Claims Processor
2 weeks ago
Job Title - Claims Processor Job Location - Whittier, CA 90601Hourly Pay - $30/hrShift - Day 5x8-Hour (07:00 - 15:30)Job Description -SPECIFIC SKILLS NEEDEDKnowledge of HMO/or IPA operations; medical terminology; ICD-10, RVS, and CPT coding knowledge; knowledge of Medicare and Medi-Cal guidelines; 10-key skills by touch; excellent communication skills; knowledge of system applications; ability to function effectively under time deadlines; strong organizational skills.Required:Formal training will be indicated by a high school diploma or equivalent; Four years medical claims processing.DUTIES AND RESPONSIBILITIES1. Safeguards and preserves the confidentiality of patient's protected health information in accordance with State and Federal (HIPAA) regulatory requirements, hospital and departmental policies.2. Ensures a safe patient environment and adherence to safety practices per policy.3. With consideration to age, employee utilizes the approved process to resolve biophysical, psychological, educational and environmental needs of patient/significant other when administering care.4. Assist the Claims Director in the training and education of the Claims department staff5. Coordinate the generation and review of claims audit, status and pending claims reports ensuring authorized claims are paid in accordance with company guidelines6. Investigate, process and track payment adjustments including refunds, overpayments and underpayments7. Act as a confidential and professional resource for group providers and other staff.8. Act as a resource for providers, members, insurance carriers, attorneys and co-workers, researching and responding to questions in a timely manner9. Create, maintain and generate system reports 10.Review and audit member liability denials and Provider Dispute Resolution claims to ensure compliance with regulatory requirements and passing audit scores from health plans
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Claims Processor
2 weeks ago
Whittier, United States Pacer Staffing Full timeJob Title - Claims Processor Job Location - Whittier, CA 90601 Hourly Pay - $30/hrShift - Day 5x8-Hour (07:00 - 15:30) Job Description -SPECIFIC SKILLS NEEDEDKnowledge of HMO/or IPA operations; medical terminology; ICD-10, RVS, and CPT coding knowledge; knowledge of Medicare and Medi-Cal guidelines; 10-key skills by touch; excellent communication skills;...
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Claims Processor
2 weeks ago
Whittier, United States Pacer Staffing Full timeJob DescriptionJob Title - Claims Processor Job Location - Whittier, CA 90601Hourly Pay - $30/hrShift - Day 5x8-Hour (07:00 - 15:30)Job Description -SPECIFIC SKILLS NEEDEDKnowledge of HMO/or IPA operations; medical terminology; ICD-10, RVS, and CPT coding knowledge; knowledge of Medicare and Medi-Cal guidelines; 10-key skills by touch; excellent...
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Claims Processor
2 weeks ago
Whittier, CA, United States Pacer Staffing Full timeJob Title - Claims Processor Job Location - Whittier, CA 90601 Hourly Pay - $30/hr Shift - Day 5x8-Hour (07:00 - 15:30) Job Description - SPECIFIC SKILLS NEEDED Knowledge of HMO/or IPA operations; medical terminology; ICD-10, RVS, and CPT coding knowledge; knowledge of Medicare and Medi-Cal guidelines; 10-key skills by touch; excellent communication skills;...
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Claims Processor
2 weeks ago
Whittier, CA, United States Pacer Staffing Full timeJob Title - Claims Processor Job Location - Whittier, CA 90601 Hourly Pay - $30/hr Shift - Day 5x8-Hour (07:00 - 15:30) Job Description - SPECIFIC SKILLS NEEDED Knowledge of HMO/or IPA operations; medical terminology; ICD-10, RVS, and CPT coding knowledge; knowledge of Medicare and Medi-Cal guidelines; 10-key skills by touch; excellent communication skills;...
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Claims Processor
2 weeks ago
Whittier, CA, United States Pacer Staffing Full timeJob Title - Claims Processor Job Location - Whittier, CA 90601 Hourly Pay - $30/hr Shift - Day 5x8-Hour (07:00 - 15:30) Job Description - SPECIFIC SKILLS NEEDED Knowledge of HMO/or IPA operations; medical terminology; ICD-10, RVS, and CPT coding knowledge; knowledge of Medicare and Medi-Cal guidelines; 10-key skills by touch; excellent communication skills;...
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Whittier, United States Aya Healthcare Full timeA healthcare staffing company in Whittier, CA is seeking a Claims Processor to join their team. This role requires at least 1 year of experience in claims processing. The position offers exceptional benefits starting from day one, including medical, dental, and vision insurance, a generous 401(k) match, and paid company housing. The expected pay ranges from...
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Claims Processor contract in Whittier, CA
1 week ago
Whittier, United States Aya Healthcare, Inc. Full timeAya Healthcare has an immediate opening for the following position: Claims Processor in Whittier, CA.We'll work with you to build the healthcare career of your dreams. Whether you want a job close to home or across the country, we've got you.Job DetailsProfession: Non-Clinical - Finance/AccountingPay: $1092.00 to $1321.00 weeklyAssignment Length: 13...
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Claims Audit Supervisor, FT Days
1 week ago
Whittier, United States PIH Health Full timeClaims Audit Supervisor, FT DaysThe 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...
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Medical Claims Processor
2 weeks ago
Whittier, CA, United States Pacer Group Full timeJob Title : Claims Examiner Location: Whittier, CA Start Date: January 19, 2026 Duration: 13 weeks Schedule Shift: Monday–Friday | 7:00 AM – 3:30 PM (Day Shift) 5x8s-Hour, 40 hours/week Pay Rate: $28/hour Description : PIH Health Physicians is seeking experienced Claims Examiners to support claims adjudication and payment processing for...
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Whittier, United States Bestica Healthcare Full timeJob PostingOnsite or Remote: Onsite Start/end time: 7:00 am to 3:30 pm Shift: Day Next Start Date: Immediately Contract Length: 3 Months # of Travelers: One Location: 6557 Greenleaf Ave.
