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Working knowledge of Employee Retirement Income Security Act of 1974 (ERISA) claims processing/adjudication guidelines. Claims Examiner I is responsible for reviewing and processing medical, dental, vision and electronic claims in accordance with state, federal and health plan regulatory requirements, department guidelines, as well as meet established quality and production performance benchmarks to include research and review of applicable documentation.
$33,280 - $47,271 a yearFull-timeExpandApply NowActive JobUpdated 22 days ago - UpvoteDownvoteShare Job
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Distributor contract administration and record keeping, including the maintenance of local pricing agreements, validation and processing of rebate claims. Experience with Master Data Management (MDM) tools such as Profisee.
$75,000 - $95,000 a yearFull-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Responsible for receiving claims information via phone & email, processing claims and entering claims data into the Claims Management System (CMS). Our facilities are capable of receiving, storing, processing and dispatching cargo, so we can build flexibility and resilience into the supply chain process.
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Responds to inbound phone calls and assists renter's insurance policy holders with servicing transactions, such as processing payments, answering billing inquiries, website navigation, and some claims & coverage inquiries.
RemoteExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Analyze and organize office operations and procedures, including but not limited to, bookkeeping, invoice processing, cash control, preparation of payrolls and other administrative duties. May act as a backup to the front office team; schedule and confirm appointments, answer the telephone, assist with patient questions, enter and present treatment plans, submit accurate insurance claims, collect patient balances.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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The Senior Claims Specialist is responsible for the processing of complex institutional claims (stop loss, contracted, non-contracted, per diem, case rate etc.) Senior Claims Specialist must have knowledge of compliance issues as they relate to claims processing and ability to identify and address non-contracted providers.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Train on claims processing procedures and systems. When you join the Auto Club as a Claims Representative, you're bringing your expertise to a best-in-class organization that is focused on delivering quality service to our members.
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Knowledge of Workers Compensation claims Processing. Obtains employer/carrier information for billing/reporting purposes; contact employers/carriers to obtain authorization for treatment or report status of claims.
$25.3 - $28.03 an hourPart-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Scan/upload pertinent documents (formal claims submissions, invoices, inspection reports, signed release, settlement check) into CMS. Other job-related duties as required by the Director, Claims & Loss Prevention or the Claims Coordinator.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Typical duties include preparing, reviewing, and processing claims documents and forms; establishing and maintaining case files; utilizing automated case management tracking and filing systems, providing claims assistance to the various departments within the company, courts, jails, etc.
$18 - $19 an hourFull-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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You’ll serve on the front lines of insurance sales, helping new customers navigate our products, processing claims and inquiries, and developing an ever-growing lead list to secure new business.
$80,000 - $110,000ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Processes claims based upon contractual and/or CalOptima Health's agreements involving the use of established payment methodologies, Division of Financial Responsibility, applicable regulatory legislation, claim processing guidelines and company policies and procedures.
Full-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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The Grievance Resolution Specialist coordinates the Grievance and Appeal resolution process, responds to verbal and written Grievances and Appeals from members and/or providers relating to member eligibility and benefits, contract administration, claims processing, utilization management decisions, and pharmacy and vision decisions.
ExpandApply NowActive JobUpdated 13 days ago - UpvoteDownvoteShare Job
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Provide legal advice and guidance to healthcare organizations on revenue cycle management best practices, including optimizing billing processes, charge capture, and claims processing. This attorney would be responsible for accurately and efficiently reviewing contracts, researching healthcare provider claims, thoroughly documenting investigation results, and identifying and implementing timely resolution strategies resulting in maximum recovery percentage rates and a minimal average lifecycle for all matters.
$110,000 - $180,000 a yearFull-timeExpandApply NowActive JobUpdated 20 days ago - UpvoteDownvoteShare Job
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Support project administration activities under the supervision of LACMTA’s Contract Administrator, Project Manager, and Project team for a highway construction project including support of change control procedures, pay application processing, and coordination with interfacing LACMTA departments among other contract administration tasks as assigned.
Full-timeExpandApply NowActive JobUpdated 21 days ago
claims processing jobs in Orange, CA
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