5 claims analyst jobs at 3 companies in San Jacinto, CA
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Senior Payment Integrity Analyst
Rancho Cucamonga, California, United States
$91k-$121k/yrRemoteFull Time
Inland Empire Health Plan: Public health plan managing Medi-Cal, Medicare-Medicaid, and Covered California coverage for Riverside and San Bernardino County residents.
5+ YOERequires 5+ years in payment integrity, claims auditing, or medical coding; bachelor's degree in business or health administration; strong SQL, data analysis, coding, regulatory, and claims expertise.
Eisenhower Health: Non-profit hospital and health system serving California's Coachella Valley.
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
Liberty Dental Plan: Privately held dental benefits administrator serving Medicaid, Medicare Advantage, commercial, and exchange members nationwide.
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
Liberty Dental Plan: Privately held dental benefits administrator serving Medicaid, Medicare Advantage, commercial, and exchange members nationwide.
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
Inland Empire Health Plan: Public health plan managing Medi-Cal, Medicare-Medicaid, and Covered California coverage for Riverside and San Bernardino County residents.
5+ YOERequires 5+ years in payment integrity, claims auditing, or medical coding; bachelor's degree in business or health administration; SQL and Excel proficiency; coding and healthcare regulations expertise.