15 claims analyst jobs at 11 companies in Moreno Valley, CA
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Senior Claims Analyst
Huntington Beach, California, United States
$70k-$80k/yrOnsiteFull Time
Verda Healthcare: Provides Medicare Advantage plans to underserved ethnic communities.
5+ YOE5+ years of healthcare claims operations experience; Bachelor’s degree; strong knowledge of claims systems and EDI; liaison between business and IT.
EDI, Claims systems, UAT, Test case development, CMS regulations
Analyst III, Epic Application Professional Billing and Claims
Irvine, California, United States
$103k-$133k/yrOnsiteFull Time
PDS Health: Provides business and administrative support services to dental practices.
3+ YOEEpic Professional Billing & Claims SME with 3+ years' relevant experience, current Epic certification (or recent use), bachelor's degree in IT/healthcare (or equivalent), strong project management and communication skills.
National Claims Intake Operations Analyst (Hybrid in CA)
Santa Ana, California, United States
$64k-$86k/yrHybridFull Time
First American FinancialNYSE: FAF: Provides title insurance and settlement services for real estate.
3+ YOEBachelor's degree or equivalent experience; 3-5+ years in complex multi-location operations; advanced reporting, analytics, database, and SharePoint experience; claims intake and compliance knowledge.
Doma, Power BI, SQL, Microsoft Access, Microsoft SharePoint
Data Analyst Sr, Finance - Encounter Data (Covered California)
Orange, California, United States
$84k-$135k/yrHybridFull Time
CalOptima Health: Provides public health insurance for Orange County residents.
5+ YOEBachelor's plus 5 years data analyst experience with SQL; 3 years Medi-Cal managed care or Medicare Advantage and Covered California experience required; experience reconciling encounter/claims data and working with DHCS/CMS.
SQL, Electronic Data Interchange (EDI), Microsoft Word, Microsoft Outlook, Microsoft Excel, Microsoft PowerPoint
Superior Grocers: Operates independently-owned grocery stores in California and Nevada.
2+ YOERequires a high school diploma or equivalent, 2–5 years handling workers' compensation claims, Microsoft applications, claims database experience, communication, analytical, and problem-solving skills.
Microsoft Excel, Microsoft Outlook, Microsoft Word, Microsoft PowerPoint, WCCMS, Open Claims
United WestLabs: Manages hospital-based laboratory outreach and phlebotomy services.
Experience with insurance claims processing, denial management, appeals, and accounts receivable; strong analytical skills; proficiency in Microsoft Excel; high school diploma required; Associate's degree preferred.
Eisenhower Health: Provides comprehensive medical care and hospital services in California.
3+ YOEHigh school diploma required (associate preferred). 3+ years hospital/professional billing experience with emphasis on denied claims, appeals, managed care and Medicare/Medi-Cal; knowledge of CPT/HCPCS/ICD-10, CMS rules, payor contracts, and strong Microsoft Office skills.
Microsoft Word, Microsoft Excel, Microsoft Outlook, Microsoft PowerPoint, Epic
Glovis America: Global logistics and supply chain services for the automotive industry.
0+ YOEHigh school diploma/GED, 0-3 years logistics/claims/transportation experience, strong communication, planning, and critical thinking, proficiency with Microsoft Office and EDI, ability to operate office equipment and sit for long periods.
Microsoft Excel, Microsoft Word, Microsoft Outlook, Microsoft PowerPoint, EDI
Glovis AmericaKorea Stock Exchange: 086280: Global provider of automotive logistics and supply chain services.
0+ YOEHigh school diploma/GED; 0-3 years logistics/transportation/claims experience; strong communication, planning, organizational, and critical-thinking skills; proficient with Microsoft Office and EDI.
Microsoft Excel, Microsoft Word, Microsoft Outlook, Microsoft PowerPoint, EDI
CalOptima Health: Provides public health insurance for Orange County residents.
5+ YOEBachelor's in business/finance/risk or equivalent plus 5+ years in corporate risk management or insurance broker experience; insurance program administration, claims handling, contract review, and Microsoft Office proficiency.
Microsoft Word, Microsoft Outlook, Microsoft Excel, Microsoft PowerPoint
Liberty Dental Plan: Administers dental benefit plans for government and commercial markets.
2+ YOEHigh school diploma/GED, 2+ years PPO/HMO claims processing experience, HSP and dental procedure knowledge, proficiency with Word/Excel/Access, strong analytical and communication skills.
Microsoft Word, Microsoft Excel, Microsoft Access, Crystal Report, HSP
Planned Parenthood of Orange and San Bernardino Counties: Provides reproductive and primary health care services.
5+ YOEAssociate degree required; 5+ years medical billing/claims follow-up in outpatient primary care; coding knowledge; experience with payor guidelines, Medi‑Cal denials, HIPAA 5010; strong communication and computer skills.
EclinicalWorks, NextGen, Microsoft Word, Microsoft Excel, Microsoft Outlook
Liberty Dental Plan: Dental benefits administrator for government and commercial health plans.
2+ YOEHigh school diploma/GED, minimum 2 years PPO/HMO claims processing or auditing, HSP systems and dental procedure knowledge, Microsoft Word/Excel/Access and Crystal Reports proficiency, advanced analytical and communication skills.
Microsoft Word, Microsoft Excel, Microsoft Access, Crystal Reports, HSP