Medical Claims Examiner

Job SummaryLHH Recruitment Solutions is seeking a skilled Medical Claims Examiner to join our team in Sacramento, CA. As a Medical Claims Examiner, you will be responsible for analyzing claims to determine the appropriate payer based on coding, medical group service areas, and Division of Financial Responsibility (DoFR) guidelines.Key...

Job SummaryWe are seeking a highly skilled Medical Claims Examiner to join our team at Benefit & Risk Management Services, Inc. As a Medical Claims Examiner, you will be responsible for ensuring that claims are processed correctly and efficiently, while meeting production requirements.Key Responsibilities:Review and analyze claims data to ensure accuracy and...

Job SummaryWe are seeking a skilled Claims Examiner II to join our team at Ultimate Staffing. As a Claims Examiner II, you will be responsible for analyzing claims for appropriate payer based on a combination of coding, medical group's service area, and contract per the Division of Financial Responsibility (DoFR) document.Key ResponsibilitiesAnalyze claims...

Job SummaryWe are seeking a skilled Claims Examiner II to join our team at Ultimate Staffing. As a Claims Examiner II, you will be responsible for analyzing claims for appropriate payer based on a combination of coding, medical group's service area, and contract per the Division of Financial Responsibility (DoFR) document.Key ResponsibilitiesClaims Analysis:...

Job SummaryBCforward is seeking a highly motivated Claims Examiner - Workers Compensation to join our team. As a Claims Examiner, you will be responsible for analyzing and managing workers compensation claims to ensure compliance with company standards and industry best practices.Key ResponsibilitiesClaims Analysis: Conduct thorough analysis of workers...

Job SummaryThe Sacramento County CA is seeking a highly skilled Workers' Compensation Claims Examiner to join our team. As a key member of our compensation team, you will be responsible for administering the County's self-insured Workers' Compensation Program.Key ResponsibilitiesAdminister indemnity workers' compensation cases from inception to...

Job SummaryThe Sacramento County CA is seeking a highly skilled Workers' Compensation Examiner to join our team. As a key member of our compensation team, you will be responsible for administering the County's self-insured Workers' Compensation Program.Key ResponsibilitiesAdminister indemnity workers' compensation cases from inception to closure.Attend...

About the PositionThis is a continuous filing exam. Next filing cut-offs are at 5:00 pm on: 6/28/24, 7/19/24 (Final)Job SummaryUnder direction, the Workers' Compensation Examiner performs specialized claims service in the administration of the County's self-insured Workers' Compensation Program. Incumbents in this class administer the indemnity workers'...

About the RoleWe are seeking a highly skilled Appeals Examiner to join our team at Gainwell Technologies. As an Appeals Examiner, you will play a critical role in reviewing provider appeals and making determinations based on approved guidelines and documentation.Key ResponsibilitiesReview and analyze appeal documentation to ensure all aspects of the appeal...

Insurance Verification Specialist OpportunityRiver City Staffing is seeking a skilled Insurance Verification Specialist to join our team in Sacramento. As a key member of our healthcare industry team, you will be responsible for verifying insurance coverage and ensuring seamless coordination with our clients.Key Responsibilities:Verify insurance coverage and...

Job Title: Nurse PractitionerWe are seeking a skilled Nurse Practitioner to join our team at QTC Medical Group California. As a Nurse Practitioner, you will play a vital role in providing high-quality patient care and conducting medical examinations for our clients.Job Summary:The successful candidate will be responsible for conducting general medicine,...

Job Title: Physician AssistantQTC Medical Group California is seeking a highly skilled Physician Assistant to join our team. As a Physician Assistant, you will play a vital role in providing high-quality medical care to our patients.Job Summary:The Physician Assistant will conduct general medicine, occupational, and disability health examinations, including...

Job Title: Nurse PractitionerWe are seeking a skilled Nurse Practitioner to join our team at QTC Medical Group California. As a Nurse Practitioner, you will play a vital role in providing high-quality medical care to our patients.Job Summary:The successful candidate will conduct general medicine, occupational, and disability health examinations, including...

Job Title: Medical Claims AdjustorAt CVS Health, we're committed to delivering exceptional healthcare services to our customers. As a Medical Claims Adjustor, you'll play a vital role in ensuring that our customers receive accurate and timely claims processing.Key Responsibilities:Review and adjust SF, FI, Reinsurance, and/or RX claims to ensure compliance...

About the RoleNORCAL Ambulance is seeking a skilled Medical Claims Specialist to join our team. As a Medical Claims Specialist, you will play a critical role in ensuring the accurate and timely submission of medical claims to insurance and private payors.Key ResponsibilitiesConduct thorough insurance verification and validation to ensure benefits are...

Job Title: Physician AssistantWe are seeking a highly skilled Physician Assistant to join our team at QTC Medical Group California. As a Physician Assistant, you will play a vital role in providing high-quality medical care to our patients.Job Summary:The Physician Assistant will conduct medical examinations, review medical history, and interpret clinical...

Job Title: Physician AssistantWe are seeking a highly skilled Physician Assistant to join our team at QTC Medical Group California. As a Physician Assistant, you will play a vital role in providing high-quality medical care to our patients.Job Summary:The Physician Assistant will conduct medical examinations, review medical history and associated records,...

Job Title: Physician AssistantWe are seeking a highly skilled Physician Assistant to join our team at QTC Medical Group California. As a Physician Assistant, you will play a vital role in providing high-quality medical care to our patients.Job Summary:The Physician Assistant will conduct general medicine, occupational, and disability health examinations,...

Job Title: Nurse PractitionerWe are seeking a skilled Nurse Practitioner to join our team at QTC Medical Group Inc. in Sacramento, CA. As a Nurse Practitioner, you will play a vital role in providing high-quality medical care to our service members and veterans.Job Summary:The successful candidate will conduct general medicine, occupational, and disability...

Job SummaryThe Sacramento County CA is seeking a highly skilled Chief Forensic Pathologist to join our team. As a key member of our organization, you will be responsible for conducting thorough and accurate forensic examinations and providing expert testimony in court.Key ResponsibilitiesConduct autopsies and other forensic examinations to determine cause of...