Claims Examiner

1 day ago

Whittier, United States BizTek People, Inc. | APA International Placement Consultants Full time

Job DescriptionPOSITION SUMMARY:Contract role. Contract to hire potential for the right candidate The claims examiner reports directly to the claims manager. They are primarily responsible for the processing functions (operation, adjudication, and payment) of UB-92 and HCFA-1500 claims that are received from PHP affiliated medical groups and hospitals for HMO patients.EDUCATION/EXPERIENCE/TRAINING:• High school graduate or equivalent required• Minimum of 2 years claims ADJUDICATION related experience in ambulatory, acute care hospital, HMO, or IPA environment• Knowledge of payment methodologies for: Professional (MD), Hospital, Skilled Nursing Facilities, and Ancillary Services* Knowledge and understanding of timeliness and payment accuracy guidelines for commercial, senior and Medi-Cal claims* Knowledge of compliance issues as they relate to claims processing• Experience in interpreting provider contract reimbursement terms desirable• Ability to identify non-contracted providers for Letter of Agreement consideration• Data entry experience• Training on basic office automation and managed care computer systemsCOVID vaccine is required.Skill Setclaims examiner, HMO, health

  • Claims Examiner

    6 days ago

    Whittier, CA, United States BizTek People, Inc. | APA International Placement Consultants Full time

    Job Description POSITION SUMMARY: Contract role. Contract to hire potential for the right candidate! The claims examiner reports directly to the claims manager. They are primarily responsible for the processing functions (operation, adjudication, and payment) of UB-92 and HCFA-1500 claims that are received from PHP affiliated medical groups and hospitals for...

  • Claims Examiner

    2 weeks ago

    Whittier, CA, United States BizTek People, Inc. | APA International Placement Consultants Full time

    Job Description POSITION SUMMARY: Contract role. Contract to hire potential for the right candidate! The claims examiner reports directly to the claims manager. They are primarily responsible for the processing functions (operation, adjudication, and payment) of UB-92 and HCFA-1500 claims that are received from PHP affiliated medical groups and hospitals for...

  • Claims Examiner

    1 week ago

    Whittier, CA, United States Pacer Group Full time

    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...

  • Claims Examiner

    5 days ago

    Whittier, CA, United States Pacer Group Full time

    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...

  • Claims Examiner

    5 days ago

    Whittier, CA, United States Pacer Group Full time

    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...

  • Claims Examiner

    17 hours ago

    Whittier, United States BizTek People Full time

    Job PostingContract role. Contract to hire potential for the right candidate! The claims examiner reports directly to the claims manager. They are primarily responsible for the processing functions (operation, adjudication, and payment) of UB-92 and HCFA-1500 claims that are received from PHP affiliated medical groups and hospitals for HMO...

  • Claims Examiner

    4 days ago

    Whittier, United States Pacer Group Full time

    Job Title : Claims ExaminerLocation: Whittier, CAStart Date: January 19, 2026Duration: 13 weeksSchedule Shift: Monday–Friday | 7:00 AM – 3:30 PM (Day Shift)5x8s-Hour, 40 hours/weekPay Rate: $28/hourDescription:PIH Health Physicians is seeking experienced Claims Examiners to support claims adjudication and payment processing for HMO patients. This role...

  • Claims Examiner

    3 days ago

    Whittier, United States Pacer Group Full time

    Job DescriptionJob Title : Claims ExaminerLocation: Whittier, CAStart Date: January 19, 2026Duration: 13 weeksSchedule Shift: Monday–Friday | 7:00 AM – 3:30 PM (Day Shift)5x8s-Hour, 40 hours/weekPay Rate: $28/hourDescription:PIH Health Physicians is seeking experienced Claims Examiners to support claims adjudication and payment processing for HMO...

  • Claims Examiner

    4 days ago

    Whittier, United States Pacer Group Full time

    Job Title : Claims ExaminerLocation: Whittier, CAStart Date: January 19, 2026Duration: 13 weeksSchedule Shift: Monday–Friday | 7:00 AM – 3:30 PM (Day Shift)5x8s-Hour, 40 hours/weekPay Rate: $28/hour Description:PIH Health Physicians is seeking experienced Claims Examiners to support claims adjudication and payment processing for HMO patients. This role...

  • Claims Examiner

    2 weeks ago

    Whittier, CA, United States vTech Solution Full time

    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....