Jobs
>
Whittier

    Claims Examiner - Whittier, United States - Health Advocates Network, Inc.

    Default job background
    Description

    Health Advocates Network ishiring a Claims Examiner (2 Years Exp Req) This is a full-time contract position at a nationally recognized hospitallocated in Whittier, CA.

    • Pay Rate: $29.00/hour
    • Shift: Days (8hrs)
    • Start Date: ASAP
    • Contract Length: 13 weeks

    Claims Examiner Qualification and Requirements:

    • High school diploma or GED (required)
    • Minimum of 2 years claims ADJUDICATION-related experience in ambulatory, acute care hospital, HMO, or IPA environment
    • Knowledge of payment methodologies for: Professional (MD), Hospital, Skilled Nursing Facilities, and Ancillary Services
    • Knowledge and understanding of timeliness and payment accuracy guidelines for commercial, senior, and Medi-Cal claims
    • Knowledge of compliance issues as they relate to claims processing
    • Experience in interpreting provider contract reimbursement terms is desirable
    • Data entry experience

    Benefits We Offer:

    • Competitive pay rates, Referral opportunities, Comprehensive health, prescription, dental, vision, life, and disability plans, and more

    To apply for this job now or to find out more about other opportunities with Health Advocates Network, visit We can provide you with unparalleled access to exciting career opportunities.

    Health Advocates Network, Inc. is an equal opportunity employer. All qualified applicants shall receive consideration for employment without regard to any legally protected basis protected by applicable federal or state law except where a bona fide occupational qualification applies.


  • alphapro technology, a.p.r., inc.

    Claims Examiner

    1 week ago


    alphapro technology, a.p.r., inc. Whittier, United States

    Overview: · **Responsibilities**: · - Review and analyze insurance claims to determine their validity · - Investigate potentially fraudulent claims · - Utilize auto estimating software to assess damage and costs · - Negotiate settlements with claimants or their representatives · ...

  • Diversified Technologies Inc. (DTI)

    Claims Examiner

    1 week ago


    Diversified Technologies Inc. (DTI) Whittier, United States

    Job Location:9557 Greenleaf Avenue · - Whittier, CA 90601 · - Description: · - JOB TITLE: Claims Examiner - Days · - No interviews for this role. Offers based upon resume experience. · - LOCATION: 9557 Greenleaf Avenue, Whittier, CASHIFT: Monday - Friday - 07:00am - 03:30pm** 2 Y ...


  • The Principle Group Whittier, United States

    **Description**: · **JOB TITLE**: Claims Examiner - Days · **LOCATION**: 9557 Greenleaf Avenue, Whittier, CA · **SHIFT**: Monday - Friday - 07:00am - 03:30pm · **DURATION - 13 weeks(extend)** · ** 2 YEARS EXPERIENCE REQUIRED - MUST BE ABLE TO VERIFY HS DIPLOMA or GED or HIGHER ED ...

  • E-Solutions

    Claims Examiner

    3 weeks ago


    E-Solutions Whittier, United States

    POSITION SUMMARY: · The claims examiner reports directly to the claims manager. They are primarily responsible for the processing functions (operation, adjudication, and payment) of UB-92 and HCFA-1500 claims that are received from PHP affiliated medical groups and hospitals for ...

  • MemorialCare Medical Foundation

    Claims Examiner

    2 weeks ago


    MemorialCare Medical Foundation Fountain Valley, United States

    **Claims Examiner** · - (MEM008006) · **Description** · **Title**: Claims Examiner · **Location**: Fountain Valley · **Department**: Claims · **Status**: Full-Time · **Shift**: Days (8hrs) · **Pay Range**:$21.37/hr - $30.97/hr · At MemorialCare Health System, we believe in provid ...

  • TEKsystems

    Claims Examiner

    6 hours ago


    TEKsystems Whittier, United States

    Top Hospital Network is Hiring a Medical Claims Examiner Title : Claims Examiner Pay : 22-25/hr Location : Whittier, CA Duration: 3 month Contract – Potential to be extend · Employee Value:, Weekly Pay Benefits through TEKsystems Great opportunity to grow professionally Fantasti ...

  • APR Consulting

    Claims Examiner

    6 hours ago


    APR Consulting Whittier, United States

    Claims Examiner Location: Whittier, California · Type: Contract · Job #76499 · APR Consulting, Inc. has been engaged to identify a Claims Examiner · Location: Whittier, CA 90601 · Position: Claims Examiner · Pay Rate: $29.10/hr. · Duration: 13 weeks · Expected Schedule: M ...

  • APR Consulting

    Claims Examiner

    1 week ago


    APR Consulting Whittier, United States

    APR Consulting, Inc. has been engaged to identify a Claims Examiner · Location: Whittier, CA 90601 · Position: Claims Examiner · Pay Rate: $29.10/hr. · Duration: 13 weeks · Expected Schedule: Monday - Friday 7:00 AM - 3:30 PM · Job Summary: · The claims examiner reports dire ...

  • TEKsystems

    Claims Examiner

    3 weeks ago


    TEKsystems Whittier, CA, United States

    Join a large hospital here in the Whittier Area · Job Description: · The claims examiner reports directly to the claims manager. · They are primarily responsible for the processing functions (operation, adjudication, and payment) of UB-92 and HCFA-1500 claims that are received ...

  • E-Solutions IT Services Private Limited

    Claims Examiner

    3 weeks ago


    E-Solutions IT Services Private Limited Whittier, United States

    *MUST HAVE:* · *1. 2+ years of Claims ADJUDICATION experience | * · *2. 1+ years experience working as a claims examiner | * · *3. Experience in ambulatory, acute care hospital, HMO, or IPA environment | * · *4. 3+ years experience in a CoC-accredited site and are versed in Ca ...

  • Innovative Management Systems Incorporated

    Claims Examiner

    3 weeks ago


    Innovative Management Systems Incorporated Whittier, United States

    : · The Position. · We are looking for a detail-oriented individual that can accurately review, research, and analyze professional claims to determine and calculate the type and level of benefits based on established criteria and provider contracts. · Experience in adjudicatio ...

  • Innovative Management Systems Incorporated

    Claims Examiner

    1 day ago


    Innovative Management Systems Incorporated Whittier, United States

    : · The Position. · We are looking for a detail-oriented individual that can accurately review, research, and analyze professional claims to determine and calculate the type and level of benefits based on established criteria and provider contracts. · Experience in adjudication o ...

  • Innovative Management Systems Incorporated

    Claims Examiner

    2 weeks ago


    Innovative Management Systems Incorporated Whittier, United States

    Job Description · Job DescriptionDescription:The Position. · We are looking for a detail-oriented individual that can accurately review, research, and analyze professional claims to determine and calculate the type and level of benefits based on established criteria and provider ...

  • E-Solutions

    Claims Examiner

    1 week ago


    E-Solutions Whittier, United States

    POSITION SUMMARY: · Please read the following job description thoroughly to ensure you are the right fit for this role before applying. · The claims examiner reports directly to the claims manager. They are primarily responsible for the processing functions (operation, adjudica ...

  • Innovative Management Systems Incorporated

    Claims Examiner

    8 hours ago


    Innovative Management Systems Incorporated Whittier, United States

    Job Description · Job DescriptionDescription:The Position. · We are looking for a detail-oriented individual that can accurately review, research, and analyze professional claims to determine and calculate the type and level of benefits based on established criteria and provider ...

  • TEKsystems

    Claims Examiner

    1 week ago


    TEKsystems Whittier, United States

    Job Description · Job DescriptionTop Hospital Network is Hiring a Medical Claims Examiner · Title: Claims Examiner · Pay: 22-25/hr · Location: Whittier, CA · Duration: 3 month Contract – Potential to be extend · Employee Value:, · Weekly Pay · Benefits through TEKsystems · Gr ...

  • TEKsystems

    Claims Examiner

    3 weeks ago


    TEKsystems Whittier, United States

    Job Description · Job DescriptionJoin a large hospital here in the Whittier Area · Job Description: · The claims examiner reports directly to the claims manager. · They are primarily responsible for the processing functions (operation, adjudication, and payment) of UB-92 and HC ...

  • Innovative Management Systems Incorporated

    Claims Examiner

    2 days ago


    Innovative Management Systems Incorporated Whittier, United States

    :The Position. · We are looking for a detail-oriented individual that can accurately review, research, and analyze professional claims to determine and calculate the type and level of benefits based on established criteria and provider contracts. Experience in adjudication of Com ...

  • Innovative Management Systems Incorporated

    Claims Examiner

    4 weeks ago


    Innovative Management Systems Incorporated City of Industry, United States

    :The Position. · We are looking for a detail-oriented individual that can accurately review, research, and analyze professional claims to determine and calculate the type and level of benefits based on established criteria and provider contracts. Experience in adjudication of Com ...

  • TEKsystems

    Claims Examiner

    1 week ago


    TEKsystems Whittier, United States contract

    *Top Hospital Network is Hiring a Medical Claims Examiner * · *Title*: Claims Examiner · *Pay*: 22-25/hr · *Location*: Whittier, CA · *Duration:* 3 month Contract – Potential to be extend · * * · *Employee Value:,* · * Weekly Pay · * Benefits through TEKsystems · * Great oppor ...