Claims Operations Coordinator III

Position OverviewThe Claims Operations Coordinator III plays a vital role in the management of health insurance claims. This position requires a thorough understanding of claims adjudication processes, including the handling of disputes, appeals, and grievances.Key ResponsibilitiesUtilize knowledge of regulatory guidelines to ensure compliance and interpret...

Position OverviewWe are seeking a dedicated Claims Operations Coordinator III to join our team at Kaiser Permanente. This role is essential in ensuring the smooth processing of health insurance claims.Key ResponsibilitiesManage the adjudication process for health insurance claims, ensuring compliance with regulatory standards.Address and resolve disputes,...

Salary Range:  $171,925.00 (Min.) - $232,100.00 (Mid.) - $292,274.00 (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 million members,...

Job DescriptionJob DescriptionThe reporting coordinator is responsible for ensuring accurate, timely, and efficient reporting and input of data related to all claim functions. Reporting to the Claims Analyst, the primary functions of this position are to manage scheduled and ad hoc reporting needs.  The position will play a significant role in supporting...

Worker's Compensation Claims Coordinator Job DescriptionLocation: Los Angeles, CARole Overview: The Claims Management Coordinator will collaborate closely with the HR Analyst to ensure effective handling of Workers' Compensation claims and related processes.Manage and oversee HR Medical, Accommodations, and Workers' Compensation communications.Address...

Join Our Team as a Personal Injury Claims CoordinatorWilshire Law Firm is on the lookout for a dedicated and knowledgeable Personal Injury Claims Coordinator to enhance our team.As an integral part of our Personal Injury Pre-Litigation division, you will oversee a substantial caseload of pre-litigation claims, ensuring our clients receive the rightful...

Job OverviewPosition Summary:The Claims Operations Support Specialist plays a crucial role in facilitating the daily functions of the claims department. This position is designed to assist various sub-departments within Claims Operations, ensuring seamless workflow and efficiency.Key Responsibilities:• Digitally archive claims and relevant documents into...

Job OverviewWe are looking for a dedicated Personal Injury Claims Coordinator to support our legal team. This role involves assisting clients who have suffered injuries from various incidents, including vehicular accidents, slips and falls, and other personal injury cases. This position offers a hybrid work model, requiring in-office attendance two days a...

Job DescriptionJob DescriptionGENERAL SUMMARYThe Claims Examiner position is primarily responsible for the accurate and timely adjudication of paper and/or electronically formatted claims received in the CMS 1500 and/or UB-04 format. The Examiner processes all claims and applicable claims correspondence in accordance with Medicare and Medi-Cal regulatory...

Job DescriptionJob DescriptionGENERAL SUMMARYThe Claims Examiner position is primarily responsible for the accurate and timely adjudication of paper and/or electronically formatted claims received in the CMS 1500 and/or UB-04 format. The Examiner processes all claims and applicable claims correspondence in accordance with Medicare and Medi-Cal regulatory...

Job DescriptionJob Description GENERAL SUMMARY In order to make an application, simply read through the following job description and make sure to attach relevant documents. The Claims Examiner position is primarily responsible for the accurate and timely adjudication of paper and/or electronically formatted claims received in the CMS 1500 and/or UB-04...

POSITION SUMMARYThe Claims Assessment Specialist plays a crucial role in ensuring the precise and prompt evaluation of both paper and electronic claims submitted in CMS 1500 and UB-04 formats. This role involves processing all claims and relevant correspondence in alignment with Medicare and Medi-Cal regulatory standards, contractual obligations, and...

Job Description GENERAL SUMMARY The Claims Examiner position is primarily responsible for the accurate and timely adjudication of paper and/or electronically formatted claims received in the CMS 1500 and/or UB-04 format. The Examiner processes all claims and applicable claims correspondence in accordance with Medicare and Medi-Cal regulatory guidelines,...

Job DescriptionAs a Physician Billing Coordinator III, you will provide coding and educational support to clinical areas in the scope of coding, reimbursement and compliance with payer coding and billing requirements. Coordinates some insurance information and the review of charges in the Epic Charge Review Work queue. Provides feedback physician client base...

POSITION SUMMARYThe Claims Processing Specialist is tasked with ensuring the precise and prompt evaluation of claims submitted in CMS 1500 and/or UB-04 formats. This role involves managing all claims and related correspondence in compliance with Medicare and Medi-Cal regulations, contractual obligations, and established operational protocols. The Specialist...

Salary Range: $171, Min.) - $232, Mid.) - $292, 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 million members, we make sure our members get...

Job 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 ability to...

Job DescriptionJob DescriptionPlease ensure you read the below overview and requirements for this employment opportunity completely. 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...

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...