NewCertified Pharm Technician (PTCB/ExCPT) – Patient Service Rep CornerStone StaffingCertified Pharm Technician (PTCB/ExCPT) – Patient Service RepFresno, CAThis position partners with pharmacies, healthcare providers, and patients to deliver accurate information, resolve claim issues efficiently, and maintain compliance with HIPAA and healthcare regulations. The Certified Pharmacy Technician plays a critical role in supporting medication access by resolving pharmacy claims, benefit verification, and prior authorization inquiries.
Third-Party Medical Claims Processor Hire Up Healthcare (Division of Hire Up Staffing)Third-Party Medical Claims ProcessorFresno, CAIdeal Candidate: The perfect fit for this role has at least 3 years of experience in medical billing or claims processing especially if that experience includes working with a third-party administrator (TPA) within an insurance company . Prior TPA exposure is highly preferred due to the nature of this employers group benefit processing.
Claims Examiner I Western GrowersClaims Examiner IFresno, CA$40,580.28–$52,756.02 / yearAdjudicate all claims types including Dental, Vision and Medical claims for inpatient and outpatient facilities, Blue Card, physician claims, In and Out of Network claims, Medicaid reclamation (HIPD), outpatient lab and radiology, accident and Third-Party Liability (TPL) claims, by calculating benefit due to approve or deny, based on SPD and within accepted corporate cycle timeframe. Claims Examiner I is responsible for reviewing and processing medical, dental, vision, and electronic claims per state, federal, and health plan regulatory requirements and department guidelines, as well as meeting established quality and production performance benchmarks, including research and review of applicable documentation.
NewManaged Care Claims Assistant I AmTrust Financial Services, Inc.Managed Care Claims Assistant IFresno, California$20–$24 / hourFull timeProcess Utilization Review requests: performs data entry functions, reviews multiple criteria to determine eligibility of treatment requests, approves treatment requests based on authority level, refers treatment requests to a clinical resource or sends appropriate response level. · Transfers any/all calls where there is clinical information being provided (or a clinically related question surfaces) to a registered nurse for response - Licensed staff are always available to assist non-clinical staff while they are attempting to obtain information.
Senior Claims Adjuster Workers Compensation GallagherSenior Claims Adjuster Workers CompensationFresno, CaliforniaRemoteFull timeThe actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. As a key member of our experienced Claims Adjuster team, you will: Investigate, evaluate, and resolve complex workers compensation claims applying your analytical skills to make informed decisions and bring claims to resolution.
Property & Casualty Claims Advocate Hub International LtdProperty & Casualty Claims AdvocateFresno, CA$68,000–$100,000 / yearMaintains accurate and organized claim files by appropriately documenting conversations with clients and carrier representatives; updates all HUB computer systems and automated agency management systems; ensures the accuracy of data. QUALIFICATIONS: High School Diploma / GED 2-3 years property & casualty claims adjustment experience (brokerage preferred) or equivalent combination of education & experience Property & Casualty License required or willingness to obtain within 3 months.
Claims Adjuster - Attorney Represented Injury The Progressive CorpClaims Adjuster - Attorney Represented InjuryFresno, CA$30.29–$39.23 / hourAn ideal candidate will have experience managing an inventory independently, experience assessing and evaluating liability, coverage, and damages, as well as working independently and directly with attorneys to negotiate and settle claims. For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/ .
Independent Insurance Claims Adjuster in Visalia, California MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Visalia, CaliforniaVisalia, CaliforniaIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Sanger, California MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Sanger, CaliforniaSanger, CaliforniaIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Hanford, California MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Hanford, CaliforniaHanford, CaliforniaIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Fresno, California MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Fresno, CaliforniaFresno, CaliforniaIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Madera, California MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Madera, CaliforniaMadera, CaliforniaIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Dinuba, California MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Dinuba, CaliforniaDinuba, CaliforniaIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Clovis, California MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Clovis, CaliforniaClovis, CaliforniaIf you are interested in roster opportunities or would like to learn what licensing, training, and qualifications may be needed to pursue a career as an insurance adjuster, please apply today and schedule a brief informational meeting with our team. If additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Sr. Field Adjuster, Homeowner Claims - Fresno, CA (Local) CSAA Insurance GroupSr. Field Adjuster, Homeowner Claims - Fresno, CA (Local)Fresno, CARemote$38.88–$43.20 / hourUnder close supervision, you will investigate, evaluate, negotiate, and settle homeowners' property/personal property claims, including adjustment to conclusion; involves low- to higher-complexity claims that typically require physical inspection. Most employees hold Home-Flex roles, working primarily from home, often with the flexibility to work from various locations including CSAA offices.
Claims Adjuster Senior - Litigation The Progressive CorpClaims Adjuster Senior - LitigationFresno, CA$36–$47 / hourFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/. Investigating complex and high-risk claims - which may be attorney represented or have additional litigation features - you'll consult with police officers, medical professionals, claimants and others involved in the accident.
Claims Adjuster Senior - Injury The Progressive CorpClaims Adjuster Senior - InjuryFresno, CA$36–$47 / hourFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/ . Investigating complex and high-risk claims - which may be attorney represented or have additional litigation features - you'll consult with police officers, medical professionals, claimants and others involved in the accident.
Claims Specialist Lead The Progressive CorpClaims Specialist LeadFresno, CA$39.18–$51.92 / hourFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/ . As a claims specialist on our team, you'll play a critical role in our ability to successfully and efficiently resolve large-loss injury claims valued over $60k.
Clinic Manager Living Water ClinicereClinic ManagerVisalia, CaliforniaThis leadership role is ideal for an experienced healthcare administrator who thrives in a fast-paced environment, values excellence in patient care, and is passionate about cultivating strong teams and healthy clinic culture. Living Water Clinic-Clinica Agua Viva is seeking a highly skilled, mission-driven, and tech-savvy Clinic Manager to oversee operations at our Visalia and Woodlake offices.
Market People Partner Genuine Parts CoMarket People PartnerFresno, CAReporting to the Director, People, they partner closely with leaders to develop strategic alignment and guidance on core People functions (e.g., talent acquisition, talent planning, onboarding, learning and development, employee engagement, performance management, compensation, and compliance). Conducts data collection, reporting and analysis across teammate lifecycle for informed decision-making such as employee retention reporting to identify turnover trends, root causes, and partnering with leaders to implement targeted engagement and development strategies.
Surgery Scheduler & Authorization Coordinator (AGHA) Sante HealthSurgery Scheduler & Authorization Coordinator (AGHA)Fresno, CAFull timeSante Health System provides numerous client services such as billing, claims processing, contracting, credentialing, finance, human resources, information services, marketing/communications, physician services, practice management, provider relations, quality improvement, and utilization management. Candidates should have exceptional people and communication skills, be highly skilled in multi-tasking in a fast-paced environment, a commitment to achieving a high level of accuracy and attention to detail, and a no-task-too-small approach to the work.
Office Manager (CVCRSA) Sante HealthOffice Manager (CVCRSA)Fresno, CAFull timeSante Health System provides numerous client services such as billing, claims processing, contracting, credentialing, finance, human resources, information services, marketing/communications, physician services, practice management, provider relations, quality improvement, and utilization management. This position is accountable for providing administrative management services for the practice, planning and coordinating the work of clerical, clinical, and bookkeeping efforts of the site, resulting in a smooth comprehensive management of the day-to-day operations.
Registered Nurse (RN) (UGSC) Sante HealthRegistered Nurse (RN) (UGSC)Fresno, CAFull timeSante Health System provides numerous client services such as billing, claims processing, contracting, credentialing, finance, human resources, information services, marketing/communications, physician services, practice management, provider relations, quality improvement, and utilization management. Candidates should have exceptional people and communication skills, be highly skilled in multi-tasking in a fast paced environment, a commitment to achieving a high level of accuracy and attention to detail, and a no-task-too-small approach to the work.
Front Desk Receptionist (WSFC) Sante HealthFront Desk Receptionist (WSFC)Clovis, CAFull timeSante Health System provides numerous client services such as billing, claims processing, contracting, credentialing, finance, human resources, information services, marketing/communications, physician services, practice management, provider relations, quality improvement, and utilization management. The ideal candidate not only strives to meet our clients' needs but also enjoys taking a key role in administrative tasks and operational flow including answering phone calls and transferring to the appropriate departments.
Medical Assistant - Back Office (EMVL) Sante HealthMedical Assistant - Back Office (EMVL)Fresno, CAPart timeSante Health System provides numerous client services such as billing, claims processing, contracting, credentialing, finance, human resources, information services, marketing/communications, physician services, practice management, provider relations, quality improvement, and utilization management. Candidates should have exceptional people and communication skills, be highly skilled in multi-tasking in a fast paced environment, a commitment to achieving a high level of accuracy and attention to detail, and a no-task-too-small approach to the work.
Surgery Scheduler (CVCRSA) Sante HealthSurgery Scheduler (CVCRSA)Fresno, CAFull timeSante Health System provides numerous client services such as billing, claims processing, contracting, credentialing, finance, human resources, information services, marketing/communications, physician services, practice management, provider relations, quality improvement, and utilization management. Candidates should have exceptional people and communication skills, be highly skilled in multi-tasking in a fast paced environment, a commitment to achieving a high level of accuracy and attention to detail, and a no-task-too-small approach to the work.
Medical Assistant Front/Back (AGHA) Sante HealthMedical Assistant Front/Back (AGHA)Fresno, CAFull timeSante Health System provides numerous client services such as billing, claims processing, contracting, credentialing, finance, human resources, information services, marketing/communications, physician services, practice management, provider relations, quality improvement, and utilization management. In addition to your medical assisting responsibilities, you also handle a variety of office duties including scheduling appointments, answering phones, screening calls, relaying messages by phone or mail, and answering patient questions about general policies and procedures.
Biller (FDH Chestnut) Sante HealthBiller (FDH Chestnut)Fresno, CAFull timeSante Health System provides numerous client services such as billing, claims processing, contracting, credentialing, finance, human resources, information services, marketing/communications, physicians services, practice management, provider relations, quality improvement and utilization management. Candidates should have exceptional people and communication skills, be highly skilled in multi-tasking in a fast paced environment, a commitment to achieving a high level of accuracy and attention to detail, and a no-task-too-small approach to the work.
Benefits Specialist | Remote Third Party CSBenefits Specialist | RemoteKings County, CaliforniaRemoteWhether you're experienced in benefits administration or looking to start a new career path, we provide the training, mentorship, and support needed to succeed. We're expanding our team and seeking motivated individuals who enjoy helping people, solving problems, and building meaningful relationships.
NewRN, Risk Management Specialist (Onsite. Hanford) Adventist Health SystemRN, Risk Management Specialist (Onsite. Hanford)Hanford, CAWorks with Safety, Procurement, and Clinical Engineering and Clinical Operations to identify medical device and equipment failures for purposes of improving organizational risk, patient safety and for reporting to the Food and Drug Administration (FDA). Serves as a risk management generalist to facilitate and perform the duties of the risk management department on a variety of hospital and clinic related topics including collaboration and communication with various stakeholders, patients, and medical staff.
Billing and Accounts Receivable Manager Deloitte Touche Tohmatsu LtdBilling and Accounts Receivable ManagerCARemote$140,000–$160,000 / yearAs an Epic Billing and Accounts Receivable Manager you will help deliver back-end revenue cycle management (RCM) services, including billing and claims submission, A/R follow-up, denials management, payment posting, and credits and refunds, for health care provider client. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Farmers Insurance - Customer Service Rep Farmers Insurance Israel Cortes AgencyFarmers Insurance - Customer Service RepMadera, CA$40,000–$45,000 / yearThis position offers a guaranteed base salary of $3,200 per month, with total earning potential up to $60,000 annually through commissions and bonuses. Farmers Insurance Israel Cortes Agency in Madera, California, is looking for a confident, experienced Administration / CSR to join our team.
(USA) Optician Single License Walmart Inc(USA) Optician Single LicenseFRESNO, CA$29–$37 / hourSells Optical products and services by assisting Members with purchasing decisions measuring adjusting and repairing frames and lenses completing eyewearcontact lens orders identifying and verifying prescription information completing and maintaining paperwork forms and other required documentation collecting payments for doctor services and performing and recording results of optometric pretests. Respect the Individual: Embraces differences in people cultures ideas and experiences creates a workplace where associates feel seen supported and connected through a culture of belonging creates opportunities for all associates to thrive and perform helps to attract the best talent.
Customer Service Representative - State Farm Agent Team Member Mark Headrick - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberFresno, CAAs a Customer Service Representative - State Farm Agent Team Member with Mark Headrick - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Freezer, Cooler and Deli Stocker Associate Walmart IncFreezer, Cooler and Deli Stocker AssociateFresno, CA$17–$24 / hourMaintains the Sales Floor and merchandise presentation in the Freezer/Cooler/Deli area in accordance with Company policies and procedures by properly handling claims and returns; zoning the area; receiving and stocking merchandise; setting up, cleaning, and organizing product displays; removing damaged goods; signing and pricing merchandise appropriately; completing required audits, paperwork, logs, and other required documentation; and securing fragile and high-shrink merchandise. Follows Company policies and procedures related to Freezer/Cooler area by complying with food handling policies; operating, repairing, and sanitizing equipment; following Cold Chain procedures when stocking merchandise; cleaning freezer /cooler/deli area (for example, windows, mirrors, display cases and coolers); monitoring freezer/cooler fans, drains and doors for proper operation; and reporting issues to Management.
RN, Risk Management Specialist Adventist Health SystemRN, Risk Management SpecialistHanford, CAWorks with Safety, Procurement, and Clinical Engineering and Clinical Operations to identify medical device and equipment failures for purposes of improving organizational risk, patient safety and for reporting to the Food and Drug Administration (FDA). Serves as a risk management generalist to facilitate and perform the duties of the risk management department on a variety of hospital and clinic related topics including collaboration and communication with various stakeholders, patients, and medical staff.