Top 916 Claims Jobs in Simi Valley, Ca

Revenue Reimbursement Coordinator
Adventist Health —Simi Valley, CA
- $39.16 - $53.71 an hour
- 8 hour shift
- Medical office experience
- Mid-level
- Office
2d
Property Claims Adjuster
SGD, Inc —Simi Valley, CA
- $35 - $45 an hour
- Part-time
- Microsoft Word
- Microsoft Excel
- Mid-level
- Paid holidays
- Health insurance
Full Time Employment Attorney
Stone | Dean —Woodland Hills, CA
- $130,000 - $180,000 a year
- Full-time
- Hybrid work
- Microsoft Office
- Senior level
- Communication skills
- Health insurance
- Dental insurance
Quick Apply
California Litigation Attorney
Waters Kraus Paul & Siegel —Los Angeles, CA
- $125,000 - $150,000 a year
- Full-time
- Hybrid work
- Mid-level
- 2 years
- Health insurance
- Dental insurance
Quick Apply
2d
Litigation Attorney
LA Century Law —Van Nuys, CA
- $150,000 - $225,000 a year
- Full-time
- Spanish
- Mid-level
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply
Associate Attorney - Wage & Hour Class Action
Bibiyan Law Group, P.C. —Los Angeles, CA
- Full-time
- Writing skills
- Analysis skills
- Organizational skills
Quick Apply
Psychiatrist MD (California)
Brain Health USA —California
- From $450,000 a year
- Choose your own hours
- Remote
- Medicine
- Psychiatry
- BC/BE
- Paid time off
- Flexible schedule
Quick Apply
18h
Human Resources Coordinator (TEMP 6-9 months)
AG Millworks —Ventura, CA
- $20 - $24 an hour
- Full-time
- Spanish
- Employment & labor law
- English
- Paid time off
Quick Apply
Construction Estimator
MSB, Inc. —Agoura Hills, CA
- $75,000 - $120,000 a year
- Full-time
- Construction site
- Sales
- 5 years
- Health insurance
- Dental insurance
Quick Apply
Workers' Compensation Claims Examiner
JT2 Integrated Resources —California
- From $90,000 a year
- Full-time
- Mid-level
- 3 years
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply
Dental Office Insurance Coordinator/ Treatment Coordinator
Sierra Dental Care —Canyon Country, CA
- $45,000 - $60,000 a year
- Full-time
- Spanish
- Dental office
- In-person
- Paid time off
- Employee discount
Quick Apply
3d
Personal Injury Case Managing Supervisor
Quill & Arrow LLP —Los Angeles, CA
- $35 - $50 an hour
- Full-time
- Spanish
- Mid-level
- Supervising experience
- Health insurance
- Dental insurance
Quick Apply
Quality Assurance Manager
Repairtech International —Van Nuys, CA
- $120,000 - $150,000 a year
- Full-time
- Microsoft Word
- Engineering
- Basic math
- Health savings account
- Health insurance
Quick Apply
10d
Senior Personal Injury Case Manager -- Bilingual Spanish
Danho Law Group, APC —Woodland Hills, CA
- $40 - $45 an hour
- Part-time
- Hybrid work
- Spanish
- English
- Organizational skills
- Free parking
- Flexible schedule
Quick Apply
1d
Personal Injury Litigation Attorney
ME Lawyers —Los Angeles, CA
- $200,000 - $250,000 a year
- Full-time
- Hybrid work
- Writing skills
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Quick Apply
14h
Dental Treatment Coordinator
Confidential —Beverly Hills, CA
- From $75,000 a year
- Urgently hiring
- Dental office
- Mid-level
- Administrative experience
- Health insurance
- Opportunities for advancement
Quick Apply
Remote California Licensed Therapist – LMFT, LCSW or LPCC
KindestMind —California
- $80 an hour
- Part-time
- Remote
- Background check
- LMFT
- Licensed Clinical Social Worker
- Flexible schedule
Quick Apply
3d
California Licensed Child Psychologist | Build Your Insurance-Based Practice with Lean Medical
Lean Medical Inc —California
- $100,000 - $350,000 a year
- Choose your own hours
- Remote
- Adults
- Mid-level
- Outpatient experience
Quick Apply
Staff Attorney
Liberty Mutual —Woodland Hills, CA
- $125,000 - $221,000 a year
- Full-time
- Writing skills
- Analysis skills
- Mentoring
- 401(k) matching
Remote Associate Attorney
Knox Ricksen LLP —California
- $170,000 - $190,000 a year
- Full-time
- Remote
- Writing skills
- 3 years
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply
20h

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claims jobs near simi valley, ca

Revenue Reimbursement Coordinator

Adventist Health -
Simi Valley, CA

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Job Details

Full-time | Contract
$39.16 - $53.71 an hour
2 days ago

Qualifications

Optimizing workflow processes
Appeals
Contract review
Data analysis reporting
Account analysis
Medical insurance coverage verification
Overseeing healthcare denial management
Medical office experience
Insurance claim appeals processing
Process improvement
Mid-level
Trend analysis
Medical billing data reporting
Medical denial trend identification
Medical insurance appeals management
Insurance provider collaboration
Associate's degree
Escalation handling

Full Job Description

Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect.

Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.

Job Summary:

Adventist Health Simi Valley is seeking a Revenue Reimbursement Coordinator for a full-time position with 8-hour day shifts. We are looking for a qualified and dedicated individual who is able to work onsite at our Simi Valley, CA location.

Supports the Revenue Management department by performing account-level reviews, validating payer adjudication against contract terms, and preparing analytic reports to identify systemic issues, trends, and payer behaviors. Collaborates with Patient Access, Utilization Management, Case Management, Patient Financial Services, Revenue Integrity, and other Revenue Cycle pillars to support denial prevention, process improvement, payer escalations, and reimbursement optimization. Provides detailed account and trend analysis to assist the Director, Revenue Analytics in decision-making.

Job Requirements:

Education and Work Experience:

Associate’s/Technical Degree or equivalent combination of education/related experience: Required
Bachelor's Degree: Preferred
Five years' hospital/medical office experience: Preferred

Essential Functions:

Performs account-level reviews to ensure timely and full reimbursement according to payer contracts.
Validates insurance coverage, contract assignment, and authorization status for high-dollar and at-risk accounts. Identifies barriers to clean claims and timely payment; tracks and trends denials, escalating systemic issues to the Director.
Supports AR Reserve analysis and identifies trends that significantly impact net patient revenues. Prepares supporting reports and documentation for payer escalations, appeals, and Joint Operating Committees.
Collaborates with Clinical and Revenue Cycle leaders to correct process gaps and prevent recurring revenue leakage.
Maintains a cooperative and flexible team role, assisting the department with payer escalations and revenue cycle projects as needed.
Performs other job-related duties as assigned.

Organizational Requirements:

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.

Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

Apply Now

Refine Your Search

claims jobs in simi valley, ca

Revenue Reimbursement Coordinator

Property Claims Adjuster

Full Time Employment Attorney

California Litigation Attorney

Litigation Attorney

Associate Attorney - Wage & Hour Class Action

Psychiatrist MD (California)

Human Resources Coordinator (TEMP 6-9 months)

Construction Estimator

Workers' Compensation Claims Examiner

Dental Office Insurance Coordinator/ Treatment Coordinator

Personal Injury Case Managing Supervisor

Quality Assurance Manager

Senior Personal Injury Case Manager -- Bilingual Spanish

Personal Injury Litigation Attorney

Dental Treatment Coordinator

Remote California Licensed Therapist – LMFT, LCSW or LPCC

California Licensed Child Psychologist | Build Your Insurance-Based Practice with Lean Medical

Staff Attorney

Remote Associate Attorney

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