Top 18 Claims assistant Jobs in Fresno Ca

Managed Care Claims Assistant I
AmTrust Financial Services, Inc. —Fresno, CA
- $20 - $24 an hour
- Full-time
- Microsoft Word
- Spanish
- Microsoft Excel
Medical Assistant - Back Office (NWMG)
Sante Health —Fresno, CA
- $21.00 - $27.75 an hour
- Full-time
- Vital signs
- Inventory management
- Medical office experience
- Health insurance
- Dental insurance
Quick Apply
Assistant Account Representative -Agriculture P&C Insurance
Alliant Insurance Services —Fresno, CA
- $23 - $25 an hour
- Email
- Hybrid work
- Office
- High school diploma or GED
- Typing
Quick Apply
14d
Administrative Support Assistant (OA) (Dispatcher)
US Agricultural Marketing Service —Fresno, CA
- $40,941 - $53,224 a year
- Part-time
- Background check
- High school
- Customer service
6d
Medical Receptionist
Function & Action Physical Therapy —Clovis, CA
- From $18 an hour
- Part-time
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Health insurance
- 401(k)
Quick Apply
3d
Medical Assistant (CVWHA)
Sante Health —Fresno, CA
- $18 - $25 an hour
- Full-time
- Vital signs
- HIPAA
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
Logistics Administrative Specialist
Kings River Packing, LP —Sanger, CA
- $25 - $30 an hour
- Full-time
- Computer literacy
- Mid-level
- Office
- Paid holidays
- Health insurance
Medical Assistant Front/Back (AGHA)
Sante Health —Fresno, CA
- $19 - $22 an hour
- Full-time
- Spanish
- Vital signs
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
Medical Assistant/Receptionist
Dwight W Sievert MD Psychiatry and Wellness Center —Fresno, CA
- $17 - $20 an hour
- Full-time
- Anatomy knowledge
- Vital signs
- BLS Certification
- Health insurance
- Dental insurance
Quick Apply
11d
Human Resources Assistant
Lin's Restaurant Group —Fresno, CA
- $20 - $24 an hour
- Full-time
- Microsoft Excel
- Mid-level
- Administrative experience
- Health insurance
- Dental insurance
Quick Apply
Assistant Manager - Dakota
Community Holdings Management LLC —Fresno, CA
- $25 - $28 an hour
- Full-time
- Mid-level
- Bachelor's degree
- Psychology
Quick Apply
1d
Office Manager (AGHA)
Sante Health —Fresno, CA
- $33.79 - $37.00 an hour
- Full-time
- Customer service
- Mid-level
- Administrative experience
- Health insurance
- Dental insurance
Quick Apply
Rehab Aide Part-Time
Orchard Post Acute —Fresno, CA
- Part-time
- CPR Certification
- Ability to walk for extended periods
- BLS Certification
Quick Apply
2d
Occupational Therapy Assistant
US Veterans Health Administration —Fresno, CA
- $56,164 - $73,010 a year
- Online Application
- Background check
- Experience working with individuals with disabilities
- Writing skills
Assistant United States Attorney (Civil Division)
US Executive Office for U.S. Attorneys and the Office of the U.S. Attorneys —Fresno, CA
- $77,135 - $197,100 a year
- Part-time
- Background check
- Word processing
- Computer literacy
- Paid holidays
- Health insurance

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Managed Care Claims Assistant I

AmTrust Financial Services, Inc. -
Fresno, CA

Apply Now

Job Details

Full-time
$20 - $24 an hour

Qualifications

Microsoft Word
Microsoft Excel
Database systems
Microsoft Outlook
Computer literacy
High school diploma or GED

Full Job Description

Overview:

The Managed Care Claims Assistant I position reports directly to the Director, Managed Care. This position provides daily administrative support to professional Registered Nursing staff, increasing production in the areas of Early Intervention, Case Management, and Utilization Review. This position will assist the nursing staff with Case Management (CM) and Utilization Review (UR) clerical duties.

Responsibilities:

The functions of this job include but are not limited to:

Intake, prioritizing and timely processing of new Case Management referrals.
Monitors, collects, processes, and distributes all types of correspondence accordingly. Reports issues with incoming/outgoing correspondence immediately.
Enters/uploads reports and clear notes into the CM Software Application System.
Makes timely pertinent phone calls to obtain medical reports, treatment plan and RTW related information/reports to provide to the Case Management Nursing Staff.
Transfers any/all calls where there is clinical information being provided (or a clinically related question surfaces) to a registered nurse for response - Licensed staff are always available to assist non-clinical staff while they are attempting to obtain information.
Schedules Injured Worker appointments, as appropriate and under the direction of clinical staff.
Types injured worker appointment letters and other pertinent letters as requested by and under the oversight of a registered nurse.
Maintains ongoing non-clinical communications, collaborates with pertinent parties related to claims that are open to Case Management and to manage the Utilization Review process or for other administrative tasks as needed.
Process Utilization Review requests: performs data entry functions, reviews multiple criteria to determine eligibility of treatment requests, approves treatment requests based on authority level, refers treatment requests to a clinical resource or sends appropriate response level.
Coordinates with claim adjusters or nurses to validate claims or clinical information respectively to make decisions related to eligibility of treatment requests.
Prioritizes treatment requests based on review type and ensures jurisdictional timeframes and or department turnaround times are met.
Appropriately documents all systems to reflect critical thinking and actions taken in response to treatment requests.
Ensures the privacy and security of Protected Health Information (PHI).
Performs other administrative tasks and functionally related duties as assigned by clinical review nurses, nurse case managers or supervisor.
Makes administrative decisions only, completes appropriate actions functioning under the direction of clinical staff and the Manager, Medical Case Management and within agreed upon limitations.
Responds to general customer service questions or directs the caller to the appropriate person or department.
Training and oversight of other Medical Management Liaisons and Assistants.

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
Knowledge of medical terminology CPT and ICD codes strongly preferred.
Good typing skills, basic understanding of business technology and ability to learn new procedures quickly.
Professional telephone demeanor and good oral and written communication skills.
Ability to take direction, think critically and make decisions.
Self-organized, detail oriented and be able to multi-task and work well under pressure in a fast-paced environment.
Ability to work in a team environment.

EDUCATION and/or EXPERIENCE:

High school diploma or equivalent required.
Computer skills required with knowledge in utilizing Outlook, Microsoft Word, Excel and other databases.
Prior medical assistant type experience and/or some knowledge of medical terminology.
Minimum 1-2 years Worker’s Compensation experience or experience in a health-related service field is helpful.
Bilingual Spanish a plus.

This job description is designed to provide a general overview of the requirements of the job and does not entail a comprehensive listing of all activities, duties, or responsibilities that will be required in this position. Your Employer has the right to revise this job description at any time.

The expected salary range for this role is $20.00/hr-$24.00/hr.

Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations.

Apply Now

Refine Your Search

claims assistant jobs in fresno ca

Managed Care Claims Assistant I

Medical Assistant - Back Office (NWMG)

Assistant Account Representative -Agriculture P&C Insurance

Administrative Support Assistant (OA) (Dispatcher)

Medical Receptionist

Medical Assistant (CVWHA)

Logistics Administrative Specialist

Medical Assistant Front/Back (AGHA)

Medical Assistant/Receptionist

Human Resources Assistant

Assistant Manager - Dakota

Office Manager (AGHA)

Rehab Aide Part-Time

Occupational Therapy Assistant

Assistant United States Attorney (Civil Division)

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