Medical Claims Project Coordinator

4 days ago


Los Angeles, California, United States Regal Medical Group Full time
Job Overview

We 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 inefficiencies and work with appropriate entities to resolve issues. You will also perform research, analysis, reporting, and special projects as needed. Additionally, you will present learning material in an organized and logical manner to department personnel on claims processing, including use of the EZCAP system, provider contract interpretation, DOFR, and claim handling procedures.

You will serve as the key point of contact between claims and Data Management and Contracting Unit to resolve any claim payment issues. Your responsibilities will also include maintaining routine auditing functions and providing feedback on departmental activities to assure compliance with all health plan and regulatory agencies, including CMS, DMHC, and DCHS.

The ideal candidate will have 5+ years' experience in claims processing, preferably with EZ-CAP or similar systems in the healthcare industry. Strong analytical and problem-solving skills are essential, along with excellent communication and organizational abilities.



  • 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 MedPOINT Management Full time

    Job SummaryMedPOINT Management is seeking a Medical Claims Coordinator to join our team. The ideal candidate will possess excellent analytical and problem-solving skills, with the ability to work independently in a fast-paced environment.The estimated salary for this position is around $65,000 per annum, based on industry standards and the company's...


  • Los Angeles, California, United States JBA International Full time

    Job DescriptionWe are seeking a skilled Medical Claims Coordinator to join our team at JBA International.Salary: $20 - $25 per hour, depending on experience.Responsibilities:Coordinate with insurance companies, health insurance subrogation departments, and MediCAL/CARE for open claims.Obtain police reports and medical records as necessary.Schedule doctor...

  • Claims Manager

    4 weeks ago


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

    At SERVPRO Global DRT, we're committed to delivering exceptional service and support to our clients. We're currently seeking a skilled Claims Manager to join our team.Job Summary:We're looking for a proactive and customer-focused individual to manage claims from initial loss to completion. As a Claims Manager, you'll be responsible for project managing and...


  • Los Angeles, California, United States Precision Talent Full time

    Job Summary: Injury Claims CoordinatorPrecision Talent is seeking an Injury Claims Coordinator to join our team. In this role, you will be responsible for coordinating pre-litigation caseloads, communicating with clients, and ensuring seamless case progression.About the Role:Manage a high-volume caseload of personal injury claimsCoordinate with clients,...


  • Los Angeles, California, United States Element Consulting Full time

    About the PositionWe are seeking a highly skilled Schedule and Claims Manager to join our team at Element Consulting. This is a salaried position based on 40 hours per week, with a salary range of $135k-$165K.Job DescriptionThe successful candidate will be responsible for developing and maintaining detailed construction planning schedules for new...


  • Los Angeles, California, United States Project Support Services Full time

    About UsProject Support Services is a leading provider of project management services for the LACOE Head Start-State Preschool Program. We are committed to delivering high-quality services that meet the needs of our clients and stakeholders.We are seeking a skilled Construction Project Manager to join our team and contribute to the success of our projects....


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

    We are seeking an experienced Claims Reconciliation Coordinator to join our team at MedPOINT Management.In this role, you will be responsible for:Reviewing and correcting rejected claims in accordance with CMS and DHCS regulations.Analyzing claim rejection trends and identifying areas for improvement.Coordinating with health plans and other stakeholders to...


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

    In this exciting role as a Medical Claims Project Coordinator at Regal Medical Group, you will have the opportunity to work in a fast-paced, dynamic environment where teamwork and learning thrive. Our company culture values employee satisfaction, and we strive to provide a healthy balance between work and life. As a member of our team, you will receive a...


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

    We are your MillerKnoll dealer, providing award-winning workplace solutions for corporate clients across North America. Located in the heart of Downtown Los Angeles, our mission is to create a better workspace where people and businesses thrive.">Job OverviewThe Project Coordinator will partner with our Project Managers to coordinate office furniture...


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

    Job OverviewWe are seeking a skilled Medical Claims Recovery Specialist to join our team at MedPOINT Management. The successful candidate will research and identify complex overpayments on previously processed claims for multiple product lines, assist in DOFR implementation projects, and review claim refunds and capitation deductions from various...


  • Los Angeles, California, United States Triangle DeCon Services, Inc. Full time

    Job Summary:We are seeking a highly experienced Senior Office Engineer to join our team at Triangle DeCon Services, Inc. in Los Angeles. As a key member of our construction management team, you will be responsible for coordinating all aspects of project delivery, leading the administration of construction projects from planning and design to budget...


  • Los Angeles, California, United States JBA International Full time

    About the RoleJBA International is seeking a skilled Personal Injury Claims Coordinator to join our team. In this role, you will be responsible for managing personal injury claims from start to finish, including reviewing files, requesting documentation, and verifying information.Salary: $20 - $25 per hourLocation: Century City, CA (In-Office Work)You will...


  • Los Angeles, California, United States JBA International Full time

    Key ResponsibilitiesAs a Pre-Litigation Claims Coordinator at JBA International, you will be responsible for coordinating case activities, communicating with clients and stakeholders, and verifying claims information. Your exceptional organizational skills and attention to detail will ensure the timely resolution of cases.


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

    Job OverviewSERVPRO Global DRT, a leading remediation and restoration company, is seeking an Insurance Claims Coordinator to join our team in Encino, California.ResponsibilitiesProject Management: Coordinate and communicate job status to relevant parties from initial loss to completion.Email Communication: Send introduction emails, daily updates, and email...

  • Claims Team Lead

    4 days 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 LemonLaws by Prestige Legal Solutions, P.C. Full time

    Job Title: Personal Injury Claims Coordinator About LemonLaws by Prestige Legal Solutions, P.C.We specialize in lemon law cases and provide expert representation to our clients. Our team of experienced attorneys and support staff work diligently to ensure that our clients receive the best possible outcome in their personal injury cases. Estimated Salary:...


  • Los Angeles, California, United States Wilshire Law Firm Full time

    Overview:Wilshire Law Firm is a distinguished, award-winning legal practice with over 15 years of experience specializing in Personal Injury, Employee Rights, and Consumer Class Action lawsuits. We prioritize excellence and justice, striving to achieve the best outcome for our clients.We are looking for a skilled Injury Claims Coordinator to join our...


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

    Responsibilities and QualificationsAs a Medical Billing Specialist, your key responsibilities will include:Gathering patient information from progress notes and completing claim forms electronicallyPosting charges and payments into the billing management systemMaintaining records to re-bill denials or unpaid claimsReconciling and filing outstanding...


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

    We are seeking a dedicated Medical Claims Advocate to join our team at MedPOINT Management. In this role, you will be responsible for advocating on behalf of our Members and Providers to ensure they receive the best possible service.The estimated salary for this position is $55,000 - $80,000 per year, depending on experience. As a Medical Claims Advocate,...