Current jobs related to Claims Processing Specialist - Garden Grove, California - Titanium Healthcare
-
Property Claims Specialist
2 weeks ago
Elk Grove, California, United States State Farm Full timeOverviewAt State Farm, we're committed to being good neighbors and helping people achieve their goals. As a Property Field Inspection Claim Specialist, you'll play a critical role in ensuring our customers receive exceptional service and support during the claims process.Key ResponsibilitiesConduct on-site inspections and assessments of property damages for...
-
Medical Biller Specialist
6 days ago
Garden Grove, California, United States Royalty Medical Solutions Full timeJob Title: Medical Biller SpecialistCompany: Royalty Medical SolutionsJob Type: Full-TimePosition Summary: We are seeking a dedicated and experienced Medical Biller Specialist to join our team at Royalty Medical Solutions. In this role, you will be responsible for the timely and accurate collection of outstanding medical bills. Your expertise in medical...
-
Medical Biller Specialist
6 days ago
Garden Grove, California, United States Royalty Medical Solutions Full timeJob Title: Medical Biller SpecialistCompany: Royalty Medical SolutionsJob Type: Full-TimePosition Summary: Royalty Medical Solutions is seeking a dedicated and experienced Medical Biller Specialist to join our team. In this role, you will be tasked with the timely and accurate collection of outstanding medical bills. Your expertise in medical billing...
-
Manufacturing Process Specialist
5 days ago
Garden Grove, California, United States Harbinger Motors Inc. Full timeJob DescriptionAt Harbinger Motors Inc., we are seeking a highly skilled Manufacturing Engineering professional to join our team. As a key member of our manufacturing team, you will play a critical role in ensuring the efficient and effective production of our electric vehicles.Key ResponsibilitiesSupport manufacturing processes to ensure efficiency,...
-
Manufacturing Process Optimization Specialist
4 weeks ago
Garden Grove, California, United States Saint-Gobain Full timeUnlock Your Potential as a Manufacturing Engineer II at Saint-GobainAre you a problem-solver with a passion for innovation? Do you want to make a meaningful impact on the world? Join Saint-Gobain, a leading global company, as a Manufacturing Engineer II and embark on a journey of discovery and growth.About the RoleWe are seeking a highly skilled...
-
Garden Grove, California, United States Saint-Gobain Full timeAt Saint-Gobain, we're committed to improving lives by making simple experiences better and being there in life's critical moments. As a key member of our team, you'll play a vital role in shaping the future of our manufacturing facility in Garden Grove, CA.The Manufacturing Engineer II will be responsible for developing and optimizing continuous production...
-
Garden Grove, California, United States Saint-Gobain Full timeKey Responsibilities:As a Manufacturing Engineer II at Saint-Gobain, you will be responsible for developing and optimizing continuous production and manufacturing processes to achieve the output, quality, and cost goals of our manufacturing facility in Garden Grove, CA.Collects production data and applies standard scientific and statistical methods to...
-
Manufacturing Process Improvement Specialist
2 days ago
Garden Grove, California, United States GKN Aerospace Inc Full timeAbout the RoleWe are seeking an experienced Manufacturing Engineer to join our team at GKN Aerospace Inc. As a key member of our Manufacturing Engineering Team, you will be responsible for supporting the day-to-day operations of our manufacturing facilities.Key ResponsibilitiesProvide day-to-day support to manufacturing operations, ensuring the smooth...
-
Garden Grove, California, United States Saint-Gobain Full timeKey ResponsibilitiesThe Manufacturing Engineer II will be responsible for developing and optimizing continuous production and manufacturing processes to achieve the output, quality, and cost goals of Saint-Gobain Omniseal Solutions' manufacturing facility in Garden Grove, CA.Key Accountabilities:Daily Communication: Provide expert guidance on molded and...
-
Manufacturing Process Improvement Specialist
1 week ago
Garden Grove, California, United States GKN Aerospace Inc Full timeJob SummaryAs a key member of the Manufacturing Engineering Team at GKN Aerospace Inc, you will play a critical role in supporting the day-to-day operations within the Value Stream. Reporting to the Lead Manufacturing Engineer, your primary responsibility will be to provide expert guidance and support to the Operations Team.Key ResponsibilitiesDevelop and...
-
Medical Biller Specialist
5 days ago
Garden Grove, California, United States Royalty Medical Solutions Full timeJob SummaryRoyalty Medical Solutions is seeking a skilled Medical Biller to join our team. As a Medical Biller, you will be responsible for the timely and accurate collection of outstanding medical bills.Key Responsibilities:Review and maintain accounts for outstanding balances, ensuring records are accurate and up-to-dateContact patients and insurance...
-
Credit Analyst I Specialist
2 weeks ago
Garden Grove, California, United States ExpertHiring Full timeJob OverviewAs a Credit Analyst I Specialist, you will play a crucial role in supporting the production team during the credit report supplement process. Your primary responsibilities will include conducting credit investigations, analyzing credit information, and verifying and updating credit information as requested by clients in support of the mortgage...
-
Accounts Receivable Specialist
2 weeks ago
Garden Grove, California, United States Royalty Medical Solutions Full timeJob SummaryAt Royalty Medical Solutions, we are seeking a highly skilled and detail-oriented Accounts Receivable Representative to join our team. As an AR Rep, you will be responsible for managing and resolving outstanding accounts receivable balances, working closely with insurance companies, healthcare providers, and patients to ensure timely and accurate...
-
Accounts Payable Specialist
2 weeks ago
Garden Grove, California, United States Vaco Full timeWe are seeking a highly skilled and detail-oriented Accounts Payable Specialist to join our team at Vaco. As an Accounts Payable Specialist, you will be responsible for processing invoices and expense reports with precision and timeliness, reconciling accounts payable transactions, and communicating effectively with vendors to resolve discrepancies and...
-
Data Entry Specialist
6 days ago
Garden Grove, California, United States Della Infotech Full timeJob SummaryData Entry Specialist - Database SupportAt Della Infotech, we are seeking a detail-oriented Data Entry Specialist to support our database operations. The successful candidate will engage in data entry and system maintenance to ensure timely and accurate information within our database.Key Responsibilities Review details of documents to ensure...
-
Hospice Care Specialist
2 weeks ago
Garden Grove, California, United States LHC Group Full timeJob DescriptionWe are seeking a compassionate and skilled Hospice Care Specialist to join our team at Brandywine River Valley Hospice in West Grove, PA.As a Hospice Care Specialist, you will provide personal direct patient care services as established and delegated in the Plan of Care daily.Responsibilities include:Providing assistance with ADLs such as...
-
Data Entry Specialist
1 month ago
Garden Grove, California, United States Della Infotech Full timeJob SummaryWe are seeking a highly organized and detail-oriented Data Entry Specialist to join our team at Della Infotech. As a Data Entry Specialist, you will be responsible for accurately and efficiently entering data into our database system.Key ResponsibilitiesReview and verify data for accuracy and completenessEnter data into our database system in a...
-
Data Entry Specialist
1 week ago
Garden Grove, California, United States Della Infotech Full timeJob SummaryData Entry Specialist - Database SupportAt Della Infotech, we are seeking a detail-oriented Data Entry Specialist to support our database operations. The successful candidate will engage in data entry and system maintenance to ensure timely and accurate information within our database.Key Responsibilities Review details of documents to ensure...
-
Drafting Specialist
1 week ago
Garden Grove, California, United States Kinetic Personnel Group, Inc Full timeJob SummaryWe are seeking a skilled Drafting Specialist to join our team at Kinetic Personnel Group, Inc. The ideal candidate will have experience working with Autodesk Inventor and AutoCAD, with a strong understanding of engineering principles and design concepts.The successful candidate will be responsible for creating 3D designs and product layouts,...
-
Accounts Payable Specialist
5 days ago
Garden Grove, California, United States Precision Castparts Corp Full timeJob DescriptionThe Accounts Payable Specialist will report directly to the Accounting Manager, and will be responsible for processing invoices timely and accurately so that vendor payment is ensured. In addition, the AP Coordinator will make sure that invoices subject to discounted terms with the vendor are processed and paid in enough time to take advantage...
Claims Processing Specialist
2 months ago
Salary: $21 - $25 per hour DOE
Position Summary: Titanium Healthcare is in search of a dedicated Billing Analyst to enhance our vibrant team. This role involves the assessment, posting, and billing of claims as well as managing outstanding accounts receivable within our electronic health records (EHR) system. The Billing Analyst will ensure the integrity of EHR data related to accounts receivable, engage in data entry and reporting, and handle billing tasks efficiently. Furthermore, this position requires accurate processing of information, timely posting of payments, and prompt resubmission of denied claims.
Key Responsibilities:
- Identify and communicate denial trends and issues to internal stakeholders, collaborating effectively with management and team members for timely resolutions.
- Evaluate patient accounts and manage outstanding payments from both insurance and patients, clearly explaining balances to patients when necessary.
- Oversee, track, and resolve complex denied and voided claims, ensuring follow-through until claims are successfully paid.
- Maximize reimbursement for services rendered.
- Prepare and submit billing data and medical claims to insurance providers, including 837 and 1500 forms.
- Monitor and document payment plans for patient statements.
- Exhibit proactivity and creativity in evaluating, researching, and resolving billing issues.
- Organize and prioritize multiple tasks to meet both internal and external deadlines.
- Accurately and promptly post payments to accounts.
- Collaborate with the revenue cycle manager and operational leadership to address frequent issues and provide guidance on error correction.
- Conduct bi-monthly eligibility checks for clients and compile reports for management as needed.
- Establish a tracking system for claims and health plans under review.
- Respond to inquiries and communications in a timely manner, typically within 24-48 hours.
- Assist in developing and reviewing billing procedures to ensure compliance with applicable regulations.
- Perform additional duties and projects as assigned.
Qualifications:
- Education: High school diploma required; an associate degree in a medical field is preferred.
- Experience: Minimum of 3 years in clinical accounts receivable, practice management, or medical administration.
- Language: Proficient in English (both written and verbal); bilingual in Spanish is a plus.
- Required Skills:
- Ability to quickly learn and utilize medical billing software.
- Familiarity with Medi-Cal, Medicare, commercial, and patient statement billing.
- Proficient in Microsoft Outlook and related applications.
- Detail-oriented with a focus on accuracy and thoroughness.
- Self-motivated with sound judgment in decision-making.
- Experience with EHR systems.
- Capable of multitasking and completing projects efficiently.
- Strong organizational skills and attention to detail.
- Experience with primary care and Medi-Cal billing is preferred.
- Familiarity with EClinicalWorks is advantageous.
Physical Requirements: The role involves typical office work, including:
- Regular use of a computer and office equipment.
- Remaining stationary for up to 75% of the time.
- Mobility around the office for up to 50% of the time.
- Occasional lifting or moving of office equipment weighing up to 15 pounds.
- Ability to operate a vehicle and travel as necessary.
Benefits:
- This position offers a hybrid work model, allowing for both remote and in-person service.
- Comprehensive medical, dental, and vision insurance.
- Flexible Spending Accounts, Health Savings Accounts, and Dependent Care Accounts available.
- Life, AD&D, and Short-Term Disability Insurance fully funded by Titanium Healthcare.
- 401(k) retirement plan.
- Employee Assistance Program.
- 11 Paid Holidays and 3 weeks of paid time off per year, with separate paid sick leave.
Equal Employment Opportunity:
Titanium Healthcare is committed to fostering a diverse and inclusive workforce. We encourage all qualified applicants to apply, regardless of race, religion, gender, sexual orientation, disability, age, marital status, parental status, military or veteran status, or any other legally protected status.
