Claims Processing Jobs in California (NOW HIRING)

Performing initial data entry of paper claims into the claims processing system. * Ensuring claims are entered in compliance with regulatory guidelines, meeting the 95% accuracy rate standard.

Claims Processor 2 Department: Claims Bargaining Unit: OPEIU 29 Grade: 17 Position Type: Non-Exempt Hours per Week: 40 PositionSummary The Claims Processor 2 provides customer service and processes ...

Claims Auditor FLSA STATUS: Non-Exempt DEPARTMENT: Claims Audit REPORTS TO: Claims Audit Manager ... Facilitate corrections of claim adjudication errors and recommend process improvements. * Test and ...

Claims Processor 2 Department: Claims Bargaining Unit: OPEIU 29 Grade: 17 Position Type: Non-Exempt Hours per Week: 40 Position Summary The Claims Processor 2 provides customer service and processes ...

Claims Processor 2 Department: Claims Bargaining Unit: OPEIU 29 Grade: 17 Position Type: Non-Exempt Hours per Week: 40 Position Summary The Claims Processor 2 provides customer service and processes ...

In-depth knowledge of HPSJ systems as they relate to claims processing. * Basic leadership skills, including but not limited to the ability to influence without authority and motivate others.

Solid knowledge of Medicare and Medi-Cal managed care claims processing and compliance guidelines. * Experience with CPT-4, ICD-10-CM, RBRVS, ASA, and HCPCS, as well as an in-depth understanding of ...

In-depth knowledge of HPSJ systems as they relate to claims processing. * Basic leadership skills, including but not limited to the ability to influence without authority and motivate others.

Solid knowledge of Medicare and Medi-Cal managed care claims processing and compliance guidelines. * Experience with CPT-4, ICD-10-CM, RBRVS, ASA, and HCPCS, as well as an in-depth understanding of ...

Six months of experience processing health and welfare claims. * Basic knowledge of benefits claims adjudication principles and procedures and medical and/or dental terminology and ICD-10 and CPT-4 ...

Six months of experience processing health and welfare claims. * Basic knowledge of benefits claims adjudication principles and procedures and medical and/or dental terminology and ICD-10 and CPT-4 ...

Six months of experience processing health and welfare claims. * Basic knowledge of benefits claims adjudication principles and procedures and medical and/or dental terminology and ICD-10 and CPT-4 ...

Six months of experience processing health and welfare claims. * Basic knowledge of benefits claims adjudication principles and procedures and medical and/or dental terminology and ICD-10 and CPT-4 ...

Two years of healthcare claims processing or claims adjudication experience, including experience interpreting benefits and reimbursement rules. Experience working with claim denials, adjustments ...

Two years of healthcare claims processing or claims adjudication experience, including experience interpreting benefits and reimbursement rules. Experience working with claim denials, adjustments ...

Two years of healthcare claims processing or claims adjudication experience, including experience interpreting benefits and reimbursement rules. Experience working with claim denials, adjustments ...

... processing errors. Essential Job Duties Evaluates the adjudication of claims using standard principles, and state-specific regulations to identify incorrect coding, abuse and fraudulent billing ...

In this role you will identify claims processing issues, perform root cause analysis, and provide remediation based on findings. You will also work independently and collaboratively with internal ...

Analyze and troubleshoot claims processing issues, identifying root causes and implementing sustainable solutions * Support upgrades, releases, and environment changes, ensuring claims configuration ...

The Claims Auditor is responsible for ensuring the accuracy of claims processing based on department policies and procedures, CMS and DMHC regulations. Primary Duties and Responsibilities * Conducts ...