Top 362 Claims processing Jobs in Irvine, Ca

Reimbursement Specialist
Specialty Care Rx —Orange, CA
- $26 - $30 an hour
- Full-time
- Medical office experience
- Mid-level
- In-person
- Health insurance
- Dental insurance
Quick Apply
Pharmacy Technician
Nest-Rx —Costa Mesa, CA
- $20 - $25 an hour
- 8 hour shift
- Computer literacy
- High school diploma or GED
- US work authorization
- Free parking
- Paid training
Quick Apply
Pharmacy Billing Specialist
KabaFusion —Cerritos, CA
- $24 - $26 an hour
- Full-time
- Mid-level
- High school diploma or GED
- 2 years
- Paid holidays
- Disability insurance
Quick Apply
Front Desk Receptionist At Auto Body Shop
SSR Performance —Orange, CA
- $18 - $25 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Customer service
- Health insurance
- Dental insurance
Quick Apply
Payroll Administrator / Staffing Coordinator / Recruiter
Trademark Staffing —Santa Ana, CA
- $20 - $24 an hour
- Temporary
- Background check
- Spanish
- Computer literacy
- Dental insurance
- Flexible schedule
Quick Apply
6d
Claims Adjudicator
AmeriPharma —Laguna Hills, CA
- $29 - $32 an hour
- Full-time
- Writing skills
- English
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Data Processor and Customer Service
Decision Ready Solutions —Irvine, CA
- $18 - $25 an hour
- Full-time
- Hybrid work
- Microsoft Office
- Communication skills
- Entry level
- Paid training
- Health insurance
Quick Apply
Medical Biller
Nhan Hoa Comprehensive Health Care Clinic —Garden Grove, CA
- $23 - $26 an hour
- Full-time
- Background check
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
2d
Case Manager - Class Action Settlement Administrator
ILYM Group, Inc. —Tustin, CA
- From $80,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Bachelor's degree
- Health insurance
- 401(k)
Quick Apply
Senior Heavy Duty Personal Lines Manager
McGowan and Company —California
- $70,000 - $100,000 a year
- Full-time
- Remote
- Microsoft Word
- 7 years
- Microsoft Excel
- Health savings account
- Paid holidays
Quick Apply
Case Manager Assistant - Personal Injury Law Firm
Pathway Law Firm —Costa Mesa, CA
- $20 - $35 an hour
- Full-time
- Spanish
- English
- Mid-level
- Free parking
- AD&D insurance
Quick Apply
Associate Client Partner, Insurance
Infosys —Newport Beach, CA
- $100,000 - $187,000 a year
- 3 years
- Bachelor's degree
- US work authorization
Quick Apply
10d
Resort General Manager - San Clemente Inn
Grand Pacific Resorts —San Clemente, CA
- $80,000 - $90,000 a year
- Weekends as needed
- Inventory management
- Business development
- Mentoring
- Health insurance
- Dental insurance
Quick Apply
11d
Electronic Services Specialist Credit Union (Experience Required)
Addvantage Credit Union Staffing —Foothill Ranch, CA
- $25 - $27 an hour
- Monday to Friday
- Microsoft Excel
- Microsoft Outlook
- Mid-level
Quick Apply
Revenue Cycle Manager - Healthcare (FQHC Community Clinic)
Hurtt Family Health Clinic —Tustin, CA
- $85,000 a year
- Full-time
- 5 years
- HIPAA
- Finance
- 403(b) matching
- Health savings account
Quick Apply
Supply Chain Manager
Confidential —Buena Park, CA
- From $75,000 a year
- Full-time
- 7 years
- Oracle
- Inventory management
- Health insurance
- Dental insurance
Quick Apply
Supervisor, Medicare Claims
Clever Care Health Plan —Huntington Beach, CA
- $80,000 - $90,000 a year
- Full-time
- Hybrid work
- Background check
- Writing skills
- Mid-level
Claims Analyst
Clever Care Health Plan —Huntington Beach, CA
- $88,000 - $100,000 a year
- Full-time
- Hybrid work
- Background check
- Writing skills
- Mid-level
Director of Human Resources
Friendship Shelter —Laguna Woods, CA
- $85,000 - $110,000 a year
- Full-time
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- Health savings account
- Health insurance
Quick Apply
Senior Community Manager
FirstService Residential —Irvine, CA
- $80,000 - $90,000 a year
- Weekends as needed
- Microsoft Word
- Background check
- Microsoft Outlook
- Health savings account
- Paid holidays
Quick Apply

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

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

claims processing jobs near irvine, ca

Reimbursement Specialist

Specialty Care Rx
Orange, CA

Quick Apply

Job Details

Full-time
$26 - $30 an hour

Benefits

Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Employee assistance program
Vision insurance
401(k) matching
Referral program

Qualifications

Revenue cycle management
Medical office experience
Medical terminology

Full Job Description

Job Summary
We are seeking a proactive and detail-oriented Reimbursement Specialist to join our healthcare team. In this vital role, you will be responsible for managing the reimbursement process for medical services, ensuring accurate and timely claims submissions, and optimizing revenue recovery. Your expertise will help streamline billing workflows, resolve claim denials, and support the overall financial health of our organization. If you thrive in a fast-paced environment and possess a passion for accurate medical coding and billing, this is an exciting opportunity to make a meaningful impact in patient care and organizational success.

Duties

Review and interpret medical records, including documentation related to DRG (Diagnosis-Related Group), CPT (Current Procedural Terminology) codes, ICD-9, ICD-10, and ICD coding systems to ensure proper billing accuracy.
Prepare and submit claims using Electronic Medical Record (EMR) and Electronic Health Record (EHR) systems, adhering to payer guidelines and regulations.
Analyze claim denials and rejections, identify root causes, and implement corrective actions to facilitate successful reimbursements.
Collaborate with healthcare providers to clarify documentation discrepancies or incomplete records that impact reimbursement.
Monitor accounts receivable, follow up on outstanding claims, and perform collections on overdue payments through medical collection processes.
Maintain comprehensive records of billing activities, claim submissions, adjustments, and correspondence with payers.
Stay current with updates in medical billing regulations, coding standards such as ICD-9/10 transition requirements, and payer policies to ensure compliance.

Experience

Proven experience in medical billing, coding, or reimbursement roles within a healthcare setting.
Strong knowledge of DRG classifications, CPT coding procedures, ICD-9/10 coding systems, and medical terminology.
Familiarity with EMR/EHR systems used for billing and documentation management.
Experience working with insurance claims processing, medical records management, and collections. Familiar with payer portals such as Availity and Novologix.
Excellent attention to detail with the ability to interpret complex medical documentation accurately.
Effective communication skills for collaborating with healthcare providers and payers to resolve reimbursement issues.
Prior experience with medical office operations is preferred but not required. Join us as a Reimbursement Specialist to play a crucial role in ensuring our organization’s financial sustainability while supporting high-quality patient care through precise billing practices!

Pay: $26.00 - $30.00 per hour

Benefits:

401(k)
401(k) matching
Dental insurance
Employee assistance program
Flexible spending account
Health insurance
Paid time off
Referral program
Vision insurance

Experience:

Pharmacy/IVIG/Home Infusion Billing: 1 year (Preferred)

Work Location: In person

Quick Apply

Refine Your Search

claims processing jobs in irvine, ca

Reimbursement Specialist

Pharmacy Technician

Pharmacy Billing Specialist

Front Desk Receptionist At Auto Body Shop

Payroll Administrator / Staffing Coordinator / Recruiter

Claims Adjudicator

Data Processor and Customer Service

Medical Biller

Case Manager - Class Action Settlement Administrator

Senior Heavy Duty Personal Lines Manager

Case Manager Assistant - Personal Injury Law Firm

Associate Client Partner, Insurance

Resort General Manager - San Clemente Inn

Electronic Services Specialist Credit Union (Experience Required)

Revenue Cycle Manager - Healthcare (FQHC Community Clinic)

Supply Chain Manager

Supervisor, Medicare Claims

Claims Analyst

Director of Human Resources

Senior Community Manager

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

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected