27 claims processing jobs at 12 companies in Lodi, CA
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Claims Manager
Stockton, California, United States
$73k-$78k/yrHybridFull Time
Delta Health Systems: Independent third-party administrator for self-funded health plans.
2+ YOE2+ Mgmt2–4 years management and claims experience; proficiency with spreadsheets and word processing; leadership and interpersonal skills; knowledge of self-funded claims policies, TPL/COB, coding/reimbursement, and automated claims systems.
Delta Health Systems: Administers self-funded health plans and claims for organizations.
2+ YOE2+ Mgmt2–4 years management and claims experience, computer literate with spreadsheet/word processing proficiency, strong written/verbal communication, leadership, and knowledge of payer claims policies, TPL/COB, coding, and reimbursement.
Molina HealthcareNYSE: MOH: Provides managed health insurance through government-sponsored benefit programs.
6+ YOE6+ years configuration oversight/claims auditing in managed care (Medicaid/Medicare/Marketplace), advanced claims knowledge, strong analytical and communication skills, Excel (VLOOKUP/Pivot) proficiency, experience with high-dollar claims processing.
7+ YOEBachelor's degree, 7+ years workers compensation claims/operations experience, experience translating processes into documentation, change management and CMS experience, proficiency in Microsoft Office and Power BI, strong communication and influence skills.
Microsoft Office, Power BI, Claims Management Systems (CMS)
Lead Deputy Clerk – CMJC - Small Claims & Unlawful Detainer Division
Sacramento, California, United States
$29-$35/hrOnsiteFull Time
Superior Court of California, County of Sacramento: Adjudicates legal cases and provides judicial services in Sacramento.
2+ YOERequires 2 years as a Sacramento Superior Court Deputy Clerk or 3 years processing California Superior Court legal documents, plus English proficiency, 35 net WPM typing, and ability to lead, train, and review staff.
word processing equipment, computer, printer, calculator, copier, telephone, scanner, facsimile
Adventist Health: Faith-based healthcare provider offering hospital and clinical services.
Handles incoming calls from plan members and providers, answers questions about medical/dental/vision claims, maintains basic claims software knowledge, and performs mail and document processing.
State Controller's Office: California's fiscal controller managing state financial operations and assets.
Process complex bankruptcy claims, compute and review claims, reconcile system fallout reports, sort and distribute high-volume bankruptcy mail, and use PC systems per the class specification; background investigation required.
Microsoft Outlook, Microsoft Word, Microsoft Excel, Microsoft Teams, Business Entities Tax System (BETS), Taxpayer Information (TI), Enterprise Tax Systems (ETS)
Costco WholesaleNASDAQ: COST: Operates membership-only warehouse clubs selling a variety of goods.
Assist pharmacists with dispensing, customer service, inventory, claims processing, and computerized recordkeeping; open availability and proof of work authorization required.
Patient Account Representative III Hospital Billing Unit
Fairfield, California, United States
$32-$39/hrOnsiteFull Time
NorthBay Health: Provides comprehensive hospital care and medical services in Northern California.
1+ YOEExperience in hospital billing and follow-up (minimum 1 year), knowledge of claims processing, payor contracts, Knox-Keene and managed care concepts, medical terminology, and strong computer and communication skills.
Health and Life Organization (HALO): Provides primary healthcare, dental, and mental health services.
Complete, correct, and process medical claims; knowledge of CPT/ICD/HCPCS coding, EMR use, Microsoft Office; high school diploma or billing certificate and ~1 year billing/coding or clinical experience preferred.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook, EMR, IMS, EPIC, Dentrix
WalmartNYSE: WMT: Multinational retail operating discount stores and supermarkets.
Must meet state requirements to work as a pharmacy technician and obtain national pharmacy technician certification (PTCB or NHA) within 9 months; capable of processing prescriptions, handling insurance claims, and customer service in a retail pharmacy.
Pacific Medical: Distributes durable medical equipment and provides clinical orthopedic services.
Verify eligibility and authorizations, obtain authorizations, process claims within deadlines, contact patients and carriers, and meet typing speed (45 WPM). High school diploma required; 1-2 years medical billing experience preferred.
Medi-Cal Provider Contact Center Manager- West Sacramento, CA - Hybrid
California or West Sacramento
$76k-$108k/yrHybridFull Time
Gainwell Technologies: Delivers technology solutions for public health and Medicaid programs.
9+ YOE5+ MgmtBachelor's preferred;9+ years customer service/telephone operations;5+ years supervisory experience;knowledge of Medi-Cal/claims processing preferred;experience with CRM, telephony, call platforms and workforce management tools;strong analytical and communication skills.