Medical Claims Processor Lead

3 weeks ago


Los Angeles, California, United States MedPOINT Management Full time
Job Description

We are seeking a highly skilled Medical Claims Processor Lead to oversee the creation and auditing of monthly and ad-hoc outbound encounter reporting. This individual will work closely with the Encounters Lead and Supervisor to perform data analysis, identify deficiencies, and develop corrective action plans.

The ideal candidate will have a bachelor's degree and at least five years' experience working in a healthcare or managed care organization. A solid understanding of clinical data analysis, project management, and EZ-CAP knowledge is preferred.



  • Los Angeles, California, United States MedPOINT Management Full time

    Job OverviewMedPOINT Management is seeking a skilled Medical Claims Processor to join our team. As a Medical Claims Processor, you will be responsible for managing the entire claims process from start to finish, ensuring accuracy and efficiency in our billing operations.About the RoleThe ideal candidate will have at least 5 years of experience in medical...


  • Los Angeles, California, United States Tender Home Health Full time

    Job DescriptionIn this dynamic role as Medical Claims Processor, you will be responsible for managing medical claims from submission to resolution. Your expertise will ensure that healthcare providers receive accurate reimbursement, while also maintaining meticulous records and navigating complex billing codes.ResponsibilitiesProcess and review medical...


  • Los Angeles, California, United States Center for Family Health and Education Full time

    Job Summary:We are seeking an experienced Healthcare Claims Processor to join our team at the Center for Family Health & Education, Inc. (CFHE). As a Healthcare Claims Processor, you will be responsible for preparing and submitting clean claims to various insurance companies, answering questions from patients and insurance companies, and identifying and...


  • Los Angeles, California, United States MedPOINT Management Full time

    About the JobThis is an exciting opportunity to work as a Claims Processor Analyst at MedPOINT Management. As a key member of our team, you will be responsible for running reports for FFS claims monthly, cross-training on other tasks and reporting requirements within the unit, and ensuring that claims are submitted to the Health Plan electronically monthly...


  • Los Angeles, California, United States To Help Everyone Health & Wellness Centers Full time

    We are seeking a highly skilled Healthcare Claims Processor to join our team at To Help Everyone Health & Wellness Centers. In this role, you will be responsible for processing patient claims, managing electronic health records, and communicating effectively with patients and staff.About the JobThe ideal candidate will have at least 1-2 years of experience...


  • Los Angeles, California, United States The Dominguez Firm, LLP. Full time

    Job DescriptionThe Dominguez Firm, LLP is a leading personal injury law firm in California, with over 30 years of experience championing the rights of accident victims. We are seeking a highly motivated Personal Injury Claims Processor to join our team.In this role, you will be responsible for processing claims, negotiating liens, and communicating with...


  • Los Angeles, California, United States Dental Office Full time

    We are seeking an experienced Insurance Claim Processor to join our team at the Dental Office in Los Angeles, CA. In this role, you will be responsible for processing dental claims, monitoring patient accounts, and ensuring accurate and timely payment from insurance companies.Our ideal candidate will have experience with Dentrix software and strong knowledge...

  • Claims Processor

    3 weeks ago


    Los Angeles, California, United States MedPOINT Management Full time

    About the RoleWe are currently seeking a qualified Claims Processor - Refund Management to join our dynamic team at MedPOINT Management. In this critical role, you will be responsible for managing the entire refund process from start to finish.You will receive, review, and process daily refund checks, prepare detailed reports for management, and investigate...


  • Los Angeles, California, United States Center for Family Health and Education Full time

    About the RoleThis is a great opportunity to join a team of dedicated professionals who are passionate about providing high-quality healthcare services to underserved communities.The estimated salary for this position is $62,000 - $72,000 per year, depending on experience.Responsibilities:Collect, post, and manage account payments to ensure accurate and...


  • Los Angeles, California, United States To Help Everyone Health & Wellness Centers Full time

    About the RoleThe successful candidate will have a high school diploma or equivalent and a minimum of 1-2 years of relevant work experience. They will possess knowledge of medical terminology, ICD-9 and CPT codes, and be proficient in using electronic billing management systems. Experience with Medi-Cal and Medi-Care claims is preferred.This position offers...


  • Los Angeles, California, United States Dental Office Full time

    Job ResponsibilitiesWe are seeking a skilled Dental Biller to join our team in Los Angeles, CA. In this role, you will be responsible for processing and submitting dental claims, as well as managing patient accounts and communicating with patients regarding payment options.To be successful in this position, you must have strong organizational skills,...


  • Los Angeles, California, United States Regal Medical Group Full time

    Job Summary  We are seeking a skilled Medical Claims Project Coordinator to join our team at Regal Medical Group. As a key member of our staff, you will be responsible for processing and releasing professional claims according to established policies and procedures. This role requires strong analytical and problem-solving skills, as well as excellent...


  • Los Angeles, California, United States Honda of North Hollywood Full time

    Job OverviewHonda of North Hollywood is seeking a detail-oriented and organized individual to join our team as a Warranty Administrator. This role involves ensuring timely and accurate processing of warranty claims, supporting the service department with administrative tasks, and maintaining knowledge of manufacturer policies and updates.


  • Los Angeles, California, United States To Help Everyone Health & Wellness Centers Full time

    About the RoleT.H.E. Health and Wellness Centers is a nonprofit community clinic in South Los Angeles, providing high-quality, low-cost healthcare and preventative education to all.We are an Equal Opportunity Employer, committed to diversity and inclusion in our workplace.ResponsibilitiesPerform daily tasks related to patient billing, including data entry,...


  • Los Angeles, California, United States Ultimate Staffing Full time

    About the Role:As a Medical Claims Examiner, you will play a crucial role in ensuring the accuracy and efficiency of PPO claims processing.Main Responsibilities:Claims Review: Conduct thorough reviews of PPO medical claims to identify errors, inconsistencies, and areas for improvement.Data Analysis: Analyze claims data to verify eligibility, coverage, and...

  • Claims Team Lead

    3 weeks ago


    Los Angeles, California, United States SERVPRO Global DRT Full time

    Key ResponsibilitiesThe Claims Team Lead will lead the Claims Management Team, overseeing project management, communication, and coordination of jobs. This includes email communication, data entry, phone communication, coordination & scheduling, internal communication, and preparing billing packages & estimate requests. The ideal candidate will have...


  • Los Angeles, California, United States MedPOINT Management Full time

    About MedPOINT ManagementWe are a leading healthcare management company that specializes in medical claims processing. Our team is dedicated to providing exceptional service to our clients, and we are seeking a highly skilled Medical Claims Examiner to join our team.


  • Los Angeles, California, United States Regal Medical Group Full time

    Job OverviewWe are seeking an experienced Medical Claims Project Coordinator to join our team at Regal Medical Group in Southern California. As a key member of our operations team, you will be responsible for processing and releasing professional claims according to established policies and procedures.In this role, you will identify procedural and system...


  • Los Angeles, California, United States Royal Business Bank Full time

    About the Role:We are looking for a motivated and detail-oriented Mortgage Loan Processor Lead to join our team at Royal Business Bank. As a key member of our mortgage loan processing team, you will be responsible for overseeing the entire loan processing lifecycle, from initial application to final closing.Responsibilities:Manage a team of loan processors...


  • Los Angeles, California, United States MedPOINT Management Full time

    Job OverviewMedPOINT Management is a leading provider of IPA services. We're committed to delivering exceptional value to our Members and Providers through our dedicated teams and innovative solutions.In this role, you'll have the opportunity to work closely with our IPA department to ensure seamless communication and resolution of issues. Your expertise...