Claims Examiner

Must have listed claims reimbursement experience Must have DOFR Must have processed lab claims **ONSITE INTERVIEW REQUIRED** JOB TITLE: Claims Examiner - Days LOCATION: 9557 Greenleaf Avenue, Whittier, CA SHIFT: Monday - Friday - 07:00am - 03:30pm PLEASE NOTE ORIENTATION TIME MAY DIFFER THAN SHIFT TIMES LISTED DURATION - 13 weeks *** 2 YEARS...

Job Summary: The Claims Examiner is responsible for processing UB-92 and HCFA-1500 claims from affiliated medical groups and hospitals for HMO patients. This includes operation, adjudication, and payment functions, reporting directly to the claims manager. Location:Whittier, California, United States Responsibilities: - Process UB-92 and HCFA-1500 claims....

Job Summary: The Claims Examiner is responsible for processing UB-92 and HCFA-1500 claims from affiliated medical groups and hospitals for HMO patients. This includes operation, adjudication, and payment functions, reporting directly to the claims manager. Location:Whittier, California, United States Responsibilities: - Process UB-92 and HCFA-1500 claims....

Job Summary: The Claims Examiner is responsible for processing UB-92 and HCFA-1500 claims from affiliated medical groups and hospitals for HMO patients. This includes operation, adjudication, and payment functions, reporting directly to the claims manager. Location:Whittier, California, United States Responsibilities: - Process UB-92 and HCFA-1500 claims....

Duration: 3+ months contract Responsibilities: Review, adjudicate, and process medical claims for HMO patients Work closely with affiliated medical groups and hospitals Evaluate provider reimbursement terms and flag non-contracted providers Ensure claims are processed accurately and timely per policy guidelines Experience: 2+ years of experience in...

Duration: 3+ months contract Responsibilities: Review, adjudicate, and process medical claims for HMO patients Work closely with affiliated medical groups and hospitals Evaluate provider reimbursement terms and flag non-contracted providers Ensure claims are processed accurately and timely per policy guidelines Experience: 2+ years of experience in...

Duration: 3+ months contract Responsibilities: Review, adjudicate, and process medical claims for HMO patients Work closely with affiliated medical groups and hospitals Evaluate provider reimbursement terms and flag non-contracted providers Ensure claims are processed accurately and timely per policy guidelines Experience: 2+ years of experience in...

Job Description The Senior Claims Examiner administers health plan contracts by processing medical claims in an efficient, cost-effective, and timely manner meeting all required guidelines and performs adjustments as necessary. Some of the duties include handling of Third-Party Liability requests, Out-of-pocket Maximum requests, EDI rejects and other special...

Job Description The Senior Claims Examiner administers health plan contracts by processing medical claims in an efficient, cost-effective, and timely manner meeting all required guidelines and performs adjustments as necessary. Some of the duties include handling of Third-Party Liability requests, Out-of-pocket Maximum requests, EDI rejects and other special...

Job Description The Supervisor, Claims Audit is responsible for overseeing and managing claims auditors/trainers and ensuring that all policies and procedures are enforced as it relates to health plans and regulatory agencies requirements. This role understands claims payments/processes, compliance, audits, policies and procedures, state and federal...