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Claims processor • usa

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Claims Processor

Crystal StairsLos Angeles, CA, USA
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Improving the Lives of Families through.Child Care Services, Research, and Advocacy.Crystal Stairs is committed to building and sustaining a diverse workforce and culture.As part of this commitment...[internal_linking.show_more]

Insurance Claims Processor

First United Bank Insurance SolutionsParkwood,Plano
[job_card.full_time]

This position is responsible for all aspects of client service related to claims of both personal and commercial clients of the agency and to provide prompt, accurate and courteous service to insur...[internal_linking.show_more]

Life-Claims Processor

AuguStar Life Insurance CompanyCincinnati, OH, United States
[job_card.full_time]

As the Claims Representative, you will be responsible for the evaluation, investigation, and resolution of individual death claims within established guidelines.You will be providing a superior cus...[internal_linking.show_more]

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Claims Processor

MindlanceMason, Ohio, United States
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Title : Data Entry - Claims Processor.Work hours: 8 - 5pm with hour lunch, or 8-4.Duration : 4 months contract to begin with, possibilities of extension according to performance.Onsite for first fe...[internal_linking.show_more]

Processor I, Gap Claims

CareGard Warranty Services, Inc.Grapevine, TX, US
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Join our team and be part of something truly transformational!.Right now, we are seeking a detail-oriented Processor I to join our GAP Claims team.This opportunity is ideal for a professional with ...[internal_linking.show_more]

Claims Processor Customer Service

CACI InternationalChantilly, VA, United States
[job_card.full_time]

Claims Processor Customer Service.We are seeking a detail-oriented, active, and critical thinker to manage and review workers' compensation claims as a Claims Processor.As a Claims Processor, your ...[internal_linking.show_more]

Claims Processor

KellyHonolulu, Hawaii, US
[job_card.full_time] +1

Claims Processor – Medical Agency (Contract-to-Hire).Schedule: Monday–Friday, 8am–5pm (Standard Business Hours).Employment Type: Contract-to-Hire, Regular Full-Time.Start Your Career in Medical Cla...[internal_linking.show_more]

Claims and Benefit Processor

VanderHouwenPortland, Oregon
[job_card.full_time]

Our client is seeking a detail-oriented and empathetic Claims and Benefit Processor who thrives in a fast-paced, customer-focused environment.This individual brings strong analytical thinking, clea...[internal_linking.show_more]

Claims Processor

Brio Living ServicesYpsilanti, Michigan, US
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Full Time, 40 hours per week | Monday–Friday | 8:00 a.As a hybrid role, this position is available in Ypsilanti, Jackson, Holland, Muskegon, or surrounding areas.Make an impact behind the scenes th...[internal_linking.show_more]

Claims Processor

TridentUS
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Our client is a healthcare benefits administration company.As a Claims Processor, you will play a pivotal role in ensuring the accuracy and efficiency of health insurance and health share claims pr...[internal_linking.show_more]

Claims Processor III

Southern California Pipe Trades Administrative CorporationLos Angeles, CA, USA
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The Southern California Pipe Trades Administrative Corporation is seeking a Claims Processor in the Health & Welfare Benefit Funds Department.This is a Grade 3 union position that offers competitiv...[internal_linking.show_more]

Processor, Claims II (Medicare Part B Professional Claims)

BlueCross BlueShield of South CarolinaColumbia, SC, United States
[job_card.full_time]

Claims Adjudication Specialist.Summary Reviews and adjudicates complex or specialty claims.Determines whether to return, deny or pay claims following organizational policies and procedures.Reviews ...[internal_linking.show_more]

Non-Clinical - Finance/Accounting/Claims Processor

StaffingWhittier, CA, United States
[job_card.full_time]

Shift: Day 5x8-Hour (07:00 - 15:30).Start/end time: 7:00 am to 3:30 pm.Position Summary: Maintains positive working.[internal_linking.show_more]

Medical Claims Processor I

Moda HealthMilwaukie, OR, US
[job_card.full_time]

Let’s do great things, together!.Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality.Today, like then, we’re focused on building a better future for healthc...[internal_linking.show_more]

Claims Processor II (Nashville, TN)

BlueCross BlueShield of South CarolinaColumbia, South Carolina
[job_card.full_time]

This position is full time (40 hours/week) Monday-Friday.Examines and processes complex or specialty claims according to business/contract regulations, internal standards and examining guidelines.E...[internal_linking.show_more]

Claims Processor I

MUSCOrangeburg, South Carolina, United States
[job_card.full_time]

Under general supervision, the Claims Processor I is responsible for the accurate and timely processing of insurance claims.This role includes resolving claim edits, submitting paper and electronic...[internal_linking.show_more]

Claims Processor

Zenith American SolutionsTampa, FL, US
[job_card.full_time]

Position Summary The Claims Processor provides customer service and processes routine health and welfare claims on assigned accounts according to plan guidelines and adhering to Company policies an...[internal_linking.show_more]

Warranty Claims Processor

Kenan Advantage GroupNorth Canton, Ohio, USA
[job_card.full_time]

AM - 5PM; Mon-Fri (ENTRY LEVEL ROLE).This position is responsible for accurately creating, filing & managing the Warranty Claims process.Generate & Submit Warranty claims daily.Code claims with per...[internal_linking.show_more]

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Medical Claims Processor

GlobalchannelmanagementParamus, New Jersey, United States
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Medical Claims Processor needs 3+ years related work experience.Medical Claims Processor requires:.Experience working in multiple doctor practices.Experience working with multiple insurance carrier...[internal_linking.show_more]

Claims Processor

Claims Processor

Crystal StairsLos Angeles, CA, USA
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Crystal Stairs, Inc.

Improving the Lives of Families through

Child Care Services, Research, and Advocacy

Crystal Stairs is committed to building and sustaining a diverse workforce and culture. As part of this commitment, Crystal Stairs does not and shall not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin, disability, marital status, sexual orientation, or military status, in any of activities or operations.


Provider Services - Claims Processor

100% Onsite - Location: Los Angeles, CA 90056

What We're Looking For:

We are seeking a qualified candidate for the Claims Processor position. The Claims Processor will provide excellent client service by accurately processing provider claims in a timely manner while adhering to the contractual requirements of the California Department of Education and LA County Department of Public Social Services as well as Crystal Stairs, Inc. policies and procedures. The selected qualified candidate will have the following responsibilities:

RESPONSIBILITIES:

  • Process attendance records and provider payment requests in accordance with department quality standards based upon the funder's payment rules and regulations in addition to the agency's policies.
  • Effectively communicate with providers, parents, and CSI staff, as needed.
  • Assist parents, providers, and staff in completing attendance records and/ or provider payment requests by responding to incoming inquiries regarding payment or claims submission.
  • Communicate with case managers to resolve payment authorization issues on pending claims.
  • Contribute to a team atmosphere by participating in monthly staff meetings, training, and assisting department co-workers as needed.
  • Other duties as assigned.

EXPERIENCE, KNOWLEDGE, SKILLS AND ABILITIES YOU SHOULD POSSESS:

  • High School Diploma or GED Equivalent required. An AA/AS Degree in Accounting, Business, or Human Services preferred/or a minimum of two years of verifiable college coursework with a focus on accounting or business; verifiable work experience may be substituted for college level education
  • Minimum of two years experience processing claims, billing or adjustment payments required. Experience in an entry level accounting role preferred.
  • Experience with child care providers and parents receiving subsidized child or social support services preferred.
  • Must have Knowledge of the Department of Public Social Service Stage 1 Child Care Services Contract or CDE Alternative Payment Program or experience working with social support services preferred.
  • Must have strong customer service, organization, written and verbal communication skills.
  • Requires excellent data entry and processing skills within a fast paced environment.
  • Requires considerable accuracy, attention to details and ability to adhere to strict processing deadlines.
  • Must be flexible and possess a strong ability to multi-task while working in a collaborative, team environment.
  • Must have the ability to perform basic mathematical computations to verify and confirm payment calculations.
  • Must have ability to work with diverse groups.
  • Must have technical proficiencies working with Microsoft Excel and Microsoft Word
  • Ability to understand and master complex program requirements and processes as they relate to provider payment
  • Able to work flexible hours as needed to complete required tasks in a timely manner. Overtime may be required to assure timely and compliant processing of provider payments; and
  • Able to work under pressure and with time-sensitive deadlines.

Total Package of Benefits

  • Medical/ Dental/ Vision - 95% paid by employer
  • Pet Insurance
  • Employee Assistance Program
  • Voluntary Life and AD&D for Employee, Spouse and Children
  • 401k Matching Options
  • Flex Spending (Health Care and Dependent Care)
  • Mutual of Omaha (STD, Accident, & Critical Illness)
  • Generous Sick and Vacation Time
  • Paid Holidays + Paid Winter Break from 12/24 - 1/1 (for select positions)
  • Opportunity for Growth and Development
  • Robust Learning Management System offering the following continuing education units: PDC, HRCI, CEU, CPE, PDU, SHRM

Qualified applicants with arrest or conviction records will be considered for Employment in accordance with the Los Angeles Fair Chance Ordinance for Employers and the California Fair Chance Act.

Crystal Stairs, Inc. is committed to building and sustaining a fully vaccinated, diverse workforce and culture. As part of this commitment, Crystal Stairs, Inc. provides equal opportunity in all of our employment practices, including selection, hiring, promotion, transfer, and compensation, to all qualified applicants and employees without regard to race, color, medical condition as defined by state law, ancestry, religion, sex, national origin, age, marital status, sexual orientation, gender, ethnic group identification, mental or physical disability, pregnancy, childbirth and related medical conditions, or any other legally protected status.

For more information about Crystal Stairs, please visit our website at:



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