Medical Claims Specialist

3 days ago


Foothill Ranch, California, United States PrideStaff Full time
Job Title: Client Services Representative

We are seeking a highly skilled Client Services Representative to join our team at PrideStaff. As a Client Services Representative, you will be responsible for providing exceptional customer service to clients, policyholders, and healthcare providers.

Key Responsibilities:
  • Collaborate with clients, policyholders, and healthcare providers to resolve medical cases and provide timely and accurate responses.
  • Develop and maintain effective relationships with colleagues and network partners.
  • Review, plan, and resolve medical cases in cooperation with other team members.
  • Provide referrals to clinics and hospitals as needed.
Qualifications:
  • 1+ years of experience processing medical claims or customer service experience in a business-to-business setting.
  • Familiarity with computer applications and ability to navigate complex systems.
  • Demonstrated ability to listen skillfully, collect relevant information, and respond to customers in a compassionate manner.
  • Proficient in translating health care-related jargon and complex processes into simple instructions.
  • Flexible and able to work in a fast-paced environment.
Compensation:

$20.00 - $23.00 per hour, depending on experience, plus a competitive employee benefits package.

We offer a dynamic and supportive work environment, with opportunities for growth and development. If you are a motivated and customer-focused individual, we encourage you to apply for this exciting opportunity.


  • Claims Processor

    4 weeks ago


    Foothill Ranch, California, United States PrideStaff Full time

    Claims Processor Job DescriptionPrideStaff is seeking a highly organized and detail-oriented Claims Processor to join our team. As a Claims Processor, you will be responsible for qualifying claims/bills for payment, checking for coverage, and applying co-pays, deductibles, and coinsurance.Key Responsibilities:Qualify claims/bills for payment and check for...

  • Claims Processor

    4 weeks ago


    Foothill Ranch, California, United States PrideStaff Full time

    Claims Processor Job DescriptionPrideStaff is seeking a highly organized and detail-oriented Claims Processor to join our team in Foothill Ranch. As a Claims Processor, you will be responsible for qualifying claims/bills for payment, checking for coverage, and applying co-pays, deductibles, and coinsurance. You will also need to create cases, assist with...


  • Foothill Ranch, California, United States PEAK Technical Staffing USA Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Order Entry Specialist to join our team at PEAK Technical Staffing USA. As an Order Entry Specialist, you will be responsible for managing records and documents using MS Office, Google Sheets, and NetSuite. Your primary focus will be on ensuring timely billing, shipping, quality control, and...


  • Foothill Ranch, California, United States PEAK Technical Staffing USA Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Order Entry Specialist to join our team at PEAK Technical Staffing USA. As an Order Entry Specialist, you will be responsible for managing records and documents using MS Office, Google Sheets, and NetSuite. Your primary focus will be on ensuring timely billing, shipping, quality control, and...

  • Assembly Specialist

    3 weeks ago


    Foothill Ranch, California, United States Aerotek Full time

    Job SummaryWe are seeking a skilled Assembly Specialist to join our team in Foothill Ranch, California. As an Assembly Specialist, you will be responsible for assembling and inspecting sunglasses from start to finish. Your duties will include screwing, gluing, and fastening individual pieces together, preparing for lens installation, and quality auditing.Key...

  • Safety Manager

    1 day ago


    Foothill Ranch, California, United States Adecco Full time

    Job SummaryAs a Safety Manager at Adecco, you will be responsible for ensuring compliance with all applicable local, state, and federal safety regulations. This includes recommending and implementing programs to ensure documentation, reporting, training, and program development. You will also identify and maintain systems and processes for continuous...

  • Physical Therapist

    1 month ago


    Foothill Ranch, California, United States ProSport Physical Therapy Full time

    About the RoleWe are seeking a highly skilled Physical Therapist to join our team at ProSport Physical Therapy & Performance. As a Physical Therapist, you will be responsible for providing high-quality patient care and treatment in an outpatient orthopedic setting.Key ResponsibilitiesTreatment Planning: Develop and implement individualized treatment plans...


  • Foothill Ranch, California, United States Banfield Full time

    Veterinary Assistant Career at Banfield Pet HospitalAre you passionate about animal care and looking for a rewarding career? As a Veterinary Assistant at Banfield Pet Hospital, you'll have the opportunity to make a real difference in the lives of pets and their owners.As a key member of our hospital team, you'll work closely with veterinarians and veterinary...


  • Foothill Ranch, California, United States Banfield Pet Hospital Full time

    {"title": "Veterinarian Role at Banfield Pet Hospital", "description": "Role OverviewAt Banfield Pet Hospital, we're seeking a skilled Veterinarian to join our team. As a Veterinarian, you'll play a vital role in providing exceptional care to our furry patients and their human families.Key ResponsibilitiesDeliver high-quality medical care to pets, focusing...

  • Janitorial Specialist

    4 weeks ago


    Foothill Ranch, California, United States Murgado Automotive Group Full time

    Janitor Job DescriptionMercedes-Benz of Foothill Ranch, a part of the renowned Murgado Automotive Group, is seeking a dedicated individual to help maintain the pristine environment of our state-of-the-art dealership. If you take pride in your work and enjoy contributing to a clean, well-organized, and professional setting, we'd love to have you on board.Key...


  • Foothill Ranch, California, United States Banfield Full time

    About the RoleWe are seeking a highly skilled and compassionate Registered Veterinary Technician to join our team at Banfield. As a key member of our veterinary care team, you will play a vital role in providing exceptional care to our furry, feathered, and scaled patients.Key ResponsibilitiesProvide high-quality preventive care and treatment to petsBuild...


  • Foothill Ranch, California, United States CVS Health Full time

    Transforming Health Care with Compassion and ExcellenceCVS Health is committed to delivering exceptional patient care and improving health outcomes. As a Pharmacy Technician, you will play a vital role in our mission to make health care more personal, convenient, and affordable.Key Responsibilities:Support pharmacists in dispensing medications and providing...


  • Foothill Ranch, California, United States Planet Fitness Inc. Full time

    Job Summary The Overnight Custodial Specialist will be responsible for maintaining the cleanliness and organization of all areas of the facility to ensure a positive member experience. Key Responsibilities: * Thoroughly clean and sanitize restrooms, locker rooms, and fitness equipment to maintain a clean and safe environment. * Restock locker rooms with...


  • Foothill Ranch, California, United States Banfield Full time

    About the RoleAs a Veterinary Assistant at Banfield Pet Hospital, you will play a vital role in providing exceptional care to our furry patients and their owners. Your passion for animal welfare and commitment to delivering top-notch service will make you an invaluable member of our team.Key ResponsibilitiesAssist veterinarians and veterinary technicians in...


  • Foothill Ranch, California, United States Banfield Pet Hospital Full time

    Registered Veterinary Technician OpportunityWe are seeking a skilled Registered Veterinary Technician to join our team at Banfield Pet Hospital. As a key member of our veterinary team, you will play a vital role in providing high-quality care to our furry patients.Key Responsibilities:Provide exceptional patient care, including preventive care and medical...

  • Automotive Technician

    4 weeks ago


    Foothill Ranch, California, United States Murgado Automotive Group Full time

    About UsMercedes-Benz of Foothill Ranch, a proud member of the Murgado Automotive Group, is seeking a skilled Automotive Technician to join our team. With a rich tradition of delivering exceptional customer service and representing one of the world's most prestigious brands, we're committed to providing our clients with luxury experiences every time.Key...


  • Ladera Ranch, California, United States American Family Care Ladera Ranch Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Medical Office Administrator to join our team at American Family Care Ladera Ranch. As a Medical Office Administrator, you will be responsible for providing administrative support to our medical staff, managing patient records, and ensuring the smooth operation of our...


  • Ladera Ranch, California, United States Titan Medical (Nebraska) Full time

    Job Title: Travel Interventional Radiology SpecialistWe are seeking a skilled Travel Interventional Radiology Specialist to join our team at Titan Medical in Mission Viejo, CA.Job Summary:This is a 26-week assignment for a Travel Special Procedures/Angio/IR Tech position. The ideal candidate will have a minimum of 2 years of experience in radiology and be...


  • Forest Ranch, California, United States Horizon Group Full time

    Medical Manager Special CareWe are a leading home healthcare company in Germany, offering comprehensive solutions and concepts for home therapy and out-of-hospital intensive care. Our services are divided into three business areas: respiratory therapies, infusion therapies, and out-of-hospital intensive care. We provide care for chronically ill patients...


  • Ladera Ranch, California, United States Stellar Enterprises Full time

    About UsStellar Enterprises is a dynamic and collaborative environment that values teamwork and mutual respect.Our TeamWe have a diverse team of approximately 30 employees, including medical professionals, an orthoptist, and five doctors. We also have regular apprenticeships available.Job OpportunityWe are seeking a friendly and dedicated individual to join...