- Cedars-Sinai (CA)
- …healthcare people throughout Los Angeles and beyond. **Req ID** : 6771 **Working Title** : Claims Examiner ( Managed Care ) - Remote **Department** : MNS ... we strive for. **What will you be doing:** The Claims Examiner is responsible for accurately and... Managed Care **Business Entity** : Cedars-Sinai Medical Center **Job Category**… more
- Dignity Health (Rancho Cordova, CA)
- …**Qualifications** **Minimum Qualifications:** - Three years experience in a Managed Care insurance environment preferably claims examiner experience. - ... excellence in care and service. **Responsibilities** The Senior Claims Examiner responsibilities include Quality Review of Claims Examiners daily… more
- LA Care Health Plan (Los Angeles, CA)
- Claims Examiner I Job Category: ...of healthcare claims processing experience in a managed care environment. Preferred: Previous Medi-Cal and ... $62,770.00 (Mid.) - $75,324.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created...net required to achieve that purpose. Job Summary The Claims Examiner is responsible for the accurate… more
- Health Advocates Network (Folsom, CA)
- …+ Minimum of two (2) years of Professional Billing with an emphasis on Managed Care denial follow-up and appeals processing - prior hospital billing experience ... as a general knowledge of Commercial, HMO, and Medicare Advantage claims , authorization, and documentation requirements. + Proficient in computer skills including… more
- New York State Civil Service (Buffalo, NY)
- NY HELP No Agency Workers' Compensation Board Title Workers' Compensation Examiner , WCB Items #8351, #8753, #8846, #8748, and #8849 Occupational Category No ... No Telecommuting allowed? Yes County To Be Determined Street Address Office of Operations, Claims District Office 295 Main Street, Suite 400 or 130 Main Street West… more
- New York State Civil Service (Menands, NY)
- …compensation system is due, as directed by the Associate Workers' Compensation Examiner * Send notifications to health care providers regarding changes in ... NY HELP No Agency Workers' Compensation Board Title Workers' Compensation Examiner , WCB Item #3138 Occupational Category No Preference Salary Grade 14 Bargaining… more
- New York State Civil Service (Schenectady, NY)
- NY HELP No Agency Workers' Compensation Board Title Workers' Compensation Examiner , WCB Items #8656 Occupational Category No Preference Salary Grade 14 Bargaining ... 12305 Duties Description Under the direction of the Senior Workers' Compensation Examiner , within the Office of Self-Insurance, the position will be responsible for… more
- LA Care Health Plan (Los Angeles, CA)
- …Required: At least 6 months of accurate, high-volume claims data entry or claims processing experience. Preferred: Managed care or Medi-Cal claims ... communication skills Licenses/Certifications Required Licenses/Certifications Preferred Required Training Preferred: Claims Examiner Training Physical Requirements Light Additional… more
- Marriott (Costa Mesa, CA)
- …ad hoc Operations status reports. + Monitor and assess adequacy of reserves. + Ensure claims are directly managed in a timely and effective manner, using a ... Number** 25013666 **Job Category** Finance & Accounting **Location** Western Casualty Claims Office, 3100 Bristol Street Suite 425, Costa Mesa, California, United… more
- Fallon Health (Worcester, MA)
- …related to fraud and general risk management.Medical claim terminology, coding, and managed care expertise or clinical background. + Strong attention to ... this work is a plus, such as Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI), or other...and capture results. + 5-8 years of related health care claims auditing experience in a complex… more