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Medical Claims Specialist Jobs in Irvine, California

Currently, there are no Medical Claims Specialist jobs available in Irvine, California which match this search. You may wish to explore similar job titles on the Healthcare jobs in California page or view related jobs below.
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Opportunity in the Orange, CA office to manage workers' compensation claims within company best practices. Will work within delegated authority to determine and pay benefits due, work closely with case managers and attorneys to handle all aspects of the claims. In addition, will ensure specific customer service requirement to achieve the best possible outcomes. Essential Job Duties: Determine th...
Job Description: Purpose of Position: Marque Urgent Care is in search of a Coding and Compliance Specialist for our corporate office in Corona del Mar. The Medical Coding and Compliance Specialists is responsible for correctly coding healthcare claims in order to obtain reimbursement from insurance companies and government healthcare programs, such as Medicare. Essential Functions:Obtain accurate...
Job Description: Our client is a growing Insurance Carrier that has multiple openings for Inside Material Damage Adjusters. These positions will be handling Auto Liability and Property Damage claims for policy holders. They are requiring at least 2 years experience handling Auto Property Damage and Liability claims. These are "Direct Hire" opportunities and they offer Medical, Dental, Vision, Lif...
A Great Company Looking for Great People, At York we are committed to supporting our employees and their future, we offer a competitive benefit package, a healthy work environment, a supportive team and management group who is dedicated to developing and mentoring their staff, preparing career paths and resources for success. We seek individuals who are passionate, believe in quality of work, del...
The Claims Administrative Program Specialist analyzes and processes complex claims and projects. This position is responsible for following regulatory and internal guidelines in conjunction with CalOptima policies and procedures as they apply to claims adjudication. The Claims Specialist performs detailed reviews of claims exceptions and in-depth projects and carve out programs. Position Responsi...
FOUNDED IN 2003, Carrington has evolved from a mortgage credit asset manager into a vertically-integrated financial services company that covers virtually every aspect of the single family residential real estate transactions- investments in U.S. real estate and mortgage markets, loan origination and servicing, asset management and property preservation, real estate sales and rental, and title and...
Summary The EDI Analyst will be working with the IT Department in support of the various EDI submissions (Both incoming and outgoing). You will be supporting various departments in performing their EDI tasks, as well as implementation of new clients, and troubleshooting issues as they arise. LIBERTY Dental Plan is a fast growing dental insurance carrier looking to expand its EDI capabilities and ...
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Medical Insurance Biller/Authorization clerk: Busy Pediatric office in Los Alamitos looking for a Temporary Insurance Biller/Authorization clerk. This Temporary position will last approx. 6 months ( July- Feb.) We are seeking a bright, dependable individual with excellent customer service ability, someone who can multi-task, remember details, work well with others, handle stressful situations whi...
Western Dental Services, Inc., California’s largest dental services provider and one of the nation’s largest dental HMO’s, is looking for a bright, motivated, Medical Billing Specialist to support Revenue Cycle Management. Key Responsibilities: • Ensures accurate and timely billing of claims. • Performs follow-up on open insurance claims and balances. • Monitors, researches and resolves unpaid...
Description: Position Description: Energize your career with one of Healthcare’s fastest growing companies. You dream of a great career with a great company – where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it’s a dream that definitely can come true. Already one of the world’s leading Healthcar...
Director of Outpatient Clinical Programs needed for a Direct-Hire opportunity with Yoh's client located in Orange, CA. Top Skills Should You Possess: - Current RN license. - Case Management or Disease Management Experience. - 5 years of high level management (Manager or Director) experience in Medical Group, Health Plan and IPA arenas to include Utilization management, Quality Improvement, Inp...
The incumbent manages an assigned inventory of outsourced healthcare receivables, on behalf of Sequetor’s clients, to bill, follow up, and resolve patient accounts. The incumbent utilizes a pro-active work approach in analyzing accounts to rapidly accelerate cash collections and final resolution. This includes account reconstruction, reconciliation, working knowledge of both provider and payor cla...
Job Description: Medical Collector Needed for Large Hospital in Orange, CA Job SummaryMedical Billing and Collections Specialists are responsible for reading, understanding and explaining the Explanation of Benefits to patients and creating and submiting insurance claims on behalf of the patients. They are also responsible for ensuring accurate entry of all work into the designated computer syste...
Job Summary: CA scope of responsibly/ Based in CA. Under the direction of the Vice President, Clinical Programs, may be required to participate in the implementation of new multi-state, regional, clinical program development and implementation. Outpatient Case Management, Disease Management, and Care Plus care coordination programs. Education/Experience: Active, unrestricted, licensed Registered ...
Xerox is the world's leading enterprise for business process and document management. Its services, technology, and expertise enable workplaces - from small businesses to large global enterprises - to simplify the way work gets done so they operate more effectively and focus more on what matters most: their real business. Xerox offers business process outsourcing and IT outsourcing services, inclu...
The case manager provides medical and vocational assistance and coordination services to assist injured workers in reaching maximum medical improvement and return to work. The case manager facilitates communication between all parties including the injured worker, the adjuster, the employer, treating physician(s) and ancillary providers to assist the injured worker in obtaining prompt and appropri...
St. Joseph Heritage Healthcare (SJHH) is one of California's most respected medical groups. With over 2,000 employees and 25 locations throughout California, including, Northern California, Orange County, High Desert and Los Angeles County, SJHH has been continually recognized as a leader in quality, customer service and information technology. This kind of success is the result of team work, a co...
Job Posting St. Joseph Heritage Healthcare (SJHH) is one of California's most respected medical groups. With over 2,000 employees and 25 locations throughout California, including, Northern California, Orange County, High Desert and Los Angeles County, SJHH has been continually recognized as a leader in quality, customer service and information technology. This kind of success is the result of te...
Position Description: Energize your career with one of Healthcares fastest growing companies. You dream of a great career with a great company where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, its a dream that definitely can come true. Already one of the worlds leading Healthcare companies, United...
Position Description: Energize your career with one of Healthcare?s fastest growing companies.?? ? You dream of a great career with a great company ? where you can make an impact and help people.? We dream of giving you the opportunity to do just this.? And with the incredible growth of our business, it?s a dream that definitely can come true. Already one of the world?s leading Healthcare compa...