Medical Claims Specialist

4 weeks ago


Foothill Ranch, California, United States PrideStaff Full time
Client Services Representative Job Description

We are seeking a skilled Client Services Representative to join our team at PrideStaff. As a Client Services Representative, you will be responsible for providing exceptional customer service to clients, policyholders, and healthcare providers.

Key Responsibilities:

  • Collaborate with clients, policyholders, and healthcare providers to resolve medical cases and provide referrals to clinics and hospitals.
  • Ensure timely and accurate responses to client inquiries and provide updates on claim status.
  • Develop and maintain effective relationships with colleagues and network partners.
  • Review and resolve medical cases in cooperation with other team members and network partners.

Requirements:

  • 1+ years of experience processing medical claims or customer service experience in a business-to-business setting.
  • Familiarity with computer applications and ability to navigate complex systems.
  • Demonstrated ability to listen skillfully, collect relevant information, and respond to customers in a compassionate manner.
  • Proficient in translating health care-related jargon and complex processes into simple instructions.
  • Flexible and able to work in a fast-paced environment.

Compensation: $20-23 per hour, depending on experience, plus a competitive benefits package.



  • Foothill Ranch, California, United States PrideStaff Full time

    Job SummaryWe are seeking a skilled Client Services Representative to join our team at PrideStaff. As a key member of our client services team, you will be responsible for providing exceptional customer service to clients, policyholders, and healthcare providers. Your primary focus will be on assisting clients with live medical cases, providing referrals to...


  • Ladera Ranch, California, United States American Family Care Full time

    Job SummaryAmerican Family Care is seeking a skilled Medical Billing Specialist to join our team. As a Medical Billing Specialist, you will be responsible for organizing and prioritizing incoming claims and denials, evaluating medical claims and coverage policy documentation, and ensuring the effectuation of all decisions as a result of the follow-up of...


  • Ladera Ranch, California, United States American Family Care Ladera Ranch Full time

    Job DescriptionAmerican Family Care Ladera Ranch seeks a skilled Medical Billing Specialist to join our team. As a Medical Billing Specialist, you will be responsible for organizing and prioritizing incoming claims and denials, evaluating medical claims and coverage policy documentation, and ensuring the effectuation of all decisions as a result of the...


  • Foothill Ranch, California, United States Marriott Full time

    Job SummaryWe are seeking a skilled Housekeeping Specialist to join our team at Marriott. As a Housekeeping Specialist, you will be responsible for maintaining the appearance and cleanliness of our hotel.Key ResponsibilitiesMaintain the cleanliness and organization of guest rooms and public areasRestock linens, amenities, and supplies as neededDeliver...

  • Assembly Specialist

    2 months ago


    Foothill Ranch, California, United States Aerotek Full time

    Job SummaryWe are seeking a skilled Assembly Specialist to join our team in Foothill Ranch, California. As an Assembly Specialist, you will be responsible for assembling and inspecting sunglasses from start to finish. Your duties will include screwing, gluing, and fastening individual pieces together, preparing for lens installation, and quality auditing.Key...


  • Foothill Ranch, California, United States Aerotek Full time

    Job Summary: We are seeking a skilled Industrial Coatings Specialist to join our team at Aerotek. As a key member of our production team, you will be responsible for applying coatings to various products using hand guns, spray pumps, and two-component paints.Responsibilities:Loading parts onto racks and cleaning equipmentPreparing and painting...

  • Janitorial Specialist

    4 weeks ago


    Foothill Ranch, California, United States Murgado Automotive Group Full time

    Mercedes-Benz of Foothill Ranch, a part of the renowned Murgado Automotive Group, is seeking a dedicated Janitorial Specialist to help maintain the pristine environment of our state-of-the-art dealership. If you take pride in your work and enjoy contributing to a clean, well-organized, and professional setting, we'd love to have you on our team. Key...


  • Foothill Ranch, California, United States Adecco US, Inc. Full time

    Job SummaryAdecco US, Inc. is currently hiring for a Spray Painter Specialist position at Oakley Inc. in Foothill Ranch, CA.About the JobThis role involves applying paint to sunglass frames using handguns and spray pumps. The ideal candidate will have essential skills in maintaining spray painting equipment safely, conducting quality checks on finished...


  • Foothill Farms, California, United States Optima Medical Full time

    Primary Care SpecialistAt Optima Medical, we are seeking a highly skilled Primary Care Specialist to join our team of healthcare professionals. As a Primary Care Specialist, you will be responsible for providing high-quality patient care, conducting physical examinations, and interpreting lab tests. Your expertise in primary care, acute care, and chronic...


  • Foothill Ranch, California, United States Adecco US, Inc. Full time

    Adecco is hiring for a Spray Painting Specialist at Oakley Inc. in Foothill Ranch, CA. This role involves applying paint to sunglass frames using handguns and spray pumps, ensuring surfaces are properly cleaned and masked beforehand. The ideal candidate will have a minimum of 6 months of experience in spray painting within a manufacturing setting and be...


  • Foothill Ranch, California, United States Kaman Full time

    Project Development SpecialistThe position exists to create, refine, and maintain Bal Seal products (seals, springs and connectors) and manage projects associated with customer inquiries important to the company's growth.As an independent division of the Kaman Corporation, Bal Seal Engineering remains agile and entrepreneurial while leveraging the parent...


  • Foothill Ranch, California, United States Banfield Pet Hospital Full time

    Registered Veterinary Technician OpportunityWe are seeking a skilled Registered Veterinary Technician to join our team at Banfield Pet Hospital. As a key member of our veterinary team, you will play a vital role in providing high-quality care to our furry patients.Key Responsibilities:Provide exceptional patient care, including preventive care and medical...


  • Foothill Ranch, California, United States Banfield Full time

    Role OverviewWe are seeking a skilled Registered Veterinary Technician to join our team at Banfield. As a Registered Veterinary Technician, you will play a vital role in providing high-quality care to our furry, feathered, and scaled patients.Key Responsibilities• Provide exceptional patient care, focusing on preventive care and treatment• Build strong...


  • Foothill Ranch, California, United States Banfield Full time

    Veterinary Assistant Job SummaryThe Veterinary Assistant is a key member of the Banfield team who supports and assists the veterinarians and veterinary technicians, ensuring the safety of pets, clients, and other associates, and the continuity of quality veterinary care.A Day in the Life of a Banfield Veterinary AssistantThe Veterinary Assistant provides...

  • Automotive Technician

    4 weeks ago


    Foothill Ranch, California, United States Murgado Automotive Group Full time

    About Us: Murgado Automotive Group, a family-owned and operated business, is dedicated to delivering exceptional customer service and representing one of the world's most prestigious luxury brands, Mercedes-Benz. We're committed to providing our clients with high-quality experiences every time.Key Responsibilities:Perform high-quality vehicle maintenance and...

  • Lab Technician

    4 weeks ago


    Foothill Ranch, California, United States Bristol Management Services Full time

    Job DescriptionAs a valued member of our team at Bristol Management Services, the Lab Technician will play a crucial role in ensuring that materials are designed, created, and produced according to customer specifications and quality requirements.Key Responsibilities:Develop and implement concrete mix designs that meet customer specifications and quality...


  • Foothill Farms, California, United States CoreCivic Full time

    Job Title: Physician - Correctional Facility Medical DirectorAt CoreCivic, we are seeking a highly skilled Physician to lead our medical team in a correctional facility setting. As a Medical Director, you will be responsible for providing professional medical direction, oversight, and direct patient care to inmates/residents.Key Responsibilities:Provide a...


  • Ladera Ranch, California, United States American Family Care Full time

    Referral Coordinator Job Description**About the Role**We are seeking a skilled Referral Coordinator to join our team at American Family Care. As a Referral Coordinator, you will play a critical role in ensuring the smooth operation of our referral process, working closely with healthcare professionals and patients to coordinate specialist visits and manage...

  • Physical Therapist

    4 weeks ago


    Ladera Ranch, California, United States M & M Physical Therapy Inc Full time

    Job Title: Physical Therapist - Orthopedic SpecialistJob Summary: We are seeking a highly skilled Physical Therapist to join our team at M & M Physical Therapy Inc. As an Orthopedic Specialist, you will be responsible for assessing, planning, and administering rehabilitative programs to improve mobility, relieve pain, and increase strength in patients with...


  • Ladera Ranch, California, United States American Family Care Ladera Ranch Full time

    Job DescriptionAt American Family Care Ladera Ranch, we are seeking a skilled X-Ray Imaging Specialist to join our team. As a key member of our medical staff, you will play a vital role in assisting physicians in diagnosing injuries and diseases.Responsibilities:Greet patients and explain procedures in a compassionate mannerPosition patients appropriately...