Senior Claims Adjudication Specialist
1 week ago
APR Consulting is seeking a highly skilled Senior Claims Adjudication Specialist to join their team in Whittier, California. This full-time contract position offers an attractive compensation package, including a competitive hourly rate of $29.
Job Summary:The Senior Claims Adjudication Specialist will be responsible for processing and adjudicating claims received from affiliated medical groups and hospitals for HMO patients. The ideal candidate will have at least 2 years of experience in claims adjudication, with knowledge of payment methodologies for Professional (MD), Hospital, Skilled Nursing Facilities, and Ancillary Services.
Key Responsibilities:- Process and adjudicate claims in accordance with UB-92 and HCFA-1500 guidelines
- Review and verify provider information to ensure accurate payment
- Identify non-contracted providers and recommend Letter of Agreement consideration
- Provide training on basic office automation and managed care computer systems
- Bachelor's degree or equivalent required
- Minimum 2 years of experience in claims adjudication
- Knowledge of payment methodologies and compliance issues
- Data entry experience and proficiency in managed care computer systems
This exciting opportunity comes with a range of benefits, including:
- A competitive hourly rate of $29
- A comprehensive benefits package, including health insurance, paid time off, and professional development opportunities
- The chance to work with a leading healthcare staffing provider in the United States
-
Senior Autism Care Specialist
1 week ago
Whittier, California, United States Inclusion Specialized Full timeInclusion Specialized is seeking a highly skilled Senior Autism Care Specialist to join our team. The ideal candidate will have a strong background in Applied Behavior Analysis (ABA) and experience working with individuals with developmental disabilities.About the RoleAs a Senior Autism Care Specialist, you will be responsible for providing consultation and...
-
Senior Cardiac Sonographer
1 week ago
Whittier, California, United States ALOIS Healthcare Full timeJob Title: Senior Cardiac SonographerWe are seeking a highly skilled Senior Cardiac Sonographer to join our team as a Mobile Ultrasound Specialist.
-
Claims Support Specialist
2 weeks ago
Whittier, California, United States Hanning & Sacchetto, LLP Full timeJob OverviewHanning & Sacchetto, LLP is a growing personal injury practice seeking a full-time Pre-Litigation Assistant to join their team.Estimated Salary$45,000 - $60,000 per year based on experience and qualifications.Job ResponsibilitiesCommunicate with clients, doctors, insurance adjusters, and attorneys to ensure smooth case management.Perform client...
-
Senior Clinical Therapist
2 weeks ago
Whittier, California, United States Rula Health Full timeRula Health is a pioneering behavioral health solution that empowers licensed clinicians to deliver exceptional care to individuals, couples, and families.About the RoleAs a Licensed Clinical Psychologist with Rula Health, you will have the autonomy to focus on what matters most - helping clients achieve better outcomes.We are expanding our network of...
-
Diagnostic Imaging Specialist
1 week ago
Whittier, California, United States Stability Direct Full timeJob OpportunityAn estimated salary of $120,000 per year is available for this role in Whittier, California.About the PositionThis Diagnostic Imaging Specialist role involves administering radiopharmaceuticals or radiation intravenously to detect or treat diseases, using radioisotope equipment. Administering medical substances for imaging or other procedures...
-
Diagnostic Imaging Specialist
5 days ago
Whittier, California, United States Adventist Health Full timeJob SummaryWe are seeking a highly skilled Diagnostic Imaging Specialist to join our team at Adventist Health. As a key member of our imaging department, you will be responsible for administering radiopharmaceuticals and radiation to detect and treat diseases.About the RoleThis is an ongoing staff position that requires a Diploma or certificate from an...
-
Senior Data Insights Specialist
1 week ago
Whittier, California, United States PIH Health Full timeAbout PIH HealthPIH Health is a leading nonprofit healthcare network serving approximately 3 million residents in the Los Angeles County, Orange County, and San Gabriel Valley region.We are nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified us as...
-
Senior Ultrasound Specialist
1 week ago
Whittier, California, United States National Staffing Solutions-Surgical Services Full timeAbout the JobWe are seeking a skilled Ultrasound Technologist to join our team at a top-notch medical facility in Whittier, California. As a travel specialist, you will have the opportunity to work on exciting projects and gain valuable experience in your field.
-
Senior Cardiac Imaging Technologist
1 week ago
Whittier, California, United States American Traveler Full timeWe are seeking a skilled Echo Technologist to join our team on a travel assignment in Whittier, California.About the JobThis is an exciting opportunity to work as a Cardiac Imaging Specialist with a reputable healthcare organization. As an Echo Technologist, you will be responsible for operating and maintaining complex medical imaging equipment, ensuring...
-
Facilities Operations Specialist
5 days ago
Whittier, California, United States The Whole Child - Mental Health & Housing Services Full timeWe are seeking a highly organized and detail-oriented Facilities Coordinator to join our team at The Whole Child - Mental Health & Housing Services.Job DescriptionThe successful candidate will be responsible for maintaining the physical space, ensuring a safe, clean, and functional environment. This includes receiving, managing, and processing work order...
-
Claims Examiner
2 weeks ago
Whittier, United States APR Consulting Full timeClaims Examiner Location: Whittier, California Type: Contract Job #78848 APR Consulting, Inc. has been engaged to identify a Claims Examiner Location: Whittier, CA 90601 Position: Claims Examiner Pay Rate: $29/hr Duration: 13 weeks Expected Shift: Monday - Friday - 07:00am - 03:30pm *** 2 YEARS EXPERIENCE REQUIRED *** POSITION SUMMARY: ...
-
Mid Tier Supervisor
4 weeks ago
Whittier, United States Autism Learning Partners Full timeJob DescriptionJob DescriptionCareer path to $80,000 base salary via the BCBA certification pathway in 2 years!The Basics of this opportunity:Base Compensation: $29.00 - $35.00 per hour based on experience, skills, and geographyBonus: Attainable monthly/quarterly bonus opportunity ($35,000+ in your first three years)!Autism Learning Partners supports a...
-
Physician Assistant
1 month ago
Whittier, CA, United States Welcome Health, Inc Full timeTitle: Physician Assistant for team-based mobile Primary Care Practice for Seniors What We’re AboutWe exist to eliminate the health obstacles that prevent seniors from achieving what matters most. And we believe it all starts in the home, where we deliver primary care that combines the science of aging, modern technology, and the warmth of the kitchen...