61 Medical Claims Jobs in Orange, CA
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TEMP - Customer Service Representative (Non-Bilingual) Equiliem - Orange, California -term goals/priorities for the department. * Addresses member and provider inquiries, questions and concerns in all areas including eligibility, enrollment, claims or authorization status, benefit 5 days ago
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Customer Service Representative (Non-Bilingual) Impresiv Health - Orange, California - and long-term goals/priorities for the department. Addresses member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations 6 days ago
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Customer Service Representative, Sr. (OneCare-Bilingual Required) Orange, CA with others to support short- and long-term goals/priorities for the department. • Addresses member and provider inquiries, questions and concerns in all areas, including eligibility, enrollment, claims $49,754.00 - $69,655.00 Annually 11 days ago
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Customer Service Cogent Infotech Corporation - Orange, California for the department. Addresses member and provider inquiries, questions and concerns in all areas including eligibility, enrollment, claims or authorization status, benefit interpretation and referrals/authorizations 6 days ago
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Customer Service Representative Orange, CA including eligibility, enrollment, claims or authorization status, benefit interpretation and referrals/authorizations for medical care in-person or telephonically. • Enters accurate and complete $47,840.00 - $64,584.00 Annually 20 days ago
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Assistant Director - Commercial - Patient Financial Services Strivector - Orange, California Services Experience in PFS Operations in an Academic Medical Center organization or complex teaching environment. Working knowledge of billing, follow up and denial management of commercial claims, workers 19 days ago
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Data Analyst, Sr. (HEDIS) CalOptima - Orange, CA **This position is eligible for telework in California.** Duties & Responsibilities: • 80% - Data and Reporting Support • Maps multiple internal data sources (e.g., claims, encounters, pharmacy, providers $84,092.00 - $134,548.00 Annually 28 days ago
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Customer Service Representative (Bilingual) Orange, CA inquiries, questions and concerns in all areas including eligibility, enrollment, claims or authorization status, benefit interpretation and referrals/authorizations for medical care in-person $47,840.00 - $64,584.00 Annually 28 days ago
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Claims Examiner E-Solutions - Whittier, CA, United States claims that are received from PHP affiliated medical groups and hospitals for HMO patients. EDUCATION/EXPERIENCE/TRAINING: • Minimum of 2 years claims ADJUDICATION related experience in ambulatory, acute 20 days ago
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Paralegal Innovative Career Resources & Staffing - Santa Ana, CA, United States with a Sign on Bonus . The Paralegal will be responsible for, but not limited to: Initial medical and case workup, reviewing medical records and preparing demand letters. Negotiating pre-litigation claim 18 days ago
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