Medical Claims Specialist

Job SummaryWe are seeking a highly skilled Medical Claims Examiner to join our team at Ultimate Staffing. As a Medical Claims Examiner, you will be responsible for reviewing and processing medical claims, ensuring accuracy and compliance with industry guidelines.Key ResponsibilitiesReview and process medical claims, including professional and facility...

Job Summary:This position is open to Hybrid for the right candidate in the greater Long Beach/Los Angeles area. As a Medical Claims Examiner, you will be responsible for auditing claims processing quality, developing and maintaining standard reports, and assisting the Claims Supervisor/Director in reviewing quality auditing tracking and reporting. You will...

About SCANSCAN Group is a not-for-profit organization dedicated to addressing the most pressing issues affecting older adults in the United States. As a leading expert in senior healthcare, SCAN has been a mission-driven organization for over 45 years, committed to keeping seniors healthy and independent. Our team of talented professionals is passionate...

Job Title: Medical Claims ExaminerThis is an exciting opportunity to join our team as a Medical Claims Examiner in the greater Long Beach/Los Angeles area. As a key member of our Claims department, you will play a crucial role in ensuring the accuracy and efficiency of our claims processing.Responsibilities:Audit claims processing quality and develop reports...

Job SummaryThe Children's Clinic is seeking a highly skilled Billing Clerk to join our team. As a Billing Clerk, you will be responsible for processing medical claims, managing billing work queues, and ensuring accurate reimbursement for healthcare services.Key Responsibilities:Process an average of 100 claims dailyReview registration information for...

Job SummaryAdvanced Medical Manage seeks a skilled Claims Auditor to ensure compliance with regulatory requirements and optimize claims processing.Key Responsibilities:Prepare and coordinate complex regulatory reports for submission.Assist in audit preparations, analyze data, identify deficiencies, and track corrective action.Query, analyze, and interpret...

Job Title: Claims Audit ManagerAdvanced Medical Manage (AMM) is seeking a highly skilled Claims Audit Manager to join our team. As a Claims Audit Manager, you will play a critical role in ensuring the accuracy and compliance of claims processing within our organization.Key Responsibilities:Prepares and coordinates the completion of complex regulatory and...

Job Title: Claims Audit ManagerAdvanced Medical Manage is seeking a highly skilled Claims Audit Manager to join our team. As a Claims Audit Manager, you will be responsible for ensuring that incoming claims are processed in accordance with policies, procedures, and guidelines, as outlined by AMM and contractual agreements.Key Responsibilities:Prepares and...

Job Title: Claims Audit ManagerAdvanced Medical Manage is seeking a highly skilled Claims Audit Manager to join our team. As a Claims Audit Manager, you will be responsible for ensuring the accuracy and compliance of claims processing in accordance with AMM policies and procedures.Key Responsibilities:Prepares and coordinates the completion of complex...

Job Title: Claims Audit ManagerJob Summary:We are seeking a highly skilled Claims Audit Manager to join our team at Advanced Medical Manage. The successful candidate will be responsible for ensuring the accuracy and compliance of claims processing, as well as providing expert guidance on Medicare and Medi-Cal claim payment rules and requirements.Key...

Job SummaryAdvanced Medical Manage is seeking a highly skilled Claims Audit Manager to join our team. The ideal candidate will have a strong background in healthcare claims processing, with a focus on Medi-Cal and Medicare claims.The Claims Audit Manager will be responsible for ensuring that incoming claims are processed in accordance with policies,...

Job Title: Claims Program Manager - Payment Integrity SpecialistAbout the Role:The Claims Program Manager - Payment Integrity Specialist will be responsible for identifying and transforming processes/procedures in the Claims department specific to payment integrity. This role requires interface with claims teams, payment integrity vendor(s), SIU, finance,...

Job Title: Medicare Claims Appeals ClerkMorgan Stephens is seeking a highly skilled Medicare Claims Appeals Clerk to join our team.Job SummaryThe Medicare Claims Appeals Clerk is responsible for reviewing and resolving member and provider complaints, and communicating resolutions to members and providers (or authorized representatives) in accordance with...

Job Title: Claims Audit ManagerJob Summary:Advanced Medical Manage is seeking a highly skilled Claims Audit Manager to join our team. As a Claims Audit Manager, you will be responsible for ensuring that incoming claims are processed in accordance with policies, procedures, and guidelines, as outlined by Advanced Medical Manage and contractual agreements.Key...

Job Title: Claims Audit ManagerJob Summary:Advanced Medical Manage is seeking a highly skilled Claims Audit Manager to join our team. As a Claims Audit Manager, you will be responsible for ensuring that incoming claims are processed in accordance with policies, procedures, and guidelines, as outlined by Advanced Medical Manage and contractual agreements.Key...

Job Title: Program Director ClaimsAt Molina Healthcare, we are seeking a highly skilled and experienced Program Director Claims to lead our claims management programs. As a key member of our team, you will be responsible for managing internal business projects and programs involving department or cross-functional teams of subject matter experts.Key...

Job Title: Claims Examiner - Workers CompensationMary Kraft HR is seeking a skilled Claims Examiner to join our team. As a Claims Examiner, you will be responsible for analyzing complex workers' compensation claims to determine benefits due.Job Summary:The ideal candidate will have a strong understanding of California Workers' Compensation laws and claim...

Job Title: Claims Examiner - Workers CompensationMary Kraft HR is seeking an experienced Claims Examiner to analyze and process complex workers' compensation claims. The ideal candidate will have a strong understanding of California Workers' Compensation laws and claim procedures.Key Responsibilities:Analyze and process complex workers' compensation claims...

Job OverviewAudi Long Beach is seeking a highly detail-oriented Warranty Administrator to join our team. The successful candidate will be responsible for ensuring all warranty claims are properly documented and compliant with factory and/or dealership requirements.Key Responsibilities:Process warranty claims in a timely manner, ensuring compliance with...

Claims Casualty Adjuster Job SummaryThe Claims Casualty Adjuster role involves handling low to moderate-complexity claims related to material damage, property, and liability lines of insurance, ensuring compliance with regulatory and statutory requirements.Key Responsibilities:Communicate and interact with various individuals, explaining benefits, coverages,...