-
Closes
Claims Examiner Sr in 505 City Parkway West
The Claims Examiner Sr. analyzes and processes claims. This position is responsible for following regulatory and internal guidance in conjunction with CalOptima policies and procedures as they apply to claims adjudication. The Claims Examiner is responsible to adjudicate claims that require minimal research and problem solving. 3-4 years of health claims processing background. Knowledge of Medicare and Medi-Cal processing preferred. Examiner is expected to adjudicate tier one claim type with attention to detail in order that high quality standards are met. The challenge of consistently and accurately processing an increased volume of claims in a production environment is attainable with appropriate staffing levels. The return on the investments is that the approval of this position will allow us to continue meeting regulatory compliance and timeliness requirements.
-
Closes
Claims Examiner Sr in 505 City Parkway West
The Claims Administration Department is responsible for managing and processing of all medical claims in accordance with industry standards and regulations, ensuring accuracy and timely reimbursement to healthcare providers.
-
Closes
Program Assistant (Quality Initiatives) in 505 City Parkway West
CalOptima Health is seeking a Program Assistant to provide administrative support projects and department leadership.
-
Closes
Customer Service Rep (CCSC) (Bilingual Required) in County Community Service Center - Brea
The Customer Service team provides information regarding eligibility, enrollment, benefits and assists members and provider with questions related to the Med-Cal programs.
-
Closes
Intern (Training and Education) in 505 City Parkway West
The Human Resources department fosters and engaged and inclusive workplace culture that helps supports and empowers our employees to serve our members and the community.
We will email you new jobs that match this search.