Claims Processing Manager Jobs in California (NOW HIRING)

... processing as needed Ensure check runs are ready according to schedule Attend meetings as required Report to Claims Manager Other duties as needed Qualifications: Bachelor's degree in related field ...

The Claims Process Innovation Manager is responsible for leading the design, implementation, and continuous improvement of claims processes across the organization while remaining actively involved ...

Must serve as a back up to claims processing when needed to ensure the department turn-around times ... Manage and keep track of multiple tasks. Remain objective when dealing with emotional topics or ...

At Pinnacle Claims Management, we are an innovative third-party administrator (TPA) that provides ... Claims Examiner I is responsible for reviewing and processing medical, dental, vision, and ...

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 ...

Claims Auditor will be responsible for auditing claims processed by Claims Examiners ... management Monitor aging claims with reports to maintain timeliness Maintain quality and ...

About the role Under management direction, responsible for reviewing and processing all types of medical and facility claims from contracting and non-contracting providers and from subscribers and ...

Apply claim processing experience to audit and analyze all levels of claims processing procedures ... Accurately document the underpayments and overpayments into the audit database * Assist management ...

At Pinnacle Claims Management, we are an innovative third-party administrator (TPA) that provides a ... Claims Examiner I is responsible for reviewing and processing medical, dental, vision, and ...

Claims Audit Manager / Claims Director JOB SUMMARY: The Claims Auditor is responsible for reviewing ... Facilitate corrections of claim adjudication errors and recommend process improvements. * Test and ...

The Claims Manager of the Medicare Advantage Plan will ... Implement and maintain efficient and streamlined claims adjudication processes that effectively ...

This position oversees all aspects of claims administration, including claims adjudication, payment accuracy, delegated claims oversight, regulatory compliance, vendor management, process improvement ...

Description & Requirements Director of Claims- Healthcare Preferred IPA of California is committed to delivering exceptional care management, care coordination, and claim processing services that ...

Minimum 3-4 years of experience in health insurance claims processing, examination, adjudication, and auditing. * Strong knowledge of managed care and/or healthcare claim reimbursement or medical ...

Identify processing errors and make corrections prior to the weekly FFS payment cycle. * Identify NEMS in-house billing errors and communicate with MSO Claims Supervisor and NEMS Billing Manager for ...

Identify processing errors and make corrections prior to the weekly FFS payment cycle. * Identify NEMS in-house billing errors and communicate with MSO Claims Supervisor and NEMS Billing Manager for ...

Minimum 3-4 years of experience in health insurance claims processing, examination, adjudication, and auditing. * Strong knowledge of managed care and/or healthcare claim reimbursement or medical ...

... processing errors. Manages a caseload of claims - procures all medical records and statements that support the claim. Makes recommendations for further investigation and/or resolution of claims.

Identify processing errors and make corrections prior to the weekly FFS payment cycle. * Identify NEMS in-house billing errors and communicate with MSO Claims Supervisor and NEMS Billing Manager for ...

Minimum 3-4 years of experience in health insurance claims processing, examination, adjudication, and auditing. * Strong knowledge of managed care and/or healthcare claim reimbursement or medical ...