![Diversified Technologies Inc. (DTI)](https://media.trabajo.org/img/noimg.jpg)
Claims Examiner
3 weeks ago
Job Location:9557 Greenleaf Avenue
- Whittier, CA 90601
- Description:
- JOB TITLE: Claims Examiner - Days
- No interviews for this role. Offers based upon resume experience.
- LOCATION: 9557 Greenleaf Avenue, Whittier, CASHIFT: Monday - Friday - 07:00am - 03:30pm** 2 YEARS EXPERIENCE REQUIRED - MUST BE ABLE TO VERIFY HS DIPLOMA or GED or HIGHER EDUCATION**:
- EDUCATION/EXPERIENCE/TRAINING:
- High school graduate or equivalent required. Must have physical proof on hand if background check is unable to verify your education background.
- 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
- COVID-19 Vaccine (Facility Guideline):Required + Booster - Medical/Religious Exemptions and Declinations Allowed
**Job Type**: Contract
Pay: $27.00 - $28.00 per hour
Application Question(s):
- YOU MUST HAVE COVID 19 VACCINATION CARD WITH BOOSTER
**Experience**:
- claims ADJUDICATION: 3 years (preferred)
- ambulatory: 3 years (preferred)
- acute care hospital: 3 years (preferred)
- HMO: 3 years (preferred)
- payment methodologies: 3 years (preferred)
- contract reimbursement: 3 years (preferred)
- Claims Examiner: 3 years (preferred)
Work Location: On the road
-
Claims Examiner
4 weeks ago
Whittier, United States alphapro technology, a.p.r., inc. Full timeOverview: **Responsibilities**: - Review and analyze insurance claims to determine their validity - Investigate potentially fraudulent claims - Utilize auto estimating software to assess damage and costs - Negotiate settlements with claimants or their representatives - Provide exceptional customer service throughout the claims process Qualifications: -...
-
Claims Examiner
2 weeks ago
Whittier, United States APR Consulting Full timeClaims Examiner Location: Whittier, California Type: Contract Job #76499 APR Consulting, Inc. has been engaged to identify a Claims ExaminerLocation: Whittier, CA 90601 Position: Claims Examiner Pay Rate: $29.10/hr. Duration: 13 weeks Expected Schedule: Monday - Friday 7:00 AM - 3:30 PMJob Summary: The claims examiner reports directly to the...
-
Claims Examiner
2 weeks ago
Whittier, United States APR Consulting Full timeClaims Examiner Location: Whittier, California Type: Contract Job #76499 APR Consulting, Inc. has been engaged to identify a Claims ExaminerLocation: Whittier, CA 90601 Position: Claims Examiner Pay Rate: $29.10/hr. Duration: 13 weeks Expected Schedule: Monday - Friday 7:00 AM - 3:30 PMJob Summary: The claims examiner reports directly to the...
-
Claims Examiner
3 days ago
Whittier, United States Diversified Technologies Inc. (DTI) Full timeJob Location:9557 Greenleaf Avenue Whittier, CA 90601 - Description: - JOB TITLE: Claims Examiner - Days - LOCATION: 9557 Greenleaf Avenue, Whittier, CASHIFT: Monday - Friday - 07:00am - 03:30pm - PLEASE NOTE ORIENTATION TIME MAY DIFFER THAN SHIFT TIMES LISTEDDURATION - 13 weeks - 2 YEARS EXPERIENCE REQUIRED - MUST BE ABLE TO VERIFY HS DIPLOMA or GED or...
-
Claims Examiner
4 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...
-
Claims Examiner
1 month 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...
-
Claims Examiner
1 month 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...
-
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...
-
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...
-
Claims Examiner
1 month 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...
-
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...
-
Medical Claims Examiner
2 weeks ago
Whittier, United States The Principle Group Full time**Description**: **JOB TITLE**: Claims Examiner - Days **LOCATION**: 9557 Greenleaf Avenue, Whittier, CA **SHIFT**: Monday - Friday - 07:00am - 03:30pm **DURATION - 13 weeks(extend)** ** 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...
-
Senior Claims Examiner
1 week ago
Whittier, United States PIH Health Full timeThe Senior Claims Examiner administers health plan contracts by processing medical claims in an efficient, cost-effective, and timely manner meeting all required guidelines and performs adjustments as necessary. Some of the duties include handling of Third-Party Liability requests, Out-of-pocket Maximum requests, EDI rejects and other special projects. PIH...
-
Medical Insurance Claims Examiner
4 weeks 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;...
-
Claims Representative
1 week ago
Whittier, United States PIH Health Physicians Full time**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 responsible for...
-
Claims Processor
2 months ago
Whittier, United States alphapro technology, a.p.r., inc. Full timeDescription: JOB TITLE: Claims Examiner - Days LOCATION: 9557 Greenleaf Avenue, Whittier, CA SHIFT: Monday - Friday - 07:00am - 03:30pm ** 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 responsible for the processing functions...
-
Claims Processor
1 month ago
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...
-
Medical Claims Processor
6 days ago
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...
-
Claims Processor
6 days ago
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...
-
Claims Processor
2 months ago
Whittier, United States Synergy Direct LLC Full timeJob DescriptionJob DescriptionClaims ProcessorWhittier, CA.We are currently hiring for a Claims Processor in the Whittier, CA area. We have several opportunities available due to our growing needs! We are specifically looking for entry to mid-level candidates who are interested in a long-term career with opportunities for growth, development, and...