Veteran Claims Processor
2 weeks ago
San Francisco, CA, United States LHH Full timeClaims Processor Position Summary: The Claims Processor provides customer service and processes routine health, and welfare claims on assigned accounts according to plan guidelines and adhering to Company policies and regulatory requirements. Location: On-site - San Francisco, California 94104 Compensation: $27.00 per hour Benefit offerings include...
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Claims Auditor
2 hours ago
Whittier, California, United States Pacer Group Full timeJob Title :Claims Auditor / Claims ProcessorLocation: Whittier, CAStart Date: (Immediate Start)Duration: 13 weeksSchedule Shift: Days | 7:00 AM – 3:30 PM | 8-hour days | 40-hour guaranteePay Rate:$30/hourDescription:TITLE: Claims Auditor / Claims ProcessorPIH Health Physicians is seeking an experiencedClaims Auditor / Claims Processorto support the Claims...
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Medical Claims Processor
3 hours ago
Whittier, California, United States Managed Staffing, Inc. Full timeTITLE: Claims AuditorPOSITION SUMMARYThe Claims Auditor assists in the Claims Department by analyzing procedures, policies and reports; ensures appropriate payment of claims and maintenance of the claims system as necessary.SPECIFIC SKILLS NEEDEDKnowledge of HMO/or IPA operations; medical terminology; ICD-10, RVS, and CPT coding knowledge; knowledge of...
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Medical Claims Processor
2 weeks ago
Whittier, CA, United States Pacer Group Full timeJob Title : Claims Examiner Location: Whittier, CA Start Date: January 19, 2026 Duration: 13 weeks Schedule Shift: Monday–Friday | 7:00 AM – 3:30 PM (Day Shift) 5x8s-Hour, 40 hours/week Pay Rate: $28/hour Description : PIH Health Physicians is seeking experienced Claims Examiners to support claims adjudication and payment processing for...
