Tax examiner serp_jobs.h1.location_city
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Tax examiner • clovis ca
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Orange, CA is a premier healthcare provider specializing in Medicare and HMO services.With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize acc...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
A company is looking for a Title Examiner to join their Title Operations team.Key Responsibilities Search and examine public records to determine a property's status of title Review documents af...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
We are a rapidly growing accountancy firm established in Fresno and rapidly expanding throughout the US.We will be adding 50 new hires in the upcoming two years.
This Jobot Job is hosted by : Beau Pe...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
An established CPA firm is looking to add a Tax Manager to their team.This stable and growing firm offers clients valuable knowledge and expertise in tax.
Due to the recent growth of the f...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Due to continuing growth, our team is seeking a Senior Tax Manager who has an entrepreneurial spirit and knows how to get things done.
In addition to the traditional roll-up your sleeves tax review ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Tax Senior Manager - Individual Tax Services.Are you a talented tax professional that specializes in US individual tax services? Would your ideal job have no typical tax busy season? If yes, consid...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Transitional Senior Claims Examiner.This specialized, full-time role is designed for seasoned professionals who can step in to manage open desks or oversee pending claims during an adjuster's leave...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
SUMMARYThe Claims Examiner I reports to the Supervisor of Claims.Claims Examiner I is responsible for reviewing and processing medical, dental, vision, and electronic claims per state, federal, and...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Tax Manager - Build, Lead & Thrive with a Firm That Truly Values You.Shape the Future of a Firm That Believes Great Careers Don't Require Sacrificing Quality of Life.
If you're an experienced tax pr...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
At H&R Block, we believe in the power of people helping people.Our defining Purpose is to provide help and inspire confidence in our clients, associates, and communities everywhere.We also believe ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Senior Tax Accountant Job Duties : Files federal , state, and local tax documents by preparing property ta...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Virta Health is on a mission to transform type 2 diabetes and weight-loss care.Current treatment approaches aren't workingover half of US adults have either type 2 diabetes or prediabetes, and obes...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Calling all Experienced Tax Preparers! Join our team for an exciting seasonal opportunity that offers flexible schedules.
Leverage your tax expertise, business background, and knowledge of tax laws ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Rithum is the world's most trusted commerce network, accelerating how brands, suppliers, and retailers work together to deliver seamless e-commerce experiences.
We provide an unmatched platform for ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Sensiba is looking for top talent to join our .Winter / Spring Internship Program.Our interns have the opportunity to gain real-world experience in a professional public accounting industry environme...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Tax Reporting And Compliance Specialist.Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
The HdL Companies help cities, counties and special districts maximize revenues through research and discovery efforts, financial and economic analysis, and provision of software that supports loca...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Please make sure that you complete all the questions and navigate to the end of the application to sign the application.Under minimal supervision, manages all aspects of indemnity claims handling f...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members.
We started Oscar in 2012 to create the kind of health insuran...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
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Claims Examiner I
Astiva Health, IncFresno, CA, USserp_jobs.job_card.full_time
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VirtualVocationsFresno, California, United Statesserp_jobs.job_card.full_time
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Sensiba San Filippo LLPRemote, CAserp_jobs.filters.remote
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Tax Compliance Specialist II
Public Consulting GroupFresno, CA, USserp_jobs.job_card.full_time
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HdL CompaniesFresno, CA, USserp_jobs.job_card.full_time
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TRISTARFresno, CAserp_jobs.filters.remote
serp_jobs.job_card.full_time
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Associate Director, Tax
Oscar HealthFresno, CA, USserp_jobs.job_card.full_time
Claims Examiner I
Astiva Health, IncFresno, CA, USjob_description.job_card.1_day_ago
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- serp_jobs.job_card.full_time
job_description.job_card.job_descriptionGood knowledge of CPT / HCPCS / ICD-10, and Revenue Codes, including modifiers. Assist customer service as needed to assist in claims resolution on calls from providers. Research authorizations and properly selects appropriate authorization for services billed. Coordinate with the claims clerks on issues related to the submission and forwarding of claims determined to be financial responsibility of another organization. Coordinate Benefits on claims for which member has another primary coverage Run monthly reports. Review pre and post check run. Regular and consistent attendance Other duties as assigned High School Diploma or GED required. 1 to 3 years of previous experience in a health plan, IPA or medical group. Strong understanding of the benefit process including member services or customer service. Demonstrated proficiency in MS Office (Excel, Word, Outlook, and PowerPoint). Able to navigate difficult situations with empathy, discretion, and professionalism. Strong understanding of Senior Medicare Advantage Health plans. Able to explain member benefits, answer questions and concerns using a "Customer Service First" attitude. Able to live our mission, vision, and values, Bilingual in another language (written and oral) preferred.
About Us : Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize accessibility, affordability, and quality in all aspects of our services. Join us in our mission to transform healthcare delivery and make a meaningful difference in the lives of our members.
SUMMARY : Under the direction of the Vice President of Claims, this position is responsible for manual input and adjudication of claims submitted to the health plan. The ideal candidate will need to interpret and utilize capitation contracts, payor matrixes, subscriber benefit plan, and provider contracts; as well as resolving customer service inquiries, status calls, andclaim tracers.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following :
- Data enter paper claims into EZCAP.
- Review and interpret provider contracts to properly adjudicate claims.
- Review and interpret Division of Financial Responsibility (DOFR) for claims processing.
- Perform delegated duties in a timely and efficient manner.
- Verify eligibility and benefits as necessary to properly apply co-pays.
- Understands eligibility, enrollment, and authorization process.
- Knowledge of prompt payment guidelines for clean and unclean claims
- Process claims efficiently and maintains acceptable quality of at least 95% on reviewed claims.
- Meets daily production standards set for the department.
- Prepares claims for medical review and signature review per processing guidelines.
- Identify the correctly received date on claims, with knowledge of all time frames for meeting compliance for all lines of business.
Maintains good working knowledge of system / internet and online tools used to process claims
QUALIFICATION REQUIREMENTS : To perform this job successfully, an individual must be able to perform each essential duty satisfactorily, including regular and consistent attendance. The requirements listed below are representative of the knowledge, skill, and / or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
EDUCATION and / or EXPERIENCE :