
Dynamic Healthcare Company that specializes in the development of business solutions for physician groups, and strives to place the patient at the heart of what they do, is looking for a Claims Examiner to join their team! Claims Examiner: Qualifications: • The Examiner II must be a high school graduate, with at least 2-3 years of experience as a Claims Examiner on an automated claims system. • Strong organizational and mathematical skills are required, as well as a good command of the English ...
May 17 - Alhambra - Medical & healthcare

JOB DUTIES: This is a temporary to hire assignment for the right applicant. Responsibilities include, but are not limited to: Manage a caseload of 150 claim files from inception to resolution; Experience with 4850 and municipal employees a plus. Meet and manage deadlines with supervision and direction. SKILLS: Extensive experience (five plus years) working with and knowledge of CA WC laws, rules and regulations CA Self Insured Program (SIP) certification required Excellent written and verbal ...
May 16 - Santa Clarita - Sales & biz dev

Do you want to work for the leader of health insurance coverage’s? This company’s network spans more than 5,000 square miles and thousands of healthcare providers. They are seeking a Claims Trainer for their Northridge office for the following position: Description: 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. Adjusts instruction ...
May 13 - Northridge - Medical & healthcare

Do you want to work for the leader of health insurance coverage’s? This company’s network spans more than 5,000 square miles and thousands of healthcare providers. They are seeking candidate for their Northridge office for the following position: Description: The Claims Examiner III is responsible for the processing and releasing of hospital or medical claims according to established policies and procedures. Must identify procedural and system inefficiencies and work with the appropriate entities to ...
May 13 - Northridge - Medical & healthcare

Do you want to work for the leader of health insurance coverage’s? This company’s network spans more than 5,000 square miles and thousands of healthcare providers. They are seeking candidate for their Northridge office for the following position: Description: This Claims Auditor is responsible for maintaining routine auditing functions and providing feedback on departmental activities, to assure compliance with all health plan and regulatory agencies, including CMS, DMHC, and DHS. This position ...
May 13 - Northridge - Medical & healthcare

Description: The Claims Examiner III is responsible for the processing and releasing of hospital or medical claims according to established policies and procedures. Must identify procedural and system inefficiencies and work with the appropriate entities to resolve issues. Examiners also perform research, analyses, reporting and special projects as assigned. Examiners must be able to meet production requirements and quality standards. Qualifications: • 3 years or more experience in processing HMO ...
May 13 - Northridge - Medical & healthcare

Description: Duties to include but not limited to conducting claims processing audits and ensure Participating Provider Group (PPGs) or IPAs meet the regulatory requirements for processing claims. Tracks and monitors the PPG/IPA’s corrective action plan. Assists in internal claim audits and processing of claims adjustments and/or provider disputes claims. Qualification: Candidate must have a minimum education AA degree and/or 4 -5 yrs medical claims processing experience in HMO setting & claims ...
May 13 - San Gabriel - Medical & healthcare

This MSO needs candidates with strong claims examining experince! Company offers excellent medical, dental, education, and retirement benefits. Group provides opportunities for community involvement, employee events, and advancement potential. Working under the direction of the Claims Manager, this position is responsible for processing commercial and/or hospital claims in a timely and accurate manner with attention to guidelines and company policies. This position also processes routine EDI claims ...
May 8 - Long Beach - Medical & healthcare

Claims Supervisor with EZ-Cap Experience Needed Immediately! Date Posted: April 11, 2013 Position: Claims Supervisor Location: Long Beach, California Client: Confidential Shift: Days Salary: DOE Contact: Teri Gray @ PeopleSolutions Healthcare Staffing Position Summary- Candidate ...
May 7 - Long Beach - Medical & healthcare

Large group in Studio City is seeking an Administrative Assistant to support their Medical Claims and Health Benefit teams. Responsibilities include composing and typing correspondence and design forms for the department, maintaining files and sending out follow-up letters on third-party liability and workers comp cases, creating and maintaining spreadsheet reports, collecting information for subpoenas and liens, maintaining the monthly status report for accounting, and sending status letters to ...
May 1 - Studio City - Medical & healthcare

Our client is an independent insurance agency looking for a claims specialist, strong work comp experience. Must have excellent communication skills, both verbal and written and strong computer skills including excel. Will meet with clients off-site on occasion. Flex hours are available. Salary range is based on experience. We are looking for someone who will impress our clients with their expertise without coming across like a know-it-all. Pay is up to 60k with excellent benefits. If they have loss ...
Apr 30 - Los Angeles - Sales & biz dev

Remove staples and prep documents for scanning, Sort documents to appropriate categories, Assist in clerical duties Mon - Fri 8am -5pm *****3 MONTHS*** $10/HR
Apr 25 - Los Angeles - Administrative & office

Immediate openings for Medical Claims Examiners with insurance management group in Studio City. Candidates for this position must meet these qualifications; typing skills of 45 WPM, knowledge of CPT and ICD-9 codes, 2 years experience in claims processing, claims adjudication experience, and insurance carrier coordination knowledge.
Mar 27 - Studio City - Medical & healthcare