Top 59 Claims representative Jobs in Rocklin, Ca

Insurance Coordinator
University of the Pacific —Sacramento, CA
- $22.68 - $30.04 an hour
- Online Application
- Background check
- Microsoft Excel
- Microsoft Outlook
14d
Patient Services Representative I - Remote - Nationwide
Vituity —Sacramento, CA
- $17.12 - $19.04 an hour
- Overtime
- Remote
- Spanish
- Basic math
- Windows
- Profit sharing
- Wellness program
3d
Supervisor, Provider Enrollment - Remote - Nationwide
Vituity —Sacramento, CA
- $64,970 - $81,215 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Research
- Profit sharing
- Wellness program
Claims Analyst - REMOTE
Ryder System —Sacramento, CA
- $90,000 - $100,000 a year
- Full-time
- Remote
- Bachelor's degree
- Experience equivalent to degree accepted
- Senior level
- Disability insurance
- Health insurance
12d
Claims Representative (IAP): Workers Compensation Training Program | Rancho Cordova, CA
Sedgwick —Rancho Cordova, CA
- Customer service
- No experience needed
- Office
- Health savings account
- Disability insurance
Workers Compensation Associate Claim Representative
The Travelers Companies, Inc. —Rancho Cordova, CA
- $52,600 - $86,800 a year
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Wellness program
- Paid holidays
3d
Member Services Representative II
Western Health Advantage —Sacramento, CA
- $22 - $25 an hour
- Full-time
- Remote
- Word processing
- Computer literacy
- Research
Quick Apply
3d
Customer Service Representative - State Farm Agent Team Member
Frank Lewis - State Farm Agent —Auburn, CA
- $55,000 - $65,000 a year
- Full-time
- Office
- Children
- Communication skills
- Paid time off
- Opportunities for advancement
Quick Apply
CLAIMS CLERK PART-TIME
BRMS —Folsom, CA
- $19 - $20 an hour
- Part-time
- Basic math
- No experience needed
- English
Member Service Representative III
Western Health Advantage —Sacramento, CA
- $25 - $27 an hour
- Full-time
- Hybrid work
- Word processing
- Computer literacy
- Mid-level
- Referral program
Quick Apply
3d
Bill Reviewer III
AvonRisk —Rocklin, CA
- $25 - $30 an hour
- Full-time
- Hybrid work
- Word processing
- Computer literacy
- Basic math
- Health savings account
- Paid holidays
Quick Apply
Workers Compensation Claims Adjuster I
AvonRisk —Rocklin, CA
- $25 - $30 an hour
- Full-time
- Hybrid work
- Mid-level
- Conflict management
- Fair chance
- Health savings account
- Paid holidays
Quick Apply
Temp Workers Compensation Claims Adjuster III
AvonRisk —Rocklin, CA
- $40 - $50 an hour
- Temporary
- Hybrid work
- 5 years
- Conflict management
- Fair chance
- Health savings account
- Paid holidays
Quick Apply
Customer Service Representative - State Farm Agent Team Member
Trek Sinclair - State Farm Agent —El Dorado Hills, CA
- $50,000 - $65,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Paid time off
- 401(k) matching
Quick Apply
Workers Compensation Claims Supervisor
AvonRisk —Rocklin, CA
- $100,000 - $110,000 a year
- Full-time
- Hybrid work
- Mid-level
- Continuous improvement
- Mentoring
- Health savings account
- Paid holidays
Quick Apply
Multi-Line Representative - State Farm Agent Team Member
Shoua Lee - State Farm Agent —Folsom, CA
- $25 - $30 an hour
- Full-time
- Office
- Organizational skills
- Communication skills
- Paid time off
- 401(k) matching
Quick Apply
Patient Account Rep II
Dignity Health Medical Group —Rancho Cordova, CA
- $25.00 - $32.99 an hour
- Full-time
- Computer literacy
- Medical office experience
- Mid-level
7d
Account Representative - State Farm Agent Team Member
Frank Lewis - State Farm Agent —Auburn, CA
- $55,000 - $65,000 a year
- Full-time
- Office
- Children
- Communication skills
- Paid time off
- Opportunities for advancement
Quick Apply
Multi-Line Representative - State Farm Agent Team Member
Frank Lewis - State Farm Agent —Auburn, CA
- $60,000 - $70,000 a year
- Full-time
- Office
- Children
- Organizational skills
- Paid time off
- Opportunities for advancement
Quick Apply
Casualty Claims Manager, Ag
Zenith Insurance Company —Roseville, CA
- $103,740.94 - $149,552.68 a year
- Full-time
- Remote
- Customer service
- 5 years
- High school diploma or GED
- Paid training
- Paid parental leave

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Insurance Coordinator

University of the Pacific -
Sacramento, CA

Apply Now

Job Details

Full-time
$22.68 - $30.04 an hour
14 days ago

Qualifications

High school diploma or GED

Full Job Description

Insurance Coordinator

Primary Purpose:
Under the supervision of the Clinic Manager, processes insurance claims and performs other related duties to include auditing of patient charts, posting of insurance payments, and collections referrals.

Essential Functions:

Perform daily audit of all patient health records to ensure financial accuracy and the presence of complete treatment documentation; initiate process of necessary corrections and communicate errors to the appropriate student, faculty, or staff member; request additional information and/or documentation as needed.
Prepare and generate insurance claims for hard copy submission or batch electronic claims for electronic submission.
Respond to requests from insurance companies for additional information and/or required documentation for pending claims; work with appropriate personnel to facilitate resolution.
Post and allocate insurance payments timely and accurately based on explanation of benefits.
Initiate refund requests to insurance companies due to incorrect processing of claims. Accurately process all financial recoups in a timely manner with thorough documentation.
Generate and review accounts receivables reports; analyze information to determine appropriate financial write offs and adjustments, validity of insurance denial reasons, and patient financial responsibility; determine collectable balances and resolve appropriately; identify, audit, and refer delinquent accounts for collections.
Review documentation and claims for accuracy in order to facilitate timely reimbursement of claims to include but not limited to private and government insurance programs, patient contracts, and special grant projects.
Communicate insurance and policy requirement and regulations, reference materials and CDT updates to appropriate personnel; collaborate with internal and external clinics to establish constructive methods and procedures.
Assist and provide guidance to students, residents, faculty, and staff regarding efficient and compliant CDT coding.
Support processing needs of special grant programs and special discounts offered annually during mock boards.

University of the Pacific recognizes that diversity, equity, and inclusion is foundational to the success of our valued students and employees. We prioritize policy and decision-making that demonstrates awareness of, and responsiveness to, the ways socio-cultural forces related to race, gender, ability, sexuality, socio-economic status, etc. impede or propel students, faculty, and staff.

Minimum Qualifications:

High school diploma or equivalent.
Three (3) consecutive years insurance billing and payment allocation in a high-volume dental setting.
Three (3) years customer service and/or patient relations

Preferred Qualifications:

Advanced private dental/medical insurance billing or general accounting policies and procedures.
Basic accounting/billing procedures.
Intermediate level dental terminology and treatment planning.
Electronic health records software.
Basic knowledge of Microsoft Word, Excel and Outlook.
Manage multiple job priorities and tasks efficiently, effectively and accurately while demonstrating close attention to detail.
Communicate professionally and courteously with faculty, residents, students, patients and staff.
Maintain confidentiality of materials and information.
Research and/or resolve financial conflicts with insurance companies and patient accounts.
Support and contribute to a positive and productive team environment.
Basic knowledge processing public dental insurance claims.
Knowledge of medical terminology.
Vocational or other training in the dental field highly desirable.
Experience and sensitivity in working with people of diverse backgrounds and cultures.
Demonstrated experience in advancing social justice, equity, and inclusion in a university setting.
Ability to engage and integrate culturally responsive practices and knowledge in their work.
Advanced private dental/medical insurance billing or general accounting policies and procedures.
Experience and sensitivity in working with people of diverse backgrounds and cultures.
Demonstrated experience in advancing social justice, equity, and inclusion in a university setting.
Ability to engage and integrate culturally responsive practices and knowledge in their work.

Physical Requirements:
The physical demands described here are representative but not definitive of those that must be met by an employee to successfully perform the essential functions of this job.

Work performed is primarily general office/administrative with frequent use of computer keyboard, mouse, and telephone; requires sitting majority of the working day.
Occasional reaching, bending, standing and walking.

Hiring Range: $22.68 - $30.04 per hour We consider factors such as, but not limited to, scope and responsibilities of the position, candidate's qualifications, internal equity, as well as market and organizational considerations when extending an offer.

Background Check Statement:
All applicants who receive a conditional offer of employment are required to execute a release and authorization for a background screening.

AB 810 Misconduct Disclosure Requirement: University of the Pacific complies with California Assembly Bill 810, requiring candidates accepting conditional job offers to disclose any final administrative or judicial findings, ongoing proceedings, allegations, resignations under investigation, or appeals related to sexual harassment or misconduct within the past seven years.

To apply, visit https://pacific.peopleadmin.com/postings/32396

jeid-8e036c61f064eb419118f313198f4d29

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Refine Your Search

claims representative jobs in rocklin, ca

Insurance Coordinator

Patient Services Representative I - Remote - Nationwide

Supervisor, Provider Enrollment - Remote - Nationwide

Claims Analyst - REMOTE

Claims Representative (IAP): Workers Compensation Training Program | Rancho Cordova, CA

Workers Compensation Associate Claim Representative

Member Services Representative II

Customer Service Representative - State Farm Agent Team Member

CLAIMS CLERK PART-TIME

Member Service Representative III

Bill Reviewer III

Workers Compensation Claims Adjuster I

Temp Workers Compensation Claims Adjuster III

Customer Service Representative - State Farm Agent Team Member

Workers Compensation Claims Supervisor

Multi-Line Representative - State Farm Agent Team Member

Patient Account Rep II

Account Representative - State Farm Agent Team Member

Multi-Line Representative - State Farm Agent Team Member

Casualty Claims Manager, Ag

I want to receive the latest job alert for claims representative in rocklin, ca

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