Skip to main content

Medical Claims Specialist Jobs in San Mateo, California

Currently, there are no Medical Claims Specialist jobs available in San Mateo, 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.
Here are some related jobs:
Healthcare Sr. Claims Examiner Opportunities Dell is looking for Sr. Level Claims Examiners with payer healthcare experience to join our team as part of this new, exciting organization. Through the process of change, we are challenging ourselves to work faster, smarter, and more efficiently. These roles will be a key component in shaping how the business will work in the short, medium, and long t...
The Claims Examiner I is responsible for daily review, audit, investigation and adjudication of hospital and professional claims. Provide back-up to Claims Examiner II for certain duties as specified. Must exceed qualitative standard and meet quantitative production standard. Assist Claims Manager with health plan delegation audits and other special projects as needed. ESSENTIAL JOB FUNCTIONS: P...
Overview: The Provider Relations Claims Specialist is responsible for analyzing and resolving complex claims issues from providers. This includes analyzing provider office medical billing practices, Alliance claims processing decisions, prior authorization requirements adherence, billing system configuration, and contractual terms to assess accuracy of claims processed, and facilitating claims ad...
JOB SUMMARY: Do you have a desire to: Help SSA manage its Social Security programs, analyze and solve problems? Advise millions of retired and disabled individuals? Work on a team to make a difference in people's lives and your own? Join SSA, one of the top 10 Best Places to Work in the Federal Government! Once selected for the Claims Specialist position in SSA, you will contribute to the Age...
The Provider Relations Claims Specialist is responsible for analyzing and resolving complex claims issues from providers. This includes analyzing provider office medical billing practices, Alliance claims processing decisions, prior authorization requirements adherence, billing system configuration, and contractual terms to assess accuracy of claims processed, and facilitating claims adjustments w...
Job Summary This paragraph summarizes the general nature, level and purpose of the job. The Outpatient Coding Specialist is responsible for coding and abstracting outpatient medical records such as emergency department, outpatient surgery, medical procedures and observation records utilizing ICD-10-CMand CPT-4 codes. This requires thorough review of the medical record to validate assigned codes ...
SUMMARY:The Claims Specialist serves as a critical interface between the insured and the Company for insured’s with claims by maintaining responsibility for direct case investigation and management, while exercising defined, independent reserving authority and executing the resolution process as determined by the claim evaluation standards. PLEASE NOTE: Ideally, candidates who apply should reside...
Job Description: Health Care Claims and Appeals Specialist Contract: 5 months (W2) Location: Oakland, CA 94612 Job Number: 75294 Client: One of the country’s largest health care and health plan providers Department: HealthPlan Clinical Review – Appeals Pay Rate: $20 / hr Job Description: · Review and process member claim grievances and appeals within federal, state and organizational regulations ...
Description Advance your career at Liberty Mutual - A Fortune 100 Company! Manages, investigates and resolves assigned moderate to severe Property Loss claims under limited supervision. Provides policyholders with exceptional customer service. May assist Claims Representatives with in-person inspection/policyholder contact where necessary. We are offering a %245,000 hiring bonus with this posit...
Description Advance your career at Liberty Mutual - A Fortune 100 Company! Manages, investigates and resolves assigned moderate to severe Property Loss claims under limited supervision. Provides policyholders with exceptional customer service. May assist Claims Representatives with in-person inspection/policyholder contact where necessary. We are offering a %245,000 hiring bonus with this posit...
Description Advance your career at Liberty Mutual - A Fortune 100 Company! Manages, investigates and resolves assigned moderate to severe Property Loss claims under limited supervision. Provides policyholders with exceptional customer service. May assist Claims Representatives with in-person inspection/policyholder contact where necessary. We are offering a %245,000 hiring bonus with this posit...
Description Advance your career at Liberty Mutual Insurance - A Fortune 100 Company! Are you looking for an opportunity to join a claims team with a responsible company that has consistently outpaced the industry in year over year growth? Liberty Mutual Insurance has an excellent claims opportunity available. A Field Property Claims Specialist is responsible for managing, investigating, and res...
Job Role : Client Service Advocate Location : San Francisco, CA The Company Willis Towers Watson is a leading global advisory, broking and solutions company that helps clients around the world turn risk into a path for growth. With roots dating to 1828, Willis Towers Watson has 39,000 employees in more than 120 territories. We design and deliver solutions that manage risk, optimize benefits, cu...
Bachelor's degree preferred. 1 to 3 years of experience handling billing and accounts receivables in a similar or related field. Some ability to understand and practice bookkeeping and accounting terminology. Knowledge of medical terminology and billing processes/practices. Ability to handle a large volume of work while paying close attention to detail. Responsible for the completion, accurac...
Previous Medical Front Office Receptionists/Managers, Healthcare Administrators, Insurance Specialists (Various Industries) ----Are welcomed to apply! This skill set is a great asset for this role!! A world leader in Biopharmaceuticals seeks several CONTRACT Patient Services Specialists /Case Managers to join the South San Francisco team. This is a rare opportunity to join a great Pharmaceutical...
Healthcare Sr. Claims Examiner Opportunities Dell is looking for Sr. Level Claims Examiners with payer healthcare experience to join our team as part of this new, exciting organization. Through the process of change, we are challenging ourselves to work faster, smarter, and more efficiently. These roles will be a key component in shaping how the business will work in the short, medium, and long t...
The EDI Processing Coordinator is responsible to monitor the processing and posting activities of EDI files submitted by outside Trading Partners, correct identified errors and reconcile data discrepancies, to ensure timely capture of medical claims in EZCAP, the managed care claims system. This position also responsible to provide timely acknowledgement to EDI submitters per AB1455 requirement, c...
Our Corporate headquarters is located along the water in Alameda’s Marina Village. The area is surrounded by free parking, walking trails, several local attractions, shopping areas nearby, accessible transportation options and more. You will also enjoy participating in frequent BBQs and outings such as baseball games. In this role, you’ll find an empowering environment that fosters open communica...
We are a first point of contact to manage multiple accounts during a 90 day implementation phase. Coordinate all client trainings. Have impeccable follow-up with client calls, emails, and trainings. Respond professionally to urgent inbound phone calls. Identify and escalate priority issues. Research required information using available resources. Troubleshoot problems and provide information to de...
Position:Reimbursement Specialist Job Type: Full-time (40 hours/week) Salary Level: $18.00- $22.00/hour Location: Emeryville, CA Who We Are:STAT Revenue is a rapidly growing healthcare consulting firm based in Emeryville, California. Our clients are hospitals around the country each with its own diverse set of challenges for growth and financial stability. We believe that strong hospitals are ...