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Mso Jobs in California (NOW HIRING)

North East Medical Services

CLAIMS EXAMINER I MSO

Burlingame, CA · On-site

$38/hr

  • Medical

  • Dental

  • Vision

  • Retirement

Identify NEMS in-house billing errors and communicate with MSO Claims Supervisor and NEMS Billing Manager for correction. * Identify claims payment errors and/or system configuration flaws during day ...

NORTH EAST MEDICAL SERVICES

CLAIMS EXAMINER I MSO

Burlingame, CA · On-site

$38/hr

  • Medical

  • Dental

  • Vision

  • Retirement

Identify NEMS in-house billing errors and communicate with MSO Claims Supervisor and NEMS Billing Manager for correction. * Identify claims payment errors and/or system configuration flaws during day ...

NORTH EAST MEDICAL SERVICES

MSO CLAIMS MANAGER

Burlingame, CA · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

The Claims Manager is responsible for overseeing the end-to-end claims operations within the MSO managed care delegated functions. This role provides guidance on healthcare claims adjudication and ...

North East Medical Services

MSO CLAIMS MANAGER

Burlingame, CA · On-site

$112K - $128K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

The Claims Manager is responsible for overseeing the end-to-end claims operations within the MSO managed care delegated functions. This role provides guidance on healthcare claims adjudication and ...

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All JobsMso JobsMso Jobs in California

Mso information

See California salary details

$35.5K

$139.9K

$190.5K

How much do mso jobs pay per year?

As of Aug 18, 2026, the average yearly pay for mso in California is $139,861.00, according to ZipRecruiter salary data. Most workers in this role earn between $121,900.00 and $169,300.00 per year, depending on experience, location, and employer.

What is an MSO?

An MSO (Medical Science Officer or Managed Service Organization specialist) job typically involves overseeing healthcare operations, compliance, and administrative support for medical practices or organizations. Responsibilities may include managing provider networks, ensuring regulatory compliance, optimizing practice efficiencies, and supporting clinical operations. MSOs play a crucial role in streamlining business functions so that healthcare providers can focus on patient care.

What are the key skills and qualifications needed to thrive as an MSO?

To thrive as an MSO (Medical Science Officer or Medical Services Officer), you need a solid background in healthcare administration or medical sciences, typically supported by a relevant degree and professional experience. Familiarity with healthcare compliance systems, medical information databases, and reporting software is often required. Strong organizational skills, strategic thinking, and excellent communication are essential to excel in this position. These competencies enable MSOs to ensure smooth medical operations, uphold regulatory standards, and effectively facilitate collaboration across departments.

What are some typical challenges faced by MSOs in their day-to-day work?

MSOs often encounter challenges such as managing complex healthcare regulations, coordinating between multidisciplinary teams, and ensuring timely reporting and documentation. Balancing administrative duties with the need to stay current on industry standards requires strong time-management and attention to detail. Additionally, MSOs may navigate situations where quick decision-making and conflict resolution are necessary to maintain smooth operations. Overcoming these challenges helps MSOs contribute to efficient healthcare delivery and regulatory compliance.

What are popular job titles related to Mso jobs in California?

For Mso jobs in California, the most frequently searched job titles are:

What job categories do people searching Mso jobs in California look for?

The top searched job categories for Mso jobs in California are:

What cities in California are hiring for Mso jobs?

Cities in California with the most Mso job openings:

Mso jobs near you
Infographic showing various Mso job openings in California as of August 2026, with employment types broken down into 87% Full Time, and 13% Part Time. Highlights an 96% In-person, and 4% Remote job distribution, with an average salary of $139,861 per year, or $67.2 per hour.

CLAIMS EXAMINER I MSO

NORTH EAST MEDICAL SERVICES

Burlingame, CA

$38/hr

Full-time

Medical, Dental, Vision, Retirement

Posted 24 days ago

Job description

The Claims Examiner is responsible for the daily review, audit, examination, investigation and adjudication of professional claims.  Must exceed qualitative standard and meet quantitative production standard.  Assist Claims Supervisor with health plan delegation oversight audits, MSO management reports, and other special projects as needed. 

ESSENTIAL JOB FUNCTIONS:

  • Perform the daily examination, auditing and adjudication activities to submitted professional claims based on established utilization criteria, Medi-Cal and/or Medicare guidelines, member’s Evidence of Benefit, and policies and procedures outlined in the MSO Claims Manual.
  • Must meet quantitative production standard of 750 claims per week.
  • Provides feedback on testing system upgrades and enhancements.
  • Responsible for the daily review of simple pre-payment claims reports.  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 correction.
  • Identify claims payment errors and/or system configuration flaws during day-to-day operation, report to department manager/supervisor and MSO System Configuration team to correct/resolve them. 
  • Respond to first-level provider inquiries related to claims adjudication, denial and payment status and handle member billed issues when arise.
  • Assist in all pre and post audit activities for health plan’s delegation oversight audits.
  • Performs other job duties as required by manager/supervisor and NEMS Management Team.
  • Completion of a 2-year degree from an accredited University, may be substituted with relevant work experience in healthcare medical claims processing and examination field.
  • Two years’ experience in health insurance claims processing, examination, and adjudication preferred.
  • Excellent data entry skills required.
  • Working knowledge of managed care and/or healthcare claim reimbursement or medical billing in Medi-Cal and Medicare Advantage program preferred.
  • Working knowledge of State/Federal healthcare compliance requirements (HIPAA, AB1455, and ICE standards), particularly DHCS/Medi-Cal and/or CMS/Medicare guidelines preferred.
  • Working knowledge of medical terminology, standard code sets, and claim forms preferred.
  • Strong English communication skills with strong analytical and problem-solving skills.
  • Ability to self-manage in a detail-oriented environment.
  • Ability to operate PC based software programs or automated database management systems preferred.
  • Good organization and prioritization skills, outstanding in time management.

LANGUAGE:

  • Must be able to fluently speak, read and write English.
  • Fluent in other languages are an asset.

STATUS:

  • This is an FLSA NON-exempt position.
  • This is not an OSHA high-risk position.
  • This is a Full Time position.

NEMS is proud to be an Equal Opportunity Employer welcoming diversity in our workforce. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

NEMS BENEFITS: Competitive benefits, including free medical, dental and vision insurance for employee, spouse and/or children; and company contribution to 401(k).

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