36 Claims Processing job ads & opportunities in the Carson, California area

« Carson job listings index · Administrative & Clerical

Job listings, help wanted ads and employment postings (last updated on Monday, September 1)

Provider Information Coordinator

Monster.com

CA-Long Beach, Job Summary This position is responsible for accurately entering provider demographic and contract affiliation information into the health plan system. Must be able to accurately interpret request and enter into the system in such a way that all data is correct and claims adjudication is optimized. Essential Functions • Receive information from outside party(ies) for update of information in compu … MORE INFO

Corporate RE Transaction Services Manager

Monster.com

CA-Seal Beach, Job Summary: Responsible for servicing current and new accounts by coordinating and monitoring various transaction activities and will work with internal departments to manage purchase, sales and lease acquisition and disposition transactions. The Transaction Manager will also serve as the in-house point-of-contact for clients, brokers, and others to collect or to provide information on all accoun … MORE INFO

Relationship Management Lead OGS - Optum RX/Life Sciences - TELECOMMUTE

Monster.com

CA-Los Angeles, Description: No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You'll help improve the health of millions. And you'll do your life's best work. (sm) Optum Global Solutions (OGS) provides a comprehensive su … MORE INFO

Outpatient Referral Coordinator

Monster.com

CA-Monterey Park, RESPONSIBILITIES: Our client in Monterey Park, California (CA) is seeking a sharp individual to serve as the Outpatient Referral Coordinator, under the direct supervision of the Referral Coordination Manager (RCM). The Outpatient UM Coordinator is responsible for all aspects of referral processing and management. UM Coordinator will follow IPA/contractual policies and procedures regarding utilizat … MORE INFO

Claims Quality Audit Representative - Costa Mesa, CA

Monster.com

CA-Costa Mesa, Description: Position Description: Flexible, Friendly, Fast on your feet,That's a great start. Accurate, Accountable,Self Directed, These traits can take you places. Our claims operations are the focal point of handling information about services patients receive and they way those services get paid. It's complex, detailed work. It's fast paced challenge. It's a job that calls on you to be thought … MORE INFO

COORD, CLAIMS PROJECT

Monster.com

CA-Encino, Description As a part of the Tenet and Catholic Health Initiatives family, Conifer Health Solutions is a leading healthcare business process management services provider working to improve operational performance for more than 600 clients so they can support financial improvement, enhance the patient experience, and drive value-based performance. Through our revenue cycle management, patient commu … MORE INFO

Claims Business Process Analyst - Irvine, CA

Monster.com

CA-Irvine, Description: Position Description: Energize your career with one of health care's fastest growing companies. You dream of a great career with a great company where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading health care c … MORE INFO

Associate Network Contractor, OptumRx - Irvine, CA

Monster.com

CA-Irvine, Description: Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work. (sm) The Associate Network Contractor develops the provider network (physicians, hospitals, pharmac … MORE INFO

Enrollment Eligibility Manager - Irvine, CA

Monster.com

CA-Irvine, Description: Position Description: Working in Operations at UnitedHealth Group is one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work. The Enrollment Eligibility Manager will be responsible to overs … MORE INFO

Loan Administrator

Monster.com

CA-Irvine, Summary: Assist the Lending Team in obtaining, reviewing and preparing all required loan documentation necessary to underwrite and close loans in accordance with policies and procedures as required by the regulatory agencies. Duties and Responsibilities: Primary: Responsible for adherence to all compliance programs and the completion of all required and assigned training by established due dates. … MORE INFO

Financial Processor

Monster.com

CA-Canoga Park, FinancialProcessor Description: ProminentSanFernandoValleyfinancialplanningfirmseeksafull-timeprocessortojointheirgrowingpractice. Processorsareresponsiblefortheservicingofclientaccountsandactingasliaisonsbetweenagents,clients,andthehomeoffice. Dutiesarevaried,andtheworkisfast-pacedandoftencomplex. Competitivebenefitspackageincludingpaidtimeoff,401(k),andmedicalanddentalinsurance. Salarycommensuratew … MORE INFO

Shown below: Carson claims processing area jobs provided by Indeed job search

Claims Examiner (Full-Time)

L.A. Care Health Plan – Los Angeles, CA – Indeed.com

processing of direct contract and delegated claims. . . experience in EDI Claims processing a plus. Preferred: Previous Medi-Cal claims processing experience. . . … MORE INFO

Supervisor, Claims (CQI)

CalOptima – Orange, CA – Indeed.com

as they apply to claims processing and adjudication. . . of financial run. Must serve as a back up to claims processing when needed to ensure the department turn. . . … MORE INFO

Claims Processor

GENEX – Anaheim, CA – Indeed.com

claims and will be responsible for examining and processing paper claims and/or electronic claims and determining whether to return, pend, deny or pay claims. . . … MORE INFO

Customer Service Representative, Carson 1

Damco – Carson, CA – Indeed.com

team • Customer claim processing, reporting, and procedure compliance facilitation. Partner with Facility Manager to determine best process for resolving claim. . . … MORE INFO

Claims Manager I

Molina Healthcare – Long Beach, CA – Indeed.com

claims processing required • 2-3 years of claims. . . or more years of healthcare claims processing preferred • 4 or more years of claims management experience. . . … MORE INFO

Claims Examiner Sr

ICW Group – Woodland Hills, CA – Indeed.com

more independently than a Claims Examiner and handles. . . information necessary for processing claims. • Confers with legal counsel on claims requiring litigation. . . … MORE INFO

Change Management Analyst

Molina Healthcare – Long Beach, CA – Indeed.com

A Preferred Experience: • Experience working in managed healthcare or claims processing • Change management or related (six sigma) certification. Preferred. . . … MORE INFO

Claims Adjuster - Los Angelos, CA

Eagle Adjusting Services, Inc. – Los Angeles, CA – Indeed.com

streamline claims processing. Manage requirements and expectations of multiple clients simultaneously while handling a full claim load. Maintain expected claim. . . … MORE INFO

Claims Assistant - Workers Compensation

Gallagher Bassett Services, Inc. – Orange, CA – Indeed.com

casualty third party claims service organizations in. . . data and scheduling appointments. Processing medical only claims as assigned, within requirements set by. . . … MORE INFO

Medical Claims Examiner (EZ CAP)

Accountemps – Los Angeles, CA – Indeed.com

claims in addition to examining. The Medical Claims. . . years + experience in claims processing in a health plan or 3 years claims processing experience in an IPA. . . … MORE INFO

Marine Operations Assistant

Foss Maritime Company – Long Beach, CA – Indeed.com

Will facilitate the processing of Purchase. . . with establishing SAP projects. • Assist Claims with creating claim projects. • Track regional purchasing. . . … MORE INFO

Part Time***Medical Claims Examiners WANTED

Accountemps – Los Angeles, CA – Indeed.com

Claims Examiner must have 3 years + experience in claims processing, examining and adjudicating claims in a health plan for at least 3 years. Claims processing. . . … MORE INFO

Certified Coder

Molina Healthcare – Long Beach, CA – Indeed.com

timely and accurate claim payment. o Maintains a. . . professional or hospital. Knowledge of insurance claims processing. Knowledge of specific coding models. . . … MORE INFO

Human Resources Coordinator Cerritos California

AutoNation – Cerritos, CA – Indeed.com

Compensation claim tracking , compliance, reporting and maintenance. Partner with Workers’ Compensation third-party administrator to close claims within an. . . … MORE INFO

Accounts Receivable Specialist – Sub Acute

Providence Health & Services – Torrance, CA – Indeed.com

supplemental claims for balances due after primary insurance has paid on prior month's claims Reconcile. . . health insurance claims processing or medical office. . . … MORE INFO

Claims Representative I-III (Health & Dental) - Woodland Hills, CA - 10/13

WellPoint, Inc – Woodland Hills, CA – Indeed.com

processing, spreadsheets, etc. ). required. Basic Math Skills required Experience in healthcare industry preferred. Claims processing experience preferred. … MORE INFO

MEDICAL CLAIMS EXAMINER NEEDED!

ACT-1 – Los Angeles, CA – Indeed.com

for a Medical Claims Examiner. You will be responsible for the accurate and timely processing of direct. . . Previous Medi-Cal claims processing experience and. . . … MORE INFO

Claims Adjuster

OfficeTeam – Santa Ana, CA – Indeed.com

PROPERTY CLAIMS ADJUSTER HUB- Centralized Processing Unit Job Summary: Under general supervision, the. . . Renters and Automobile claims. Candidate will review. . . … MORE INFO

CareMore Healthcare Terms & Conditions Coordinator

WellPoint, Inc – Cerritos, CA – Indeed.com

Cant Find (XC-claims) claims reports. Verifies and. . . on demand. Processes Claims Examiners Issues Requests (Workflow). Processing daily updates from. . . … MORE INFO

Claims Assistant Workers Compensation

Arthur J. Gallagher – Orange, CA – Indeed.com

casualty third party claims service organizations in. . . data and scheduling appointments. Processing medical only claims as assigned, within requirements set by. . . … MORE INFO

Benefits Coordinator

FirstService Residential – Irvine, CA – Indeed.com

of absences; FMLA administration, worker’s comp, unemployment / disability claims processing • Process enrollment, changes and terminations for all benefit. . . … MORE INFO

Member Retention Specialist

Regal Medical Group – Orange, CA – Indeed.com

member choose to dis-enroll 6. Facilitates the processing of telephone appeals, inquiries or complaints. . . provider availability and claim related issues as to. . . … MORE INFO

Supervisor Quality Assurance & Training

Health Net of California, Inc. - 4001 – Woodland Hills, CA – Indeed.com

of Member and Provider calls, post pay claims, eligibility processing and account reconciliation functions. . . Contact Center, or Claims and System configuration. . . … MORE INFO

Medical Biller

Hollywood Home Health Service – Los Angeles, CA – Indeed.com

claim review. • Works with insurance providers to resolve outstanding claims and appeal any denied or underpaid claims. • Prepares and submits claims to third. . . … MORE INFO

Sr. Claims Examiner

CalOptima – Orange, CA – Indeed.com

Claims Examiner analyzes and processes claims. This. . . during claims processing. Prepare written requests to providers; follow up and handle completion of claim. . . … MORE INFO

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Employment information for Carson, CA

5 year unemployment rate for
Los Angeles, CA (includes Los Angeles, Long Beach, and Santa Ana metro areas) - continue for more info

11.8%
Year
11.4%
Year
10.1%
Year
9.0%
Year
7.8%
Year

Updated to reflect Jul 2014 unemployment rates

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