Medical Claims Examiner
7 days ago
We are seeking a detail-oriented Medical Claims Examiner to join our team at Optum, a global organization that delivers care and technology to help millions of people live healthier lives.
As a Medical Claims Examiner, you will play a critical role in ensuring the accurate processing of medical claims, working closely with insurance carriers and patients to resolve outstanding claims. This is a full-time position with a competitive salary range of $16.54 - $32.55 per hour, based on various factors including local labor markets, education, work experience, and certifications.
Key Responsibilities:- Contacting insurance carriers/patients regarding outstanding insurance claims to obtain proper payment
- Preparing documentation for appeals to insurance carriers
- Ensuring all accounts are set up correctly in the computer using knowledge of A/R software, understanding of eligibility requirements, and use of the internet
- Having thorough knowledge of insurance carrier procedures and processes
- Understanding contract reimbursement rates for individual carriers/networks
- Processing refunds when applicable
- Investigating and correcting prepayments
- High School diploma/GED equivalent
- Must be 18 years of age or older
- 1+ years of experience in medical insurance billing
- Ability to work any of our 8-hour shift schedules during our normal business hours of 7am – 4pm, with occasional overtime as needed
Optum is committed to delivering equitable care that addresses health disparities and improves health outcomes. We strive to create a healthy atmosphere by promoting diversity, equity, and inclusion in all aspects of our business. UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity, or expression.
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Insurance Claim Specialist
7 days ago
Redlands, California, United States Optum Full timeCompany OverviewOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. Our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone – of every race, gender, sexuality, age, location, and income – deserves the opportunity to live...
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Redlands, California, United States West Coast Dermatology Billers Full timeAbout the RoleWe are seeking a highly skilled Dermatology Billing Specialist to join our team at West Coast Dermatology Billers. As a key member of our team, you will be responsible for managing medical billing, accounts receivable, and ensuring timely payment from insurance companies.Key Responsibilities:Review and process outstanding claims, identifying...
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Emergency Medical Services Specialist
2 weeks ago
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Medical Care Specialist
1 day ago
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Emergency Medical Care Specialist
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Emergency Medical Care Specialist
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Medical Emergency Care Specialist
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Emergency Medical Technician
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Redlands, California, United States Georgia Medical Staffing Full timeJob OverviewGeorgia Medical Staffing is currently seeking a skilled physician to join our team in an ongoing outpatient locums opportunity. This role will be based in various locations across California, including Banning, Beaumont, Colton, Highland, Redlands, and/or Yucaipa.About the JobThis full-time position comes with a competitive hourly rate of $200....
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Redlands, California, United States Optum Full timeOptum is a clinician-led care organization transforming the way healthcare professionals work and live. As a member of our Care Delivery team, you will play a crucial role in our vision to make healthcare better for everyone.Job OverviewAs a Nurse Practitioner or Physician Assistant at Optum, you will provide direct patient care, including physical...
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Primary Care Physician
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Emergency Response Paramedic Specialist
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Family Medicine Specialist
7 days ago
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Primary Care Physician Specialist
2 weeks ago
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Primary Care Physician
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Medical Scheduler
2 months ago
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Medical Scheduler
4 days ago
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Med-Medical Assistant
3 weeks ago
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Med-Medical Assistant
3 weeks ago
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Med-Medical Assistant
4 weeks ago
Redlands, United States T&T Staffing, Inc. Full timeJob DescriptionJob DescriptionJob Position: Outbound AssistantLocation: Sacramento, CA Pay Rate: $19.00 - $20.00 Outbound AssistantAmazing office in Northern California is looking for Outbound Assistants to work at various locations in the Sacramento, CA and surrounding Area. Hourly pay and mileage reimbursement.The Assistant will be providing back-office...
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Redlands, United States Georgia Medical Staffing! Full timeGeorgia Medical Staffing is in need of a physician in either FP, IM for an ongoing outpatient locums opportunity. This practice has multiple locations in CA: Banning, Beaumont, Colton, Highland, Redlands, and/or Yucaipa.Details:-Full-time-Schedule: M-F; 8:00 a.m. 5:00 p.m. with 1-hour available for lunch.-Approximately 18-20 patients seen per day-Examines,...
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Redlands, United States Georgia Medical Staffing! Full timeGeorgia Medical Staffing is in need of a physician in either FP, IM for an ongoing outpatient locums opportunity. This practice has multiple locations in CA: Banning, Beaumont, Colton, Highland, Redlands, and/or Yucaipa.Details:-Full-time-Schedule: M-F; 8:00 a.m. 5:00 p.m. with 1-hour available for lunch.-Approximately 18-20 patients seen per day-Examines,...
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Redlands, United States Georgia Medical Staffing! Full timeGeorgia Medical Staffing is in need of a physician in either FP, IM for an ongoing outpatient locums opportunity. This practice has multiple locations in CA: Banning, Beaumont, Colton, Highland, Redlands, and/or Yucaipa.Details:-Full-time-Schedule: M-F; 8:00 a.m. 5:00 p.m. with 1-hour available for lunch.-Approximately 18-20 patients seen per day-Examines,...
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Billing Representative
4 months ago
Redlands, United States Optum Full timeOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...
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Billing Representative
3 weeks ago
Redlands, United States Optum Full timeJob DescriptionOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity...
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Billing Representative
2 months ago
Redlands, United States Optum Full timeOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...
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Billing Representative
10 hours ago
Redlands, United States Optum Full timeOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...
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Billing Representative
2 weeks ago
Redlands, United States Optum Full timeJob DescriptionOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and...
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Med-Medical Assistant
3 weeks ago
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Provider Service Representative
2 weeks ago
Redlands, United States Optum Full timeOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...
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Provider Service Representative
3 weeks ago
Redlands, United States Optum Full timeOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...
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Family Practice
1 month ago
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Family Practice
4 weeks ago
Redlands, United States Integrity Locums Full timeCoverage Needed As soon as credentialed - January 31, 2025 Schedule Monday - Friday 8am-5pm Clinical Details All ages 18-20 patients per day Job Duties: See patients for acute care and general health maintenance Examine patients, take medical histories, diagnose injuries, prescribe treatments, order tests, perform tests, and interpret test results...
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Family Practice
5 days ago
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Payroll Admin
6 months ago
Redlands, United States Tom Bell Chevrolet Full timeTom Bell Chevrolet believes that no organization is any better than the people who work for it. Therefore, it is of the utmost importance that we set high standards of integrity with an enthusiastic attitude in all that we do.We promise to maintain a well-trained workforce and a safe, modern facility in order to render our customers the best possible...