Top 1245 Processing Jobs in Fairfield, Ca

Claims Customer Service Representative I
Partnership HealthPlan of California —Fairfield, CA
- $29.95 - $35.19 an hour
- Full-time
- Computer literacy
- Research
- High school diploma or GED
Clerk
Partnership HealthPlan of California —Fairfield, CA
- $25.87 - $30.40 an hour
- Full-time
- Word processing
- Office
- High school diploma or GED
Hybrid Inventory Associate
STIIIZY —Suisun, CA
- Weekends as needed
- Merchandising
- Analysis skills
- Math
- Store discount
- Paid training
Quick Apply
Case Management Assistant II
Sutter Health —Vallejo, CA
- $27.28 - $38.19 an hour
- 8 hour shift
- Word processing
- Writing skills
- High school diploma or GED
Warehouse Associate - Distribution Center
VICI —Fairfield, CA
- $16.90 an hour
- Full-time
- In person
- 18 years or older
- Writing skills
- English
Quick Apply
Claims Examiner II
Partnership HealthPlan of California —Fairfield, CA
- $31.45 - $37.74 an hour
- Full-time
- Research
- Mid-level
- Office
Customer Service Representative 1
Recology —Vacaville, CA
- $29.18 an hour
- Monday to Friday
- Computer literacy
- Writing skills
- Office
- Wellness program
- Paid holidays
7d
Claims Resolution Coordinator
Partnership HealthPlan of California —Fairfield, CA
- $37.22 - $46.53 an hour
- Full-time
- Computer literacy
- Mid-level
- Office
Merchandise Processor
Highline Warren —Fairfield, CA
- Full-time
- Ability to lift 50 pounds
- 1 year
- Communication skills
Quick Apply
Payroll & PO Coordinator (Vacaville)
Recology —Vacaville, CA
- $26.15 - $30.40 an hour
- Mid-level
- Office
- High school diploma or GED
- Wellness program
- Paid holidays
Shipping and Receiving Clerk
Surpass Logistics LLC —Fairfield, CA
- $44,502 - $46,885 a year
- Full-time
- Forklift
- High school diploma or GED
- Warehouse
- Health insurance
- Paid time off
Shipping and Receiving Associate
Owen Equipment Sales —Fairfield, CA
- $23 an hour
- Overtime
- ERP systems
- Forklift
- High school diploma or GED
Quick Apply
13d
Cost Avoidance Specialist I
Partnership HealthPlan of California —Fairfield, CA
- $80,140.53 - $100,175.67 a year
- Full-time
- Computer literacy
- Writing skills
- Research
Operations Analyst
S and S Supplies & Solutions —Fairfield, CA
- $22 - $24 an hour
- Word processing
- Office
- High school diploma or GED
Quick Apply
Quality Assurance Technician - Raw Materials - 1st Shift
Jelly Belly Candy Company —Fairfield, CA
- Weekends as needed
- Microsoft Outlook
- 5 years
- Computer literacy
IT Helpdesk Operator II
Partnership HealthPlan of California —Fairfield, CA
- $31.45 - $37.74 an hour
- Full-time
- Computer literacy
- Mid-level
- Office
Administrative Assistant
Ascend —Fairfield, CA
- $23 - $25 an hour
- Bilingual
- Microsoft Outlook
- Word processing
- Health insurance
- Dental insurance
Quick Apply
Human Resources - Payroll Professional
Essel —Fairfield, CA
- $50,000 - $65,000 a year
- Full-time
- Mid-level
- Communication skills
- Time management
- Health savings account
- Health insurance
Quick Apply
Human Resources Support Specialist
A Place of Grace —Vacaville, CA
- $24 - $30 an hour
- Part-time
- Microsoft Excel
- Microsoft Outlook
- Office
- Health insurance
- Dental insurance
Quick Apply
Oncology Physician Assistant
John Muir Medical Group —Walnut Creek, CA
- $180,000 - $250,000 a year
- Weekends as needed
- Hybrid work
- Acute care
- Hospital
- Word processing
- Health insurance
- Dental insurance
Quick Apply

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Claims Customer Service Representative I

Partnership HealthPlan of California -
Fairfield, CA

Apply Now

Job Details

Full-time
$29.95 - $35.19 an hour

Qualifications

Customer communication
Computer literacy

Full Job Description

Overview:

To research and resolve provider telephone and written inquiries within established time frames, accurately screen claims, and participate in provider meetings and projects. To accurately research and process paper and electronic medical, outpatient, ancillary, long term care, CHDP, encounter data and paper crossover/other coverage claims within established time frames, applying appropriate program policies related to claims processing and analysis.

Responsibilities:

Responds to provider telephone inquiries, researches policy issues, and analyzes EOP's and claim history, recommends resolution to the issues, implements resolution once approved.
Researches and communicates outcome to providers of CIF's, claim tracers, and general claim correspondence within established time frames
Follows established Partnership policies and procedures, Partnership claims operating instruction memorandums, EDS provider manual guidelines, and Title 22 regulations when resolving claims and claim issues.
Participates in provider meetings to resolve claim issues.
Recognizes and gives feedback to management on procedure changes that would result in more efficient operations.
Records daily production statistics and related activities on appropriate reports; turns all logs and reports in to Claims Customer Service Supervisor.
Meets established production and call performance metrics as determined.
Participates in special projects and assignments as required.
Participates in resolution of CIFs as required.
Other duties as assigned.

Qualifications:

Education and Experience

High school diploma or equivalent; one (1) year of prior claims processing experience in an automated claim environment preferred; or equivalent combination of education and experience.

Special Skills, Licenses and Certifications

Knowledge of CPT, HCPC procedure coding, and ICD-10 diagnostic coding. Knowledge of medical terminology preferred. Ability to access coding reference guides for accurate information. Typing speed 30 wpm and proficient use of 10-key calculator.

Performance Based Competencies

Excellent written and oral communication skills. Ability to effectively exercise good judgment within scope of authority and handle sensitive issues with tact and diplomacy. Good organizational skills. Ability to accurately complete tasks within established time frames.

Work Environment And Physical Demands

Ability to use a computer keyboard. More than 80% of work time is spent in front of a computer monitor; when required, ability to move, carry, or lift objects of varying size weighing up to 25 lbs.

All HealthPlan employees are expected to:

Provide the highest possible level of service to clients;
Promote teamwork and cooperative effort among employees;
Maintain safe practices; and
Abide by the HealthPlan’s policies and procedures, as they may from time to time be updated.

HIRING RANGE:

$ 29.95 - $ 35.19

IMPORTANT DISCLAIMER NOTICE

The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.

Apply Now

Refine Your Search

processing jobs in fairfield, ca

Claims Customer Service Representative I

Clerk

Hybrid Inventory Associate

Case Management Assistant II

Warehouse Associate - Distribution Center

Claims Examiner II

Customer Service Representative 1

Claims Resolution Coordinator

Merchandise Processor

Payroll & PO Coordinator (Vacaville)

Shipping and Receiving Clerk

Shipping and Receiving Associate

Cost Avoidance Specialist I

Operations Analyst

Quality Assurance Technician - Raw Materials - 1st Shift

IT Helpdesk Operator II

Administrative Assistant

Human Resources - Payroll Professional

Human Resources Support Specialist

Oncology Physician Assistant

I want to receive the latest job alert for processing in fairfield, ca

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