Current jobs related to Healthcare Claims Analyst - Los Angeles, California - MedPOINT Management
-
Healthcare Claims Analyst
2 months ago
Los Angeles, California, United States MedPOINT Management Full timePosition OverviewThe role of a Healthcare Claims Analyst encompasses the evaluation and processing of claims, ensuring adherence to industry regulations and contractual obligations. This position requires investigating and resolving complex claims issues while proposing improvements to existing processes. The analyst also acts as a crucial resource for the...
-
Healthcare Claims Specialist
2 weeks ago
Los Angeles, California, United States MedPOINT Management Full timeJob 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...
-
Healthcare Claims Specialist
2 weeks ago
Los Angeles, California, United States MedPOINT Management Full timeJob 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...
-
Healthcare Claims Auditor
2 months ago
Los Angeles, California, United States MedPOINT Management Full timeJob SummaryMedPOINT Management is seeking a skilled Healthcare Claims Auditor to join our team. As a key member of our Claims Department, you will be responsible for ensuring the accuracy and compliance of claims processes.Key ResponsibilitiesAudit daily processed claims through random selection, utilizing system-generated reports to identify trends and...
-
Healthcare Financial Analyst
2 months ago
Los Angeles, California, United States MedPOINT Management Full timeJob DescriptionOverview:The Healthcare Financial Analyst plays a crucial role within the Finance department, delivering essential financial insights, accounting support, and strategic planning assistance to the Finance Leadership Team. This position is accountable for the accurate and timely completion of monthly accounting close processes, balance sheet...
-
Healthcare Claims Specialist
2 weeks ago
Los Angeles, California, United States MedPOINT Management Full timeJob 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...
-
Claims Quality Assurance Specialist
3 weeks ago
Los Angeles, California, United States BroadPath Healthcare Solutions Full timeClaims Quality Auditor RoleBroadPath Healthcare Solutions is seeking a skilled Claims Quality Auditor to ensure the integrity of our claims processing system. As a Claims Quality Auditor, you will play a vital role in maintaining the accuracy and efficiency of our claims processing workflows.Key Responsibilities:Conduct thorough audits of claims processing...
-
Claims Examiner
2 weeks ago
Los Angeles, California, United States Cedars-Sinai Full time**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...
-
Healthcare Data Analyst
7 days ago
Los Angeles, California, United States Kaiser Permanente Full timeJob 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...
-
Claims Examiner
4 weeks ago
Los Angeles, California, United States Preferred IPA of California Full timeJob 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...
-
Claims Examiner
2 weeks ago
Los Angeles, California, United States Preferred IPA of California Full timeJob 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...
-
Data Analyst
4 days ago
Los Angeles, California, United States MedPOINT Management Full timeJob 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...
-
Senior Workers' Compensation Claims Specialist
4 weeks ago
Los Angeles, California, United States LanceSoft Full timeJob DescriptionLanceSoft is seeking a skilled Workers' Compensation Claims Analyst to join our team. As a key member of our team, you will be responsible for ensuring that temporary workers supplied to LACMTA meet the qualifications outlined in the job description.The ideal candidate will have excellent analytical and problem-solving skills, with the ability...
-
Claims Processor
2 weeks ago
Los Angeles, California, United States MedPOINT Management Full timeJob 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...
-
Medical Claims Specialist
2 weeks ago
Los Angeles, California, United States Volt Full timeJob 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...
-
Healthcare Data Analyst
2 weeks ago
Los Angeles, California, United States Kaiser Permanente Full timeJob 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...
-
Healthcare Business Systems Analyst
1 week ago
Los Angeles, California, United States ShiftCode Analytics Full timeJob 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...
-
Healthcare Business Systems Analyst
2 weeks ago
Los Angeles, California, United States ShiftCode Analytics Full timeJob 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...
-
Medical Claims Examiner
2 weeks ago
Los Angeles, California, United States Preferred IPA of California Full timeJob 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...
-
Healthcare Business Systems Analyst
7 days ago
Los Angeles, California, United States ShiftCode Analytics Full timeJob 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...
Healthcare Claims Analyst
2 months ago
MedPOINT Management is seeking a highly skilled Claims Processor to join our team. As a Claims Processor, you will play a critical role in ensuring the accurate review and processing of claims in accordance with regulatory requirements, internal standards, and contractual obligations.
Key Responsibilities- Accurately review all incoming claims to verify required fields are populated.
- Process claims information into our computerized claims adjudication system.
- Meet production standards for manually processed claims, including a minimum of 90 CMS-1500 claims and 50 UB-04 claims per day.
- Maintain all required documentation of claims processed and pending claims.
- Respond to and resolve inquiries in a timely manner.
- Collaborate with other departments to resolve claim issues.
- Provide backup support for other processors and examiners within the department.
- Perform additional duties as assigned by leadership.
- High school diploma or equivalent.
- Exceptional attention to detail and accuracy.
- Ability to work in a high-volume setting and adapt to change.
- Critical thinking and problem-solving skills.
- Strong interpersonal, written, and verbal communication skills.
- Ability to manage time effectively and meet deadlines.
- Knowledge of computers, 10-key, and MS Office.
- Experience in claims processing or a related field.
