Healthcare Claims Analyst

Job SummaryWe are seeking a skilled Healthcare Claims Specialist to join our team at MedPOINT Management. As a key member of our claims department, you will be responsible for the accurate and timely adjudication of claims, ensuring compliance with regulatory requirements and contractual obligations.Key Responsibilities:Review and analyze incoming claims to...

Job SummaryWe are seeking a skilled Healthcare Claims Specialist to join our team at MedPOINT Management. As a key member of our claims department, you will be responsible for the accurate and timely adjudication of claims, ensuring compliance with regulatory requirements and contractual obligations.Key Responsibilities:Review and analyze incoming claims to...

Job Title: Hospital Claims ExaminerMedPOINT Management is seeking a highly skilled and detail-oriented Hospital Claims Examiner to join our team.Job SummaryThe Hospital Claims Examiner will be responsible for the adjudication of claims, in accordance with outside regulations and the contractual obligations of the Health Plans and/or the Hospital Client. This...

Job OverviewMedPOINT Management is a leading provider of healthcare services, and we are seeking a highly skilled Healthcare Claims Compliance Specialist to join our team.

**Job Summary**Cedars-Sinai is seeking a skilled Claims Examiner to join our team in Managed Care. As a Claims Examiner, you will be responsible for accurately and consistently adjudicating claims in accordance with policies, procedures, and guidelines.**Key Responsibilities:**Process claims according to all CMS and DMHC guidelines.Investigate and complete...

Job Summary:As a Healthcare Data Analyst at Kaiser Permanente, you will play a critical role in supporting Quality and Safety Improvement programs and initiatives. Your primary responsibility will be to provide administrative, facilitation, and technical support functions to ensure the development, implementation, monitoring, and continuous improvement of...

Job SummaryThe Claims Examiner position is a critical role within our organization, responsible for ensuring the accurate and timely adjudication of paper and/or electronically formatted claims received in the CMS 1500 and/or UB-04 format. This position requires a strong understanding of Medicare and Medi-Cal regulatory guidelines, contract provisions, and...

Job OverviewThrifty Management Services, the dedicated MSO for Preferred IPA of California, seeks a skilled Claims Examiner to join their team. As a Claims Examiner, you will play a critical role in ensuring the accurate and timely adjudication of paper and/or electronically formatted claims received in the CMS 1500 and/or UB-04 format.Key...

Job Title: Financial Recovery Data AnalystJob Summary:MedPOINT Management is seeking a highly skilled Financial Recovery Data Analyst to join our team. As a key member of our Auditing & Recoveries department, you will be responsible for overseeing the OB Maternity Kick agreements for our MPM's Hospital & IPA clients.Key Responsibilities:Prepare monthly...

Job Title: Claims ProcessorAt MedPOINT Management, we are seeking a highly skilled and detail-oriented Claims Processor to join our team.Key Responsibilities:Accurately review and process claims in accordance with regulatory requirements and internal production standards.Verify required fields are populated and ensure claims are processed...

Job Title: Medical Claims SpecialistVolt is seeking a highly skilled Medical Claims Specialist to join our team. As a Medical Claims Specialist, you will play a critical role in ensuring timely and accurate payment of medical claims.Key Responsibilities:Review and analyze medical claims to identify potential issues and discrepancies.Communicate with payors...

Job Summary:As a Healthcare Data Analyst, you will provide administrative, facilitation, and technical support functions in the area of Quality and Safety Improvement to support Quality and Safety programs and initiatives. You will contribute to the development, implementation, monitoring, and continuous improvement of Quality and Safety programs and...

Job SummaryThe Enterprise Portfolio Management Office Solutions Analyst is accountable for intake, execution, and managing the oversight of strategic programs and projects approved and budgeted by Leadership.These programs and projects span multiple functions and departments, and are enterprise investments in infrastructure and process excellence.The...

Job SummaryThe Enterprise Portfolio Management Office Solutions Analyst is accountable for intake, execution, and managing the oversight of strategic programs and projects approved and budgeted by Leadership.These programs and projects span multiple functions and departments, and are enterprise investments in infrastructure and process excellence.The...

Job SummaryThe Claims Examiner position is a critical role within our organization, responsible for ensuring the accurate and timely adjudication of paper and/or electronically formatted claims received in the CMS 1500 and/or UB-04 format.Key Responsibilities:Process all claims and applicable claims correspondence in accordance with Medicare and Medi-Cal...

Job SummaryThe Enterprise Portfolio Management Office Solutions Analyst is accountable for intake, execution, and managing the oversight of strategic programs and projects approved and budgeted by Leadership.These programs and projects span multiple functions and departments, and are enterprise investments in infrastructure and process excellence.The...

Job DescriptionWe are seeking a detail-oriented Medicare Claims Appeals Specialist with a comprehensive understanding of Medicare claims processing, including provider contracts, Division of Financial Risk (DOFR), explanation of benefits, and claim edits.Key Responsibilities:Review and process Medicare provider appeals cases for California clients, adhering...

Job OverviewCentury City, CA (In Office Work)Pay Range: $20 - $25/hrKey Responsibilities:Review and manage personal injury claimsCoordinate with insurance companies and healthcare providersVerify claim details and ensure completenessPrepare files for submission to demand writersRequirements:Strong organizational and communication skillsAbility to work with...

Job OverviewThe Business System Analyst plays a pivotal role in the healthcare industry, bridging the gap between business and technology by analyzing and optimizing business processes and systems. This role is crucial in ensuring that healthcare organizations operate efficiently and effectively, meeting the needs of patients and stakeholders.Key...

Care Management Business Data Analyst IIAt L.A. Care Health Plan, we are seeking a highly skilled Data Analyst II for Care Management Business to support our quality and process improvement activities. The successful candidate will produce Care Management (CM) measurements for internal and external reporting, ensuring data quality assurance, process...