Claims Examiner
Job in
San Fernando, Los Angeles County, California, 91340, USA
Listed on 2026-01-12
Listing for:
Healthcare Support Staffing
Full Time
position Listed on 2026-01-12
Job specializations:
-
Healthcare
-
Insurance
Job Description & How to Apply Below
Claims Examiner – San Fernando, CA
Are you an experienced Claims Examiner looking for a new opportunity with a prestigious healthcare company in the San Fernando, CA area? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes” to any of these questions – this is the position for you!
Key Responsibilities- Analyzes professional &/or hospital claims for accuracy according to set dollar thresholds, meets & maintains production & quality standards
- Reviews authorization &/or provider's contract & adjudicates claims accordingly
- Accurate input of data is required for claims adjudication including: diagnostic & procedural coding, pricing schedules, member & provider identification & all other related information
- Performs any correspondence, follow up & any projects delegated by claims supervisor
- Understanding of health & managed care concepts & their application in the adjudication of claims
- Strong working knowledge of ICD9 CM, CPT, HCPCS, RBRVS coding schemes & medical terminology
- 1-3+ years experience processing of managed care health claims
- Ability to type 40-45 wpm
- Understanding of medical terminology
- Must have excellent understanding of health & managed care concepts & their application in the adjudication of claims
- Must be able to accurately assess financial responsibility & liability for claims submitted by both members & providers
Interested in being considered?
If you are interested in applying to this position, please contact Blake Anderson and/or click the Green I’m Interested Button to email your resume.
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