Current jobs related to Claims Analyst - Sacramento - Pacific ExecSearch
-
Claims Analyst
2 weeks ago
Sacramento, United States A-Line Staffing Solutions Full time $17Job DescriptionJob DescriptionA-Line Staffing is now hiring Claims Analyst in Sacramento, CA. The Claims Analyst would be working for a Major Healthcare Company and has career growth potential. Claims Analyst Highlights:Fully remote for candidates local to PST or MST time zones onlyHours: M-F 8:00AM – 4:30PM for first two weeks then can start as early as...
-
Lead Claims Analyst
1 week ago
Sacramento, California, United States Ryder System, Inc. Full timeLead Claims Analyst at Ryder System, Inc. Location: Remote Overview The Lead Claims Analyst at Ryder System, Inc. plays a crucial role in overseeing intricate bodily injury and property damage claims within the organization's liability framework. This position requires thorough investigation, claim adjustment, and the management of various...
-
Claims Management Specialist
4 days ago
Sacramento, California, United States Sacramento County CA Full timePosition Overview Join a recognized leader in employee welfare and benefits management. The Workers' Compensation Claims Analyst is responsible for delivering expert claims services within the framework of the County's self-insured Workers' Compensation Program. This role involves overseeing indemnity claims, participating in hearings and conferences,...
-
Revenue Cycle Analyst
3 weeks ago
Sacramento, United States Retinal Consultants Full timeDescription Come and join our team! We are a local growing private medical practice specializing in the diagnosis and treatment of patients with diseases of the retina and vitreous. We are looking for individuals who would like to establish a career in healthcare working for a company with nationally recognized physicians. We provide on the job training...
-
Governmental Program Analyst
14 hours ago
Sacramento, California, United States California State Controller's Office Full timeJob SummaryThe California State Controller's Office is seeking a highly skilled and detail-oriented Associate Governmental Program Analyst to join our team in the Unclaimed Property Division. As a key member of our team, you will be responsible for performing complex technical analytical assignments related to program evaluation and planning.Key...
-
Acquisition Support Analyst
2 weeks ago
Sacramento, United States Fluor Full timeAt Fluor, we are proud to design and build projects and careers. This requires teams that are as unique as the projects we execute. We are committed to fostering a work environment that embraces Diversity, Equity, and Inclusion (DE&I) for all so our employees and stakeholders benefit from the creative solutions derived as a result of embracing...
-
Sacramento, United States California State Controller's Office Full timeScope of Position: The mission of the Property Owner Advocate (POA) is to assist individuals, businesses, and local government who have been unable to resolve their unclaimed property issue in a timely manner. The Advocate works with the constituents to use all administrative remedies available to resolve all inquiries received. Under direction...
-
Sacramento, California, United States California State Controller's Office Full timePosition Overview:The Property Owner Advocate (POA) aims to assist individuals, businesses, and local government entities in efficiently resolving unclaimed property issues. The Advocate collaborates with various stakeholders to employ all available administrative solutions for effective inquiry resolution.Under the supervision of the POA Staff Services...
-
Sacramento, California, United States California State Controller's Office Full timePosition Overview:The Property Owner Advocate (POA) aims to assist individuals, businesses, and local governmental bodies facing difficulties in resolving unclaimed property issues efficiently. The Advocate works collaboratively with various stakeholders to leverage all available administrative solutions to effectively address inquiries.Under the supervision...
-
Sacramento, California, United States California State Controller's Office Full timePosition Overview:The Property Owner Advocate (POA) aims to assist individuals, businesses, and local governmental bodies in effectively addressing their unclaimed property issues. The Advocate works in collaboration with various stakeholders to leverage all available administrative solutions for efficient inquiry resolution.Under the supervision of the POA...
-
Governmental Program Analyst
16 hours ago
Sacramento, California, United States California State Controller's Office Full timeJob SummaryThe California State Controller's Office is seeking a highly skilled and experienced professional to serve as a Communications and Publications Analyst. This role will be responsible for independently performing complex technical, analytical, design, quality assurance, editorial, and consultative services to meet audit and reporting...
-
Healthcare Revenue Cycle Specialist
4 days ago
Sacramento, California, United States Retinal Consultants Full timePosition Overview:We are a prominent private medical practice focused on the diagnosis and treatment of retinal and vitreous diseases. Our organization is seeking a dedicated full-time Revenue Cycle Analyst to enhance our operational efficiency. This role will report directly to the Revenue Cycle Manager (RCM), who oversees the RCM team.Key...
-
Healthcare Revenue Cycle Specialist
1 week ago
Sacramento, California, United States Retinal Consultants Full timePosition Overview:We are a reputable medical practice focused on the diagnosis and treatment of retinal and vitreous diseases. We are seeking a dedicated individual to fill the role of a full-time Revenue Cycle Analyst. This position will report directly to the Revenue Cycle Manager, who oversees the operations of the Revenue Cycle Management team.Key...
-
Healthcare Revenue Cycle Specialist
1 week ago
Sacramento, California, United States Retinal Consultants Full timeAbout Us: We are a prominent private medical practice dedicated to the diagnosis and treatment of retinal and vitreous diseases. Our organization prides itself on employing nationally recognized physicians and providing exceptional healthcare services. Position Overview: We are seeking a full-time Revenue Cycle Analyst to enhance our operations. This role...
-
Insurance Risk Analyst II
1 week ago
Sacramento, California, United States California Dental Association Full timePosition OverviewThis role is primarily remote, with occasional in-office meetings and training sessions. Candidates located in the Sacramento area are preferred.Compensation: $70,000 - $90,000The Insurance Underwriter II is responsible for making informed decisions regarding risk acceptability by utilizing underwriting principles through loss exposure...
-
Benefits Program Coordinator
20 hours ago
Sacramento, California, United States Sacramento County CA Full timeJob SummaryWe are seeking a highly skilled Employee Benefits Analyst to join our team at Sacramento County CA. The ideal candidate will have a strong background in benefits administration, excellent analytical and communication skills, and the ability to work effectively in a fast-paced environment.Key ResponsibilitiesAssist in the development and...
-
Health Insurance Specialist
14 hours ago
Sacramento, California, United States Sacramento County CA Full timeJob SummaryWe are seeking a highly skilled Employee Benefits Analyst to join our team at Sacramento County CA. The ideal candidate will have a strong background in benefits administration and a passion for delivering exceptional service to our employees.Key ResponsibilitiesAssist in the development and administration of health, dental, and life insurance...
-
Associate Governmental Program Analyst
3 months ago
Sacramento, United States California State Controller's Office Full timeScope of Position: Under general direction provided by the Staff Services Manager I, and operating at the full-journey level, the incumbent serves as a Communications and Publications Analyst for the Division of Audits (Audits) and various divisions within the State Controller’s Office (SCO), and is responsible for independently performing the most...
-
Business Consultant- HealthRules Payer
1 month ago
Sacramento, California, United States HealthEdge Software Inc Full timeOverview Position Overview: As part of the HealthEdge Professional Services team, theHRPBusiness Consultant is a client-facing role which guides our customers through theirimplementationof our software.This position requires a candidate to perform the responsibilities of a Computer Software/Systems Analyst to include but not limited to creation,...
-
Business Consultant- HealthRules Payer
4 weeks ago
Sacramento, United States HealthEdge Software Inc Full timeOverview Position Overview: As part of the HealthEdge Professional Services team, theHRPBusiness Consultant is a client-facing role which guides our customers through theirimplementationof our software.This position requires a candidate to perform the responsibilities of a Computer Software/Systems Analyst to include but not limited to creation,...
Claims Analyst
2 months ago
A busy healthcare organization is looking to hire a Claims Analyst to support their corporate office in Sacramento. This is a 3-6 month contract opportunity with a progressive organization who specializes in connecting people with support resources and access to healthcare. Possible opportunity to be hired as internal positions open The Claims Analyst will be responsible for the accurate and timely processing of HCFA and UB claims and adjustments to previously processed claims and completing denied claims due to eligibility and coding. Pay: $20-$22/hour DOE.
The ideal candidate will have at least one year of experience with claims processing and claims adjudication.
RESPONSIBILITIES:
- Review and process medical claims in accordance with company policies and procedures.
- Determine coverage, complete eligibility verifications, and identify discrepancies.
- Review claims or referral submissions to determine, review, or apply appropriate guidelines, member identification processes, provider selection, and claim coding, including procedure, diagnosis, and pre-coding requirements.
- Check for erroneous items or codes, missing information and make corrections according to policies and procedures.
- Maintain claims production standard, and consistently meet quality standards.
- Receive, sort, and organize incoming claims for scanning.
- Update and correct denied claims.
- Prepare and mail out daily claims correspondence.
- Research, update and/or correct member eligibility.
- 1 year of claims adjudication or claims processing experience required.
- 1 years in managed care claims processing desired.
- High School Diploma required, Associate's degree preferred.
- HMO/IPA experience strongly preferred.
- Familiarity with ICD-9/10, HCPCS, CPT coding, modifiers, DMHC regulations, facility, and professional claim billing practices.
- Ability to maintain quality goals in a production driven environment.
- Follow through on commitments and meets deadlines.
- Excellent communication skills, including both oral and written.
Meet Your Recruiter
Karleen Rocheleau
var isBannerImage = ''; // if isBannerImage is empty or undefined if(isBannerImage''){ jQuery('.jb-recruiter-profile-picture').css('left', '0'); jQuery('.jb-recruiter-profile-picture').css('bottom', '0'); }
