Medical Claims Specialist
3 days ago
We are seeking a highly organized and detail-oriented Medical Claims Specialist to join our team at Agendia. As a Medical Claims Specialist, you will play a critical role in ensuring the timely and accurate processing of medical claims and appeals.
Key Responsibilities- Collect and process medical claims and appeals in compliance with relevant laws and regulations.
- Communicate with insurance companies, hospitals, and patients to resolve claim issues and obtain necessary documentation.
- Prepare and submit medical appeals and payer reviews in a timely and accurate manner.
- Process and follow up on patient copays and deductible amounts due.
- Interface with insurance company representatives, doctor's offices, and hospitals to resolve billing inquiries and schedule of services.
- Assist in the development of new procedures and systems to enhance productivity and efficiency.
- High school diploma or general education degree.
- 3+ years of related experience in medical billing, insurance claims, or a related field.
- Advanced technical knowledge of Microsoft products (Excel, Word, Outlook).
- Strong organizational skills, attention to detail, and ability to manage multiple tasks independently.
- Excellent problem resolution, customer service, and communication skills.
Our Medical Claims Specialist will work in a general office environment with a clean, neat, and orderly workspace. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
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Claims Processing Specialist
3 weeks ago
Irvine, California, United States Western Growers Full timeBecome a vital part of our team as a Claims Processing Specialist at Western GrowersOverviewAssist the claims division by managing claim documentation and associated communications.RequirementsHigh school diploma or equivalent with 1-3 years of relevant experience preferred.Familiarity with healthcare eligibility protocols and HIPAA compliance.Proficient in...
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Claims Specialist
1 day ago
Irvine, California, United States Lincoln Financial Group Full time{"title": "Claims Specialist", "description": "Job SummaryWe are seeking a skilled Claims Specialist to join our team at Lincoln Financial Group. As a Claims Specialist, you will be responsible for communicating with claimants, employers, and medical professionals to gather necessary claim information and manage the claim process from initial request to...
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Claims Specialist
2 weeks ago
Irvine, California, United States ARC Group Full timeJob OverviewCLAIMS SPECIALIST (Professional Liability - REMOTE)ARC Group is in search of experienced Claims Specialists with a background in professional liability, specifically in Miscellaneous Professional Liability (MPL) or Architect & Engineer Liability claims. These positions offer flexibility to work onsite, in a hybrid model, or fully remote. The role...
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Claims Adjuster
3 weeks ago
Irvine, California, United States ARC Group Full timeJob OverviewPosition: Claims Adjuster (Professional Liability - Remote)ARC Group is on the lookout for experienced Claims Adjusters specializing in professional liability, particularly in the areas of Miscellaneous Professional Liability (MPL) and Architect & Engineer Liability claims. These positions offer flexibility to work remotely, hybrid, or onsite in...
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Medical Claims Supervisor
2 weeks ago
Irvine, California, United States Brightpath Associates LLC Full timeJob OverviewYou'll be working as a Billing Supervisor in a dynamic healthcare environment, overseeing a team responsible for processing medical claims. The position involves leadership, managing billing procedures, and ensuring accuracy in billing operations.Key ResponsibilitiesSupervise Billing Department:Ensure all medical claims are processed accurately...
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Healthcare Claims Specialist
3 weeks ago
Irvine, California, United States Agendia Full timeCOMPENSATION:Incentive opportunities ranging from $1,000 to $9,000 per quarter.OBJECTIVE OF THE ROLE:The Patient Advocate Representative is responsible for monitoring the progress of submitted claims and invoices, requesting medical documentation as necessary, and preparing various medical appeals for submission to insurance providers. This role ensures...
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Claims Resolution Specialist
3 weeks ago
Irvine, California, United States Agendia Full timeCOMPENSATION:Lucrative incentive opportunity ranging from $1,000-$9,000 per quarter.OBJECTIVE OF THE ROLE:The Patient Advocate Representative is responsible for monitoring the progress of submitted claims and invoices, obtaining necessary medical records, and preparing various medical appeals for submission to insurance providers. This role ensures timely...
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Claims Coordinator
2 weeks ago
Irvine, California, United States Western Growers Full timeClaims Coordinator Job SummaryAbout Western GrowersWestern Growers is a leading agricultural organization seeking a skilled Claims Coordinator to join our team. As a Claims Coordinator, you will play a critical role in supporting our claims department by preparing claim receipts and related correspondence.Key ResponsibilitiesSupport the claims department by...
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Claims Adjuster
3 weeks ago
Irvine, California, United States ARC Group Full timeJob OverviewCLAIMS ADJUSTER (Professional Liability - REMOTE)ARC Group is in search of experienced Claims Adjusters specializing in professional liability, particularly in Miscellaneous Professional Liability (MPL) or Architect & Engineer Liability claims. These positions offer flexibility to work onsite, in a hybrid model, or fully remote. The primary...
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Claims Resolution Specialist
3 weeks ago
Irvine, California, United States Agendia Full timeCOMPENSATION:Lucrative incentive opportunity ranging from $1,000-$9,000 per quarter.OBJECTIVE OF THE ROLE:The Healthcare Billing Advocate is responsible for monitoring the progress of submitted claims and invoices, obtaining necessary medical documentation, and preparing various medical appeals for submission to insurance providers. This role ensures timely...
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Pharmacy Claims Specialist
3 weeks ago
Irvine, California, United States Jobot Full timePharmacy Intake RepresentativeThis position is hosted by Jobot.About the Company:Our client is a prominent provider in infusion therapy services, offering specialized care administered by trained infusion nurses. These services are available at various locations, including standalone facilities, physician offices, or patients' homes, ensuring personalized...
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Pharmacy Claims Specialist
2 weeks ago
Irvine, California, United States Jobot Full timePharmacy Intake RepresentativeThis position is hosted by Jobot.About the Company:Our client is a prominent provider in infusion therapy services, offering specialized care administered by trained infusion nurses. These services are delivered in various settings, including standalone facilities, medical offices, or the comfort of patients' homes. Each site is...
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Personal Injury Claims Specialist
2 weeks ago
Irvine, California, United States Macdonald & Cody, LLP Full timeAbout Macdonald & Cody, LLPWe are a reputable insurance defense litigation firm specializing in personal injury and catastrophic injury claims. Our team is dedicated to providing exceptional service to our clients and we are seeking a skilled paralegal to join our growing pre-litigation team.ResponsibilitiesPre-Litigation Settlement Analysis: Review and...
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Irvine, California, United States Crowell & Moring Full timeJob OverviewCrowell & Moring LLP is a globally recognized law firm with a presence across the United States, Europe, MENA, and Asia, representing clients in various legal matters including litigation, arbitration, regulatory issues, and corporate transactions. The firm is well-known for its advocacy on behalf of Fortune 500 companies in complex legal...
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Pharmacy Claims Specialist
2 weeks ago
Irvine, California, United States Jobot Full timePharmacy Intake RepresentativeThis position is hosted by Jobot.About Us:Our organization is recognized as a frontrunner in infusion therapy solutions. Our services, administered by specially trained infusion nurses, are offered at various locations, including standalone facilities, physician offices, or directly in patients' homes. Each site delivers...
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Revenue Cycle Specialist III
1 week ago
Irvine, California, United States Currance Full timeJob Title: Revenue Cycle Specialist IIIAbout the Role:Currance is seeking a highly skilled Revenue Cycle Specialist III to join our team. As a key member of our revenue cycle team, you will be responsible for ensuring the continuation of revenue flow by overseeing proper claim submission and payment through review and correction of claim edits, errors, and...
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Revenue Cycle Specialist II
1 week ago
Irvine, California, United States Currance Full timeJob OverviewWe are seeking a skilled Revenue Cycle Specialist II to join our team at Currance. As a key member of our revenue cycle team, you will be responsible for overseeing and working account receivables for physician claims to ensure client compliance.Key Responsibilities:Submit physician medical claims in accordance with federal, state, and payer...
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Oncology Pharmacy Specialist
3 weeks ago
Irvine, California, United States City of Hope Full timeOncology Pharmacy Specialist at City of HopeCity of Hope stands at the forefront of healthcare, committed to delivering cutting-edge treatment in the battle against cancer, diabetes, and other serious health conditions. We are in search of an Oncology Pharmacy Specialist to become a vital member of our dynamic team, dedicated to enhancing patient care and...
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Medical Specialist
2 weeks ago
Irvine, California, United States UCI School of Medicine Full timeJob Title: Medical Specialist at UCI School of MedicinePosition OverviewSalary Range: Specialist Series - All LevelsA competitive estimate for this position is $53-Position DescriptionThe Department of Medicine at UCI School of Medicine has openings in the Specialist Series in various divisions:ImmunologyInfectious DiseasesCardiologyNephrology and...
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Irvine, California, United States Crowell & Moring Full timeJob OverviewCrowell & Moring LLP is a globally recognized law firm with a presence across the United States, Europe, MENA, and Asia, providing representation in litigation, arbitration, regulatory, policy, and corporate matters. The firm is well-known for its advocacy for Fortune 500 companies in complex litigation and government-related issues, alongside...