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Claims Examiner Rn Jobs (NOW HIRING)

Healthcare Claims Examiner

Whittier, CA ยท On-site

$31 - $32/hr

Healthcare Claims Examiner Location: Whittier, CA Shift: Monday - Friday | 7:00 AM - 3:30 PM ... Knowledge of payment methodologies for hospitals, skilled nursing facilities, and professional ...

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Claims Examiner Rn information

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How much do claims examiner rn jobs pay per hour?

As of Sep 13, 2026, the average hourly pay for claims examiner rn in the United States is $29.40, according to ZipRecruiter salary data. Most workers in this role earn between $22.36 and $35.10 per hour, depending on experience, location, and employer.

What are popular job titles related to Claims Examiner Rn jobs?

For Claims Examiner Rn jobs, the most frequently searched job titles are:

Claims Examiner

Whittier, CA โ€ข On-site

BizTek People, Inc. | APA International Placement Consultants
Recruiting and Staffing Servicesย โ€ขย 51 - 200 employees

$24/hr

Contractor

Re-posted 9 days ago


Job description


POSITION SUMMARY:
Contract role. Contract to hire potential for the right candidate! The claims examiner reports directly to the claims manager. They are primarily responsible for the processing functions (operation, adjudication, and payment) of UB-92 and HCFA-1500 claims that are received from PHP affiliated medical groups and hospitals for HMO patients.
EDUCATION/EXPERIENCE/TRAINING:
โ€ข High school graduate or equivalent required
โ€ข Minimum of 2 years claims ADJUDICATION related experience in ambulatory, acute care hospital, HMO, or IPA environment
โ€ข Knowledge of payment methodologies for: Professional (MD), Hospital, Skilled Nursing Facilities, and Ancillary Services
* Knowledge and understanding of timeliness and payment accuracy guidelines for commercial, senior and Medi-Cal claims
* Knowledge of compliance issues as they relate to claims processing
โ€ข Experience in interpreting provider contract reimbursement terms desirable
โ€ข Ability to identify non-contracted providers for Letter of Agreement consideration
โ€ข Data entry experience
โ€ข Training on basic office automation and managed care computer systems
COVID vaccine is required.
Skill Set
claims examiner, HMO, health