Top 149 Claims representative Jobs in Irvine, Ca

Collection Account Specialist I
HealthQuest Esoterics —Irvine, CA
- $22 - $25 an hour
- Full-time
- Medical office experience
- HIPAA
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
Sales Representative Entry Level
Leininger Region - Aflac —Irvine, CA
- $68,200 - $87,800 a year
- Full-time
- Hybrid work
- 18 years or older
- Writing skills
- High school diploma or GED
- Work from home
- Opportunities for advancement
Quick Apply
Auto Liability Claim Rep
Travelers —Diamond Bar, CA
- $67,000 - $110,600 a year
- Mid-level
- Analysis skills
- Bachelor's degree
- Wellness program
- Paid holidays
Claims Representative (IAP) - Workers Compensation Training Program (On-Site Orange, CA)
Sedgwick —Orange, CA
- Customer service
- Office
- High school diploma or GED
- Health savings account
- Disability insurance
13d
Customer Service Representative - State Farm Agent Team Member
Steven Wang - State Farm Agent —Irvine, CA
- $26 - $28 an hour
- Full-time
- Office
- Communication skills
- Entry level
- Health insurance
- 401(k)
Quick Apply
Customer Service Representative - State Farm Agent Team Member
Jeff Noviello - State Farm Agent —Tustin, CA
- $22 - $25 an hour
- Full-time
- Office
- Communication skills
- Entry level
- Paid time off
- Opportunities for advancement
Quick Apply
Customer Support Representative
Kia Motors America —Irvine, CA
- $54,833.34 - $68,510.76 a year
- Full-time
- Computer literacy
- Mid-level
- Office
- Paid holidays
- Health insurance
1d
Insurance Claims Specialist
AutoNation —Irvine, CA
- $28 - $30 an hour
- Weekends as needed
- Microsoft Excel
- Microsoft Outlook
- Research
- Dental insurance
- Vision insurance
Quick Apply
8h
Customer Service Representative I
WESTERN GROWERS GROUP —Irvine, CA
- $35,288.32 - $49,874.31 a year
- Full-time
- Remote
- Spanish
- Writing skills
- Data analysis skills
Quick Apply
9h
Claims Representative (IAP) - Workers Compensation Training Program, Long Beach, CA
Sedgwick —Long Beach, CA
- Full-time
- Customer service
- Office
- High school diploma or GED
- Health savings account
- Disability insurance
Call Center Member Service Representative
United Faith Ministries Inc —Orange, CA
- $25 an hour
- Overtime
- Microsoft Outlook
- Computer literacy
- Research
- 403(b) matching
- Dental insurance
Quick Apply
Service Delivery Representative III
SchoolsFirst FCU —Tustin, CA
- $24.56 - $35.62 an hour
- Part-time
- Research
- Mid-level
- Office
Service Delivery Representative II
SchoolsFirst FCU —Tustin, CA
- $22.33 - $32.38 an hour
- Part-time
- Research
- Mid-level
- High school diploma or GED
Property Claims Specialist Field I
Mercury Insurance Services, LLC —Brea, CA
- $63,410 - $117,348 a year
- Overtime
- Bilingual
- Military
- Writing skills
- Paid holidays
- Health insurance
1d
Collector I: Business Service-Managed Care
Hoag Health System —Costa Mesa, CA
- Full-time
- Customer service
- High school diploma or GED
- 1 year
- Employee discount
Patient Account Specialist III - Santa Ana, CA
KPC GLOBAL MEDICAL CENTERS INC. —Santa Ana, CA
- $31.75 - $38.19 an hour
- Per diem
- Mid-level
- Team management
Quick Apply
Member Services Representative
Astiva Health —Orange, CA
- $24 - $29 an hour
- Full-time
- Background check
- Spanish
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Scheduling Specialist
MemorialCare Medical Foundation —Irvine, CA
- $22.50 - $31.57 an hour
- 8 hour shift
- Customer service
- BLS Certification
- Mid-level
- Health insurance
7d
Property Claims Specialist Field II
Mercury Insurance Services, LLC —Brea, CA
- $76,829 - $142,213 a year
- Overtime
- Bilingual
- Military
- Writing skills
- Paid holidays
- Health insurance
1d
Billing Representative
Whole Person Care Clinic —Santa Ana, CA
- $25 - $27 an hour
- Full-time
- HIPAA
- Mid-level
- High school diploma or GED
Quick Apply

I want to receive the latest job alert for claims representative 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 representative jobs near irvine, ca

Claims Representative jobs in Long Beach, CA

Customer Service Representative jobs in Irvine, CA

Scheduler jobs in Irvine, CA

Customer Service Representative jobs in Tustin, CA

Call Center Representative jobs in New York, NY

Call Center jobs in Lansing, MI

Call Center Representative jobs in Knoxville, TN

Call Center Representative jobs in Fresno, CA

Call Center Representative jobs in Temecula, CA

Call Center Representative jobs in Mckinney, TX

Peer Support Specialist jobs in Connecticut

Remote Work From Home Customer Service jobs in Leander, TX

Customer Support Representative jobs in Beckley, WV

Customer Support Representative jobs in Las Vegas, NV

Peer Support Specialist jobs in Staten Island, NY

Customer Service Representative Remote jobs in Arlington, TX

Customer Support Representative jobs in Johnstown, PA

Customer Support Representative jobs in West Springfield, MA

Property Claims Adjuster jobs in California

Claims Specialist jobs in Saint Paul, MN

Collection Account Specialist I

HealthQuest Esoterics
Irvine, CA

Quick Apply

Job Details

Full-time
$22 - $25 an hour

Benefits

Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Vision insurance
401(k) matching

Qualifications

Customer communication
Medical software
Medical insurance coverage verification
Spreadsheets
Medical office experience
HIPAA
High school diploma or GED
Attention to detail
Productivity software
Root cause analysis
Customer service problem-solving
Technical Proficiency
Time management

Full Job Description

Position Summary

The Patient Account Representative is responsible for coordinating all aspects of patient billing, collections, and account resolution for a medical laboratory environment. This position requires a thorough understanding of patient accounting, medical billing, insurance processing, reimbursement methodologies, and customer service principles.

The Patient Account Representative serves as a primary point of contact for patients regarding billing inquiries, account balances, payment arrangements, insurance information, and account resolution. This role is responsible for reviewing the status of the entire patient account and exercising sound judgment to determine the appropriate course of action to ensure timely and accurate reimbursement while maintaining exceptional customer service.

Essential Duties and Responsibilities

Patient Account Management

· Work assigned patient accounts receivable inventories efficiently and timely while maintaining departmental productivity and quality standards.

· Contact patients regarding prepayments, outstanding balances, payment arrangements, and account resolution.

· Review, monitor, research, and update patient accounts to resolve balances and maximize reimbursement opportunities.

· Analyze account activity and determine appropriate next steps based on account status and payer requirements.

· Reconcile patient account balances to ensure accuracy and proper account resolution.

Billing and Insurance Support

· Demonstrate knowledge of patient accounting, medical billing procedures, insurance claims processing, and reimbursement practices.

· Verify and update patient demographics, financial information, insurance coverage, and payer information within applicable systems.

· Communicate effectively with insurance carriers regarding claim status, payment inquiries, eligibility, and reimbursement issues.

· Utilize payer portals and online resources to research claims, verify information, and resolve account discrepancies.

· Assist in obtaining and verifying billing information required for accurate claim submission and reimbursement.

Patient Communication and Customer Service

· Maintain and manage a high volume of inbound and outbound patient calls.

· Respond to patient inquiries, correspondence, and account concerns within established service standards.

· Explain billing statements, insurance payments, adjustments, and patient financial responsibility in a clear and professional manner.

· Address patient concerns, answer questions, and provide account education while maintaining a positive customer experience.

· Establish payment arrangements in accordance with company policies and procedures.

Documentation and Reporting

· Document all patient interactions, account activities, payment arrangements, and account updates accurately within the billing system.

· Maintain spreadsheets and account notes to ensure continuity of follow-up and communication among staff members.

· Prepare patient statements, collection letters, delinquency notices, reports, and other correspondence as required.

· Ensure all account documentation is complete, accurate, and compliant with company policies and regulatory requirements.

Administrative Functions

· Process and post payments as assigned.

· Perform account audits and data quality reviews to identify and correct discrepancies.

· Assist with special projects and reporting requests related to patient accounts and collections.

· Maintain confidentiality and security of patient information in accordance with HIPAA regulations.

Required Skills and Qualifications

Education and Experience

· High School Diploma or equivalent required.

· Minimum of 2 years of experience in medical billing, patient accounting, healthcare collections, or revenue cycle management preferred.

· Experience in a clinical laboratory, diagnostic testing, physician practice, or healthcare environment strongly preferred.

Technical Skills

· Knowledge of medical billing, patient accounting, collections, insurance verification, and reimbursement processes.

· Proficiency with patient accounting systems, billing software, Microsoft Office applications, and payer portals.

· Ability to navigate multiple computer systems simultaneously while maintaining accuracy and efficiency.

Professional Competencies

· Strong communication, customer service, and interpersonal skills.

· Ability to remain calm, professional, and solution-oriented in stressful situations.

· Friendly, courteous, service-oriented, and flexible with a commitment to providing excellent patient service.

· Detail-oriented with strong organizational and time-management skills.

· Ability to work effectively under pressure while meeting deadlines and productivity goals.

· Capable of working independently with minimal supervision while managing multiple priorities.

· Strong problem-solving skills with the ability to identify issues, determine root causes, and implement appropriate solutions.

· Ability to establish and maintain effective working relationships with patients, staff, insurance representatives, and external organizations.

· Strong analytical and decision-making abilities.

Performance Expectations

· Meet or exceed established productivity and quality standards.

· Maintain accuracy in account documentation and account resolution activities.

· Achieve collection and reimbursement goals as established by management.

· Demonstrate professionalism and exceptional customer service in all interactions.

· Comply with all HIPAA, compliance, and company policies and procedures.

Equal Employment Opportunity

HealthQuest Esoteric is an Equal Opportunity Employer committed to fostering a diverse and inclusive workplace.

Pay: $22.00 - $25.00 per hour

Benefits:

401(k)
401(k) matching
Dental insurance
Flexible spending account
Health insurance
Paid time off
Vision insurance

Work Location: In person

Quick Apply

Refine Your Search

claims representative jobs in irvine, ca

Collection Account Specialist I

Sales Representative Entry Level

Auto Liability Claim Rep

Claims Representative (IAP) - Workers Compensation Training Program (On-Site Orange, CA)

Customer Service Representative - State Farm Agent Team Member

Customer Service Representative - State Farm Agent Team Member

Customer Support Representative

Insurance Claims Specialist

Customer Service Representative I

Claims Representative (IAP) - Workers Compensation Training Program, Long Beach, CA

Call Center Member Service Representative

Service Delivery Representative III

Service Delivery Representative II

Property Claims Specialist Field I

Collector I: Business Service-Managed Care

Patient Account Specialist III - Santa Ana, CA

Member Services Representative

Scheduling Specialist

Property Claims Specialist Field II

Billing Representative

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

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected