Claims processing jobs in Los Angeles, CA - Page 2Create job alerts

Job Description Founded in 1943, E-Central Credit Union is a progressive $180 million financial institution located in Pasadena, CA. We have an immediate opening for an experienced Collector to perform a variety of functions in our Special Accounts (Collection) Department. This is a non-exempt, h...

Job Description Department: Health Services Reports to: Billing Manager Compensation: $21.47-$28.33 per hour, plus $1.75 per hour Shift Differential Premium for hours worked between 6pm-6am Schedule: Monday-Friday 8:00am-5:00pm Status: 100%, Full-Time, Non-Exempt, Union Probation: 90 days B...

Job Description Position Summary This position is responsible to oversee the operations for the Last Mile Parcel. Job Responsibilities - CRM management of carrier parcels - Customer Service with both Carriers and Client - Claims filing and processing - Carrier invoice submissions to Fi...

Job Description 986 Degrees Corporation is recruiting on behalf of El Monte Pharmacy. El Monte Pharmacy is the hiring entity, not 986 Degrees Corporation. *Bilingual - required Current Hiring Locations: El Monte, CA - English and Spanish speaking required Job Description: This position is th...

Job DescriptionDescriptionWe are seeking an experienced Capitation Processor to join our team, with a strong background in processing capitation payments across a wide range of payer types, including CMS, Medicare Advantage, and Commercial Payers. The ideal candidate will have expertise in calcul...

Job Description Benefits Coordinator-Sherman Oaks Responsible for administering employee benefits programs within an organization. The coordinator acts as a liaison between employees, insurance providers, and other third-party vendors, ensuring that all benefits are managed efficiently and accur...

Job Description Summary The Processor, EDI Claims is responsible for retrieving, processing, validating, and posting electronic claim data files into MPM’s core system, EZ-CAP®. Reporting to the Supervisor, EDI Claims, the Processor, EDI Claims teammate will ensure all files are processed timely...

Job Description Summary The Outpatient UM Coordinator provides effective communication between MSO, IPA providers, and members to coordinate member care. Communication to include accessibility to care, validating contract entities, and ensuring timeliness standards are met. The Outpatient UM Coo...

Job Description Wednesday and Thursday working in Rosemead, CA. Key Responsibilities Cost Management: - Oversee cost control functions for multiple large-scale projects, ensuring accuracy in the development and maintenance of project budgets, baselines, and expenditure plans for both sh...

Job Description Summary: Responsible for accurate review, input, and processing of Provider Disputes in accordance with outside regulation, internal production standards and contractual obligations of the organization. Duties and Responsibilities: · Open and sort the PDR Mail, including elec...

Job Description Requirements: - SIP - preferred - Relevant years of experience: 5-10 years of WC claims experience in CA PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation a...

Job Description Job Title: WARRANTY CLERK Reports to: SERVICE DIRECTOR Position Information: Requests, reviews and analyzes dealers repair orders to ensure claims/appeals are processed correctly and adheres to warranty policies and procedures. Administer new and used vehicle warranty repai...

Job Description JOB DESCRIPTION An employer is looking for a Professional Biller/Collector in Torrance, CA. This person will be responsible for the reimbursement of claims from various insurance companies. Must have strong knowledge of managed care contracts and have knowledge of current regulat...

TravelNurseSource is working with Magnet Medical to find a qualified Other RN in Salinas, California, 93901! Pay Information $2,467 per week About The Position A Registered Nurse (RN) – Outpatient Clinic provides direct nursing care and support to patients in an outpatient setting, focusing on...

Windsor is seeking a highly motivated and dedicated Temporary Customer Service Representative for our Santa Fe Springs Call Center. Windsor is committed to fostering an environment of excellence, and therefore, expects exemplary job performance from all team members. All job duties are to be cond...

Job DescriptionHealthcare Staffing Professionals has an immediate need for a Senior Office Clerk, Typist. Senior Typist-Clerks (STCs) will support four functions in the ECM program: (1) Administrative Support: One STC will report to the Program Manager to provide day-to-day clerical support. (2) ...

Job Description The Field Reimbursement Manager (FRM) supports healthcare provider offices by delivering expert education and assistance with patient access and reimbursement for a designated pharmaceutical product. This role is responsible for executing field-based and virtual engagements relate...

Job Description QUALITY COMPLIANCE NURSE PURPOSE: The Quality and Compliance Nurse is responsible for working with the Medical Director, the VP of Clinical Policy, the QM Committee in developing, implementing, and refining the Quality Management Program. They are also responsible for oversight ...

Job Description PURPOSE: The Inpatient Case Manager is primarily responsible for managing patients in the hospital and identifying high risk and high cost cases to be placed in Case Management. ESSENTIAL DUTIES: - Daily concurrent Review of medical records received justifying admission and co...

Job Description OVERALL RESPONSIBILITY: Under the supervision of the Program Director, performs and oversees the performance of word processing, data entry, and other clerical and administrative functions necessary for the Program Director and program staff to carry out their job responsibilit...

Job Description OVERALL RESPONSIBILITY: Under the supervision of the Program Director, performs and oversees the performance of word processing, data entry, and other clerical and administrative functions necessary for the Program Director and program staff to carry out their job responsibilit...

Job DescriptionPosition Type: Direct HireLocation: Montebello, CA (Hybrid after initial training onsite is completed)Hourly Rate: $24 - 30/HR depending on years of experienceSchedules Available: 6AM - 3PM, 7AM - 4PM, 8AM - 5PM Requirements: - Minimum 2 - 3 years of previous claims examiner exper...

Job DescriptionPharmacy Technician Positions-Full Time Or Part time Pharmacy Technicians (Downtown Los Angeles) compensation: Depends on experience- To be discussed at the time of interview Technician, Must have retail experience. Pharmacy located in downtown Los Angeles looking for bilingual ph...

Job Description Primary Purpose of the Position: The Revenue Cycle Associate I is responsible for working accounts to maximize cash collected. The position also performs a variety of duties which may include answering incoming telephone calls, documenting insurance information, verification of e...

Company Description At Howard CDM + SteelCraft, our mission is to build a portfolio of finely crafted projects that are a source of continuing pride for their owners—and for the team members who make them possible. We value pride, passion, and craftsmanship in everything we do. Our culture i...

Job Description Benefits/Perks - Competitive Compensation - Great Work Environment - Career Advancement OpportunitiesJob SummaryWe are seeking a Medical Biller to join our team! As a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all...

Job Description Crystal Stairs, Inc. Improving the Lives of Families through Child Care Services, Research, and Advocacy Crystal Stairs is committed to building and sustaining a diverse workforce and culture. As part of this commitment, Crystal Stairs does not and shall not discriminate on the...

Job Description About Us: We are a patient-focused and technology-driven specialty contact lens and medical optometry practice in Torrance, CA. Our team is passionate about providing exceptional eye care with a personalized touch, and we are expanding! We offer cutting-edge equipment and a collab...

Our client, a National Insurance carrier, is looking for a Bilingual Triage Specialist for their Direct Hire opportunity. This person will be responsible for diligently setting up and assigning new claims as they are reported. This is an in-office position. Requirements: - 1+ year of experi...

Job Description MEDICAL COLLECTIONS REPRESENTATIVE SUMMARY Works under the supervision of the Billing and Collection Supervisor. Analyzes and interprets Managed Care contract language, terms, conditions, and responsibility matrices. Performs telephone and written follow-up with patients, insu...

Job Description Claims Processor Whittier, CA. We are currently hiring for a Claims Processor in the Whittier, CA area. We have several opportunities available due to our growing needs! We are specifically looking for entry to mid-level candidates who are interested in a long-term career with o...

Job Description ESSENTIAL DUTIES: - Inpatient Support Coordinator: - Calling hospitals to verify if patients are still in the hospital or have discharged. - Entering and processing hospital face sheets. - Maintaining an updated census for assigned case manager. - Issuing approval letters fo...

Job DescriptionDescription: The purpose of this job description is to communicate the duties and responsibilities associated with the position of Legal Assistant. While the following information should be considered a comprehensive description of the position, it should also be noted that some d...

Job Description POSITION SUMMARY Strong background on Medi-Cal, Commercial, and Medicare benefits, including coordination of benefits. Works closely with all departments necessary to ensure that processes, programs and services are accomplished in a timely and efficient manner in accordance wit...

Job Summary The Payment Integrity Nurse Coder is responsible for investigating, reviewing, and providing clinical and/or coding expertise/judgement in the application of medical and reimbursement policies within the claim adjudication process through medical record review for Payment Integrity...

Job Description The Benefits Analyst is responsible for administering and optimizing all aspects of employee benefit programs, leave of absence policies, and workers’ compensation. This position is responsible for the end-to-end coordination of benefit enrollments, claims processing, vendor liai...

Job DescriptionCompany Description Since opening our first self-storage facility in 1972, Public Storage has grown to become the largest owner and operator of self-storage facilities in the world. With thousands of locations across the U.S. and Europe, and more than 170 million net rentable squ...

Job Description Position Purpose: The Dental Billing Coordinator will ensure the efficient and accurate processing of dental insurance claims and billing procedures within our dental practice. This position requires a detail-oriented individual with a strong understanding of dental insurance pol...

Job DescriptionSalary: $195,000.00 - $225,000.00 About ShadowMachine: ShadowMachine is a leading production company specializing in dynamic and innovative entertainment projects. With a commitment to creative excellence, we ensure financial precision and compliance across all our productions. We...

Job DescriptionDescription: About Us: 4M Dental Implant Center is a leading provider of advanced dental implant solutions, dedicated to transforming smiles and improving lives. Our patient-focused approach and commitment to excellence set us apart as a trusted name in dental care. We are seek...

Job Description POSITION SUMMARY We are looking for a Provider Dispute Resolution Specialist (PDR Specialist) to manage and resolve disputes between our organization and healthcare providers regarding reimbursement, claims processing, and contractual agreements. The Provider Dispute Resolution ...

Job DescriptionDescription: Title: Referral Case Specialist Manager Base Salary Range: $70,000 – $75,000 plus benefits FTE: Full-time, Exempt We seek a dynamic and experienced Referral Case Specialist Manager who wants to make a difference in our community. We want to hear from you if you...

Commercial Lines Account Manager - Insurance - North Hollywood, CA The Company: A thriving insurance brokerage, with over 25 years of successful business operations and continued growth, is actively seeking a Commercial Lines Account Manager to join its team of dedicated leaders. The age...

Job DescriptionPatient Access Coordinator Opportunities! Temp to Hire! Starting pay $ 18/hr. If hired on permanently, the pay increases to $ 24/hr + full benefits Location: AhaneimShift: M-F 8/5 MINIMUM REQUIREMENTS - 2-3 years of current call center experience Required (High preferred for heal...

Job Description Job Summary: We are currently seeking a skilled and compassionate Medical Assistant to join our team on a temporary basis. As a Medical Assistant, you will work alongside healthcare professionals to provide high-quality care to our patients. Your duties will include performing ...

Job Description Gurstel Law Firm, P.C. – Mail Entry Specialist GET TO KNOW US Gurstel Law Firm, P.C. (hereinafter “Gurstel” or “Firm”) is a multi-state litigation law firm representing creditors in all aspects of the legal collection process. The Firm is headquartered in Golden Valley, Minnes...

As the Commercial Biller, you will be responsible for:.Accurately processing of Inpatient and Outpatient claims to all payers, specifically government and commercial payers.Interpreting payer contracts, processing contractual adjustments, knowledge of late charge process.Primary, secondary, and t...

Job Segment: Accounting, CPA, Claims, Internal Audit, Medicare, Finance, Insurance, Healthcare. The Specialty Health Plans Auditor III is responsible for all aspects of planning, execution, reporting, and corrective action plans monitoring of financial solvency and claims processing compliance fo...