Top 69 Claims representative Jobs in San Jose Ca

Patient Account Representative I
Stanford Health Care —Palo Alto, CA
- $31.94 - $35.94 an hour
- Full-time
- Writing skills
- Basic math
- High school diploma or GED
10d
Pharmacy Service Representative - (Full-Time, 8-Hour Day Shifts/Hybrid)
Stanford Health Care —Palo Alto, CA
- $31.30 - $35.25 an hour
- 8 hour shift
- Microsoft Word
- Microsoft Outlook
- Computer literacy
9d
Health Services Representative
The County of Santa Clara —San Jose, CA
- $66,040.00 - $79,705.60 a year
- Part-time
- Research
- Mid-level
- Typing
- Wellness program
- AD&D insurance
2d
Patient Accounting Representative F/T
Washington Hospital —Fremont, CA
- $33.78 - $41.46 an hour
- 8 hour shift
- Computer literacy
- Mid-level
Quick Apply
Member Service Representative Level 1 (San Jose, CA)
BeneSys, Inc. —San Jose, CA
- $34.12 an hour
- Full-time
- Microsoft Word
- Basic math
- Mid-level
- Paid jury duty
- AD&D insurance
Quick Apply
Member Service Representative Level 1 (Pleasanton, CA)
BeneSys, Inc. —Pleasanton, CA
- $34.12 an hour
- Full-time
- Microsoft Word
- Basic math
- High school diploma or GED
- Paid jury duty
- AD&D insurance
Quick Apply
Patient Accounting Representative Part Time
Washington Hospital —Fremont, CA
- $35.38 - $43.43 an hour
- 8 hour shift
- Hospital
- Mid-level
Quick Apply
Customer Care Specialist III
Saia Motor Freight Line LLC —San Jose, CA
- $23.20 - $28.35 an hour
- Part-time
- 18 years or older
- English
- Office
Quick Apply
Claim Representative III - Property
Capital Insurance Group —San Jose, CA
- $77,406 - $129,010 a year
- Full-time
- Mid-level
- 3 years
- US work authorization
- Profit sharing
- Commuter assistance
Customer Service Representative - State Farm Agent Team Member
Jim Edington - State Farm Agent —San Jose, CA
- $55,000 - $75,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- 401(k)
- Paid time off
Quick Apply
Workers’ Compensation Specialist
TransPak, Inc. —San Jose, CA
- $40,000 - $70,000 a year
- Full-time
- Remote
- Microsoft Excel
- Mid-level
- Bachelor's degree
Quick Apply
Customer Service Representative - State Farm Agent Team Member
John Wheeler - State Farm Agent —Campbell, CA
- $54,000 - $75,000 an hour
- Full-time
- Office
- Communication skills
- Entry level
- Health insurance
- 401(k)
Quick Apply
Customer Service Representative - State Farm Agent Team Member
Art Holland - State Farm Agent —San Jose, CA
- $45,000 - $52,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Health insurance
- Paid time off
Quick Apply
Account Representative - State Farm Agent Team Member
Johnathan Eagels - State Farm Agency Intern —San Jose, CA
- $50,000 - $70,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Health insurance
- Dental insurance
Quick Apply
Revenue Cycle Analyst - (**This is an ONSITE/Hybrid Position)**
Momentum for Health —San Jose, CA
- $75,000 - $95,000 a year
- Full-time
- Hybrid work
- Clean driving record
- Customer service
- Bachelor of Science
- Health savings account
- Paid holidays
Quick Apply
14d
Patient Service Representative
Bay Area Kids Dentist —Sunnyvale, CA
- $21 - $25 an hour
- 8 hour shift
- Dental office
- High school diploma or GED
- Children
- Health insurance
- Dental insurance
Quick Apply
10d
Licensed Insurance Sales Representative
AJ Abdelkhalek - State Farm Agency —Pleasanton, CA
- $52,000 - $72,000 a year
- Urgently hiring
- Office
- In-person
- Communication skills
- Paid time off
- Opportunities for advancement
Quick Apply
2d
Multi-Line Representative - State Farm Agent Team Member
John Wheeler - State Farm Agent —Campbell, CA
- $54,000 - $90,000 an hour
- Full-time
- Office
- Organizational skills
- Communication skills
- Health insurance
- Tuition reimbursement
Quick Apply
Customer Service Representative - State Farm Agent Team Member
Alexandra Anderson - State Farm Agent —Santa Clara, CA
- $47,000 - $65,000 a year
- Full-time
- Organizational skills
- Communication skills
- Entry level
- Paid time off
- Opportunities for advancement
Quick Apply
Customer Service Representative - State Farm Agent Team Member
Aaron Sessions - State Farm Agent —Campbell, CA
- $20 - $30 an hour
- Full-time
- Computer literacy
- Office
- Windows
- Health insurance
- Paid time off
Quick Apply

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Patient Account Representative I

Stanford Health Care -
Palo Alto, CA

Apply Now

Job Details

Full-time
$31.94 - $35.94 an hour
10 days ago

Qualifications

Customer communication
Confidential information handling
Accounts receivable management
Medical software
Writing skills
Basic math
High school diploma or GED
Health insurance knowledge
Computer skills
Patient interaction
Medical terminology

Full Job Description

1.0 FTE Full time Day - 08 Hour R2658151 Onsite 108530005 Rev Cycle PFS Finance & Revenue Cycle PALO ALTO, 2465 Faber, California

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered.

Day - 08 Hour (United States of America)

This is a Stanford Health Care job.

A Brief Overview
The Patient Account Representative (PAR) is responsible for the timely and accurate processing of insurance balance patient claims in accordance with contracts and policies. The PAR works in various capacities to support the primary goal of the business office to resolve of unpaid, underpaid, denied or unresolved patient accounts.

Depending on the specific team, the PAR's focus may be on a mix of various responsibilities from across the Patient Financial Services (PFS) operations. Responsibilities may include:

Accounts receivable collections and payer follow-up

Payer basic clerical denial review and request processing

Payment posting and batch reconciliation

Credit balance review and resolution

Retroactive eligibility and registration

Underpayment reconciliation

Client or other special billing

The PAR I is an entry-level position. Under initial close supervision, a PAR I can perform clearly-defined and routine duties. A PAR I may be responsible for responding to straight-forward queries or issues, and is able to recognize when to refer or escalate issues to others.

Locations
Stanford Health Care

What you will do

Responding to requests from the payer, such as providing medical records or other documentation either by mail or via payer portals
Fielding incoming correspondence for the business office and distributing it appropriately
Working in Epic; resolving work queues, finding Epic documentation, or performing other follow-up or business office-related activities
Performing printing and mailing functions
Electronic or hardcopy claims editing and submission to payers
Basic claims follow up, denials, underpayments, or payer rejections

Education Qualifications

High School diploma or GED equivalent

Experience Qualifications

One (1) year of directly-related work experience.

Required Knowledge, Skills and Abilities

Meets weekly individual productivity goals and standards while following planned priorities as set by the Team Manager
Can maintain professional communication with various PFS staff, payers, and patients regarding the billing of services.
Ability to follow oral and written instructions and interpret institutional and other policies accurately
Ability to communicate clearly and professionally both verbally and in writing
Ability to maintain confidentiality of sensitive information
Ability to perform basic mathematics
Ability to plan, prioritize, and meet deadlines
Ability to work effectively with individuals at all levels of the organization
Knowledge of accounts receivable software systems and medical billing operations
Familiarity with medical reimbursement policies and procedures and medical terminology
Knowledge of payer landscape, including Medicare, Medicaid, Workers’ Compensation, Managed Care, or other Commercial insurance

Licenses and Certifications

None

These principles apply to ALL employees:

SHC Commitment to Providing an Exceptional Patient & Family Experience

Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.

You will do this by executing against our three experience pillars, from the patient and family’s perspective:

Know Me: Anticipate my needs and status to deliver effective care
Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
Coordinate for Me: Own the complexity of my care through coordination

Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.

Base Pay Scale: Generally starting at $31.94 - $35.94 per hour

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

Apply Now

Refine Your Search

claims representative jobs in san jose ca

Patient Account Representative I

Pharmacy Service Representative - (Full-Time, 8-Hour Day Shifts/Hybrid)

Health Services Representative

Patient Accounting Representative F/T

Member Service Representative Level 1 (San Jose, CA)

Member Service Representative Level 1 (Pleasanton, CA)

Patient Accounting Representative Part Time

Customer Care Specialist III

Claim Representative III - Property

Customer Service Representative - State Farm Agent Team Member

Workers’ Compensation Specialist

Customer Service Representative - State Farm Agent Team Member

Customer Service Representative - State Farm Agent Team Member

Account Representative - State Farm Agent Team Member

Revenue Cycle Analyst - (This is an ONSITE/Hybrid Position)

Patient Service Representative

Licensed Insurance Sales Representative

Multi-Line Representative - State Farm Agent Team Member

Customer Service Representative - State Farm Agent Team Member

Customer Service Representative - State Farm Agent Team Member

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