Top 139 Apc services Jobs in Los Angeles, Ca

Claims Examiner (Remote/Hybrid work available)
Imperial Management Administrators Services Inc —Pasadena, CA
- $22 - $30 an hour
- Full-time
- Hybrid work
- Research
- Mid-level
- In-person
Quick Apply
Medical Scribe
Tanya Kormeili, MD, APC —Los Angeles, CA
- Part-time
- Microsoft Outlook
- OSHA
- Sales
- Paid training
- Health insurance
Quick Apply
Graduation Evaluator (2 Positions)
California State University —Los Angeles, CA
- Multiple hires
- Background check
- Office
- Administrative experience
10d
Graduation Evaluator (2 Positions)
California State University, Los Angeles —Los Angeles, CA
- $4,074 - $5,998 a month
- Multiple hires
- Background check
- Office
- Administrative experience
10d
Coordinator of EOP and College Advising Services
California State University —Northridge, CA
- Weekends as needed
- Hybrid work
- Background check
- Mid-level
- Office
- COVID-19 protective measures
- Health insurance
Case Manager
Mitchell Law Corporation, APC —Los Angeles, CA
- $25 - $30 an hour
- Full-time
- Microsoft Word
- Spanish
- Microsoft Outlook
Quick Apply
Litigation Paralegal
Law Offices of Kim, Au & Associates, APC —Los Angeles, CA
- $60,000 - $85,000 a year
- Full-time
- Spanish
- Writing skills
- English
Quick Apply
14d
Senior Personal Injury Litigation Paralegal
California Accident Firm —Encino, CA
- $40.00 - $52.88 an hour
- Full-time
- Spanish
- Google Workspace
- English
- Health insurance
- Dental insurance
Quick Apply
8d
Litigation Paralegal
Mendez & Sanchez APC —Pasadena, CA
- $70,000 - $130,000 a year
- Full-time
- Spanish
- High school diploma or GED
- Organizational skills
- Health insurance
Quick Apply
1d
Electrical Engineer
System One —El Segundo, CA
- $43 - $55 an hour
- Contract
- Construction site
- 5 years
- Travel
- Health insurance
- Dental insurance
Quick Apply
Litigation Attorney
Hahn Legal Group —El Segundo, CA
- $160,000 - $220,000 a year
- Choose your own hours
- Hybrid work
- 5 years
- Writing skills
- Travel
Quick Apply
7d
Front Desk Receptionist
Aders & Herrera, APC —Brea, CA
- $19 an hour
- Full-time
- Word processing
- Computer literacy
- Administrative experience
- Health insurance
- Dental insurance
Quick Apply
9d
Chaplain
St Mary Medical Center —Long Beach, CA
- $33.85 - $50.36 an hour
- PRN
- Acute care
- Hospital
- BLS Certification
Collector Customer Service Representative
Patenaude & Felix, APC —Los Angeles, CA
- $18 - $20 an hour
- Full-time
- 18 years or older
- Spanish
- Pass drug screening
- Health insurance
- Dental insurance
Quick Apply
Asset Protection Coordinator
CVS Health —Los Angeles, CA
- $20.42 - $29.42 an hour
- Weekends as needed
- Writing skills
- High school diploma or GED
- Fair chance
- Health insurance
- Dental insurance
Black Scholars Matter Advising Assistant
California State University —Northridge, CA
- Part-time
- Hybrid work
- Background check
- Office
- Master's degree
- COVID-19 protective measures
Outpatient Coder - Per Diem
UCLA Health —Los Angeles, CA
- $47.60 - $62.78 an hour
- Per diem
- Anatomy knowledge
- Computer literacy
- Mid-level
Document Processing Specialist
Strategic Legal Practices —Los Angeles, CA
- Full-time
- Mid-level
- High school diploma or GED
- Organizational skills
Quick Apply
Dispatch Supervisor
UCLA —Los Angeles, CA
- $51,400 - $80,000 a year
- Extended hours
- Hybrid work
- CDL B
- Background check
- Classroom
Calendar/Docket Clerk
ATKINSON ANDELSON LOYA RUUD & ROMO APC —Cerritos, CA
- $60,000 - $70,000 a year
- Overtime
- Microsoft Outlook
- Customer service
- Computer literacy
Quick Apply

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apc services jobs near los angeles, ca

Claims Examiner (Remote/Hybrid work available)

Imperial Management Administrators Services Inc -
Pasadena, CA

Quick Apply

Job Details

Full-time
$22 - $30 an hour

Qualifications

Managed care
CMS
Coding for hospital billing
Coding for physician billing
Centers for Medicare & Medicaid Services (CMS) billing regulations

Full Job Description

JOB TITLE: Claims Examiner

***Remote / Hybrid work offered when metrics are exceeded and sustained.***

JOB SUMMARY: Responsible for adjudicating complex claims, which include high-dollar claims. Responsible for accurate manual/auto pricing of claims. Identify provider billing issues that impact claims processing. Works closely with the Supervisor to identify any reporting or training needs and system problems that may be encountered. Maintains quality and production standards, teamwork, and complies with company/administrative policies and guidelines.

ESSENTIAL JOB FUNCTIONS:

Analyze, process, research, adjust and adjudicate claims with the use of accurate procedure/revenue and ICD-9 codes, under the correct provider and member benefits, i.e. co-payment, deductible, etc.

Review and process facility (UB-04) and professional claims (CMS-1500).

Process claims based on contractual agreements, health plan division of financial responsibility, applicable regulatory legislature, claims processing guidelines and client groups’ and company policies and procedures.

Process Medicare member claims based on DMHC and DHS regulatory legislature.

Respond to and resolve provider and health plan claims inquiries and give resolution in a timely manner.

Review services for appropriateness of charges and apply authorization guidelines during claims processing.

Monitor and track age, pended, and open reports to maintain timeliness in claims processing based on individual work allocation report.

Maintain quality and productivity standards, teamwork, and comply with company/administrative guidelines.

Ensures compliance with all applicable Federal, State and/or County laws and regulations related to our documented guidelines and processes.

Adheres to payroll policies and properly uses timekeeping system with minimal manual changes

Must have at least 2 years of applicable healthcare claims adjudication experience within the managed care industry
Experience with ICD-9, HCPCS, CPT coding, APC, ASC and DRG pricing, CMS, DMHC regulations, facility and professional claim billing practices required

Work Location: In person

Quick Apply

Refine Your Search

apc services jobs in los angeles, ca

Claims Examiner (Remote/Hybrid work available)

Medical Scribe

Graduation Evaluator (2 Positions)

Graduation Evaluator (2 Positions)

Coordinator of EOP and College Advising Services

Case Manager

Litigation Paralegal

Senior Personal Injury Litigation Paralegal

Litigation Paralegal

Electrical Engineer

Litigation Attorney

Front Desk Receptionist

Chaplain

Collector Customer Service Representative

Asset Protection Coordinator

Black Scholars Matter Advising Assistant

Outpatient Coder - Per Diem

Document Processing Specialist

Dispatch Supervisor

Calendar/Docket Clerk

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