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Part Time Medical Claims Processor Jobs in California

St Junipero Clinic Inc

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Experienced Medical Biller/Front Office

Salinas, CA · On-site

$21 - $23/hr

Work with other offices to obtain the necessary information to get claims processed. * EOB ... Knowledge of medical terminology likely to be encountered in medical claims. * Maintaining strict ...

St Junipero Clinic Inc

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Experienced Medical Biller/Front Office

Salinas, CA · On-site

$21 - $23/hr

Work with other offices to obtain the necessary information to get claims processed. * EOB ... Knowledge of medical terminology likely to be encountered in medical claims. * Maintaining strict ...

St Junipero Clinic Inc

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Experienced Medical Biller/Front Office

Salinas, CA · On-site

$21 - $23/hr

Work with other offices to obtain the necessary information to get claims processed. * EOB ... Knowledge of medical terminology likely to be encountered in medical claims. * Maintaining strict ...

Shp

Temporary Part-time Survey Processor

Goleta, CA

$19/hr

The Survey Processor plays an integral role in the timely and accurate processing of survey data ... Temporary part-time employees are not eligible for health benefits, but are eligible for paid ...

SHP

Temporary Part-time Survey Processor

Goleta, CA · On-site

$19/hr

The Survey Processor plays an integral role in the timely and accurate processing of survey data ... Temporary part-time employees are not eligible for health benefits, but are eligible for paid ...

Schweigerderm

Medical Assistant (Part Time)

Fremont, CA · On-site

$21 - $26/hr

... Job Summary: Part-Time Medical Assistant at our Fremont Office. The Medical Assistant is ... hiring process with applicants, whether internal or external, because of race, creed, color, age ...

Joel J Smith MD Inc

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Medical Front Desk/Referral Coordinator Position

San Diego, CA · On-site

$17 - $18/hr

Part-Time Medical Reception Front Desk/Referral Coordinator needed for 2nd location Orthopedic ... phones, processing paperwork, completing medical records, verifying insurance and obtaining ...

Joel J Smith MD Inc

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Medical Front Desk/Referral Coordinator Position

San Diego, CA · On-site

$17 - $18/hr

Part-Time Medical Reception Front Desk/Referral Coordinator needed for 2nd location Orthopedic ... phones, processing paperwork, completing medical records, verifying insurance and obtaining ...

Joel J Smith MD Inc

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Medical Front Desk/Referral Coordinator Position

San Diego, CA · On-site

$17 - $18/hr

Part-Time Medical Reception Front Desk/Referral Coordinator needed for 2nd location Orthopedic ... phones, processing paperwork, completing medical records, verifying insurance and obtaining ...

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All JobsMedical Claims Processor JobsPart Time Medical Claims Processor JobsPart Time Medical Claims Processor Jobs in California

Part Time Medical Claims Processor information

What does a part time medical claims processor do?

A Part Time Medical Claims Processor reviews, processes, and manages healthcare insurance claims submitted by patients or medical providers. Their primary responsibility is to ensure that claims are accurate, complete, and comply with insurance policies before approving payments or requesting additional information. Working part-time, they may handle fewer claims than full-time processors but must still follow strict confidentiality and accuracy standards. This role often involves data entry, communication with healthcare providers, and understanding insurance terminology.

What are the key skills and qualifications needed to thrive as a part time medical claims processor, and why are they important?

To thrive as a Part Time Medical Claims Processor, you need a strong understanding of medical billing codes, insurance processes, and attention to detail, often supported by a high school diploma or relevant certification. Familiarity with claims management software, electronic health records (EHR) systems, and ICD/CPT coding tools is typically required. Strong organizational skills, time management, and effective communication set top performers apart in this role. These capabilities are vital to ensure accurate, timely claims processing and effective collaboration with healthcare providers and insurers.

What are some common challenges faced by part time medical claims processors, and how can they be managed?

Part-time Medical Claims Processors often encounter challenges such as staying updated with frequent changes in insurance policies and managing high volumes of claims within limited hours. To overcome these, it's important to maintain strong organizational skills, prioritize effective communication with team members, and take advantage of available training or reference materials. Collaborating closely with full-time staff and asking questions when unsure can also help ensure accuracy and efficiency in processing claims.

What is the difference between Part Time Medical Claims Processor vs Part Time Medical Billing Specialist?

AspectPart Time Medical Claims ProcessorPart Time Medical Billing Specialist
CredentialsKnowledge of insurance policies, claims processing softwareKnowledge of billing codes, insurance claims, and software
Work EnvironmentHealthcare offices, insurance companiesMedical offices, billing companies
Industry UsageInsurance and healthcare sectorsHealthcare providers, billing firms

Both roles involve handling insurance-related tasks but differ in focus. Claims processors primarily review and process insurance claims, while billing specialists handle the creation and management of billing statements. Understanding these distinctions helps job seekers find the right position aligned with their skills and career goals.

What are the most commonly searched types of Medical Claims Processor jobs in California?

The most popular types of Medical Claims Processor jobs in California are:

What are popular job titles related to Part Time Medical Claims Processor jobs in California?

For Part Time Medical Claims Processor jobs in California, the most frequently searched job titles are:

What job categories do people searching Part Time Medical Claims Processor jobs in California look for?

The top searched job categories for Part Time Medical Claims Processor jobs in California are:

What cities in California are hiring for Part Time Medical Claims Processor jobs?

Cities in California with the most Part Time Medical Claims Processor job openings:

Part Time Medical Claims Processor jobs near you

Experienced Medical Biller/Front Office

St Junipero Clinic Inc

Salinas, CA • On-site

$21 - $23/hr

Part-time

Re-posted 19 days ago

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Job description

Job Responsibilities:

  • Performs all duties and responsibilities in a proficient, efficient, team-oriented manner (Examples as follows but not limited to)
  • Scheduling Appointments
  • Checking in/checking out patients
  • Monitor Insurance claims by running appropriate reports and contacting insurance companies to resolve claims that are not paid in a timely manner- knowledge of questions to ask for proper processing.
  • Accountable for being knowledgeable and understanding of all aspects of the billing and coding duties, maintains knowledge of and complies with established policies and procedures including government, insurance and third-party payer regulations.
  • Verifying patient eligibility and benefits for upfront collection on unmet deductibles and co-insurance
  • Enter charges accurately according to insurance payors/contracts
  • Submitting clean claims by attaching necessary documentation for payment within the Revenue Cycle
  • Follow-up on electronic claims and paper claims
  • Posting insurance payments to patient accounts
  • Submit all secondary claims when necessary
  • Identify problem accounts and escalate as appropriate.
  • Work with patients and guarantors to secure payment on outstanding account balances.
  • Refund money owed to patient or insurances
  • Work with other offices to obtain the necessary information to get claims processed.
  • EOB functionality
  • Other duties may be assigned

Proficiency in the following areas is required:

  • Bilingual English and Spanish
  • Knowledge of insurance guidelines including HMO/PPO, Medicaid, and other payer requirements and systems.
  • Assures accuracy of all CPT, ICD, and HCPCS coding, through familiarity with coding modalities.
  • Competent use of computer systems, software, and 10 key calculators. Must be able to become proficient on eMD’s, Meditech computer systems within a reasonable time after training (no more than 30 days).
  • Effective communication capabilities for phone contacts with insurance payers to resolve issues.
  • Efficient and effective customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse backgrounds and ages.
  • Ability to work well in a team environment. Being able to triage priorities, and handle conflict in a judicious manner.
  • Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.
  • A calm manner and patience working with either patients, coworkers or insurers during this process.
  • Knowledge of accounting and bookkeeping procedures.
  • Knowledge of medical terminology likely to be encountered in medical claims.
  • Maintaining strict patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
  • Ability to Multitask

Education and Experience Required

  • Minimum of 1 to 3 year medical insurance/healthcare billing and collections experience in a medical practice or health system, with a deep understanding of medical billing rules and regulations
  • Minimum of one of the following Medical coding Certifications through either AHIMA, AAPC, or PMI, with the following credentials CPC, CCS, or CMC certifications required. CPEDC an added benefit but not required.
  • Associates degree, preferably in business administration or related field

· A combination of education and experience will be considered

· Salary DOE/DOQ

Company Description

Board Certified Pediatric Physician
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