Top 62 Quality dialysis center Jobs in Los Angeles, Ca

Claims Examiner III
Champion Health Plan is a Medicare Advantage Prescription Drug HMO C-SNP serving Medicare beneficiaries with End-Stage Renal Disease. —Long Beach, CA
- From $29 an hour
- Full-time
- Hybrid work
- Customer service
- Writing skills
- Office
- Health insurance
- Dental insurance
Quick Apply
12d
FLOAT Spectrum Dialysis Certified Hemodialysis Technician ACUTE
EVN Dialysis Center LLC —Los Angeles, CA
- $30 - $35 an hour
- Full-time
- BLS Certification
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
Dialysis Registered Nurse
U.S. Renal Care, Inc. —Los Angeles, CA
- $42.30 - $63.44 an hour
- Full-time
- RN License
- Mid-level
- Clinic
13d
Patient Care Technician - PCT
Fresenius Medical Care —Pasadena, CA
- $25 - $30 an hour
- Full-time
- Inventory control
- Heavy lifting
- High school diploma or GED
- Health insurance
- Dental insurance
10d
Patient Care Technician - PCT CCHT - Dialysis
Fresenius Medical Care —Glendale, CA
- $25 - $30 an hour
- Full-time
- Inventory control
- Heavy lifting
- High school diploma or GED
- Health insurance
- Dental insurance
10d
Clinical Coordinator (Dialysis RN)
Mission Hills Dialysis, LLC —Mission Hills, CA
- $85,000 - $115,000 a year
- Full-time
- Spanish
- CPR Certification
- Nursing
- Health insurance
- Dental insurance
Quick Apply
Registered Dietitian
Quality Dialysis Center —San Gabriel, CA
- $85,000 - $95,000 a year
- Full-time
- Mid-level
- Clinic
- Patient care
- Health insurance
- Dental insurance
Quick Apply
RN Clinical - 7 E Abdominal Organ Transplant ICU - Full Time 12 Hour Nights (Non-Exempt) (Union)
Keck Medical Center of USC —Los Angeles, CA
- $44 - $95 an hour
- 12 hour shift
- Background check
- Nursing
- Psychiatry
RN Clinical - 8 E Pulmonary Medicine Telemetry - Full Time 12 Hour Nights (Non-Exempt) (Union)
Keck Medical Center of USC —Los Angeles, CA
- $44 - $95 an hour
- 12 hour shift
- Acute care
- Background check
- Nursing
Certified Hemodialysis Technician CHT PRN
National Renal Care LLC —Northridge, CA
- $24 - $42 an hour
- Part-time
- CPR Certification
- Heavy lifting
- Hospital
RN Clinical - 5W Cardiothoracic Surgery ICU - Full Time 12 Hour Nights (Non-Exempt) (Union)
Keck Medical Center of USC —Los Angeles, CA
- $44 - $95 an hour
- 12 hour shift
- Background check
- Nursing
- Surgery
Certified Hemodialysis Technician CHT FT Closer
National Renal Care LLC —Sylmar, CA
- $24 - $42 an hour
- Full-time
- CPR Certification
- Heavy lifting
- Hospital
Physician
Medistar Hospice —Encino, CA
- $200 an hour
- Part-time
- Medication administration
- Urgent Care
- HIPAA
Quick Apply
RN Clinical - 8 E Pulmonary Medicine Telemetry - Full Time 12 Hour Days (Non-Exempt) (Union)
Keck Medical Center of USC —Los Angeles, CA
- $44 - $95 an hour
- 12 hour shift
- Acute care
- Background check
- Nursing
Dialysis Registered Nurse PRN
U.S. Renal Care, Inc. —Panorama City, CA
- PRN
- RN License
- Mid-level
- Clinic
13d
MWF/TTS RN for EVN Dialysis/Centro De Cuidado Renal
EVN Dialysis Center LLC —Huntington Park, CA
- $52 an hour
- Full-time
- Nursing
- Management
- RN License
Quick Apply
Dialysis Registered Nurse - PT
U.S. Renal Care, Inc. —Beverly Hills, CA
- Full-time
- RN License
- Mid-level
- Clinic
13d
Dialysis Social Worker - Centro De Cuidado Renal
EVN Dialysis Center LLC —Huntington Park, CA
- $75,000 - $85,000 a year
- Full-time
- CPR Certification
- Master of Social Work
- BLS Certification
- Health insurance
- Dental insurance
Quick Apply
Customer Service Representative I (CSR I) - Paid Training
Call the Car —Diamond Bar, CA
- $19 - $20 an hour
- Weekends as needed
- Computer literacy
- Criminal background check
- Travel
- Paid training
- AD&D insurance
Quick Apply
4d
Registered Nurse (RN) - In-Center Hemodialysis (ICHD)
DAVITA —Los Angeles, CA
- $41 - $56 an hour
- 12 hour shift
- Nursing
- RN License
- Computer literacy
- Paid training
- Health insurance

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Claims Examiner III

Champion Health Plan is a Medicare Advantage Prescription Drug HMO C-SNP serving Medicare beneficiaries with End-Stage Renal Disease.
Long Beach, CA

Quick Apply

Job Details

Full-time
From $29 an hour
12 days ago

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
Life insurance

Qualifications

Healthcare claims management
Medical claims
Medicare
Customer service
Health insurance policy knowledge
ICD-9
Attention to detail
Problem-solving
Medical terminology

Full Job Description

The Senior Claims Examainer is responsible for reviewing and adjudicating complex Facility, ASC or specialty claims submitted via paper or electronically. This role involves advanced administrative, operational, and customer support duties that require independent initiative and judgment. The types of claims include inpatient, coordination of benefits (COB) for high-dollar cases, dialysis, oncology/chemotherapy, home health agency, skilled nursing facility (SNF), hospital exclusions, and claim adjustments. The Claims Examiner III also audits professional claims for accuracy.

Functions & Job Responsibilities

Determine whether to return, deny, or pay institutional claims following organizational policies and procedures.
Conduct end-to-end claims audits to ensure claims are processed accurately according to benefits assignment, applicable contracts, pricing, and configuration rules.
Ensure institutional claims meet compliance guidelines.
Perform claims testing on claims configuration and enhancements.
Focus decisions on methods, tactics, and processes for completing administrative tasks/projects.
Regularly exercise discretion and judgment in prioritizing requests, interpreting and adapting procedures, processes, and techniques, and work under limited guidance due to previous experience and breadth and depth of knowledge of administrative processes and organizational knowledge.
Adjudicate complex professional and institutional claims.
Assist with training and mentoring new team members.
Assist with testing new claim processing procedures or projects.
Meet performance measurement standards for productivity and accuracy.
Adjudicate claim adjustments.
Review and correct claims involving data integrity issues.
Interface with other Champion Payor Solutions Departments, when necessary, regarding claims issues.
Participate in Claims Department Team Meetings and other activities as needed.
Support all department initiatives in improving overall efficiency.
Identify and recommend solutions for error issues as they relate to the pre-payment of claims.
Oversee the reduction of defects by identifying error issues as they relate to pre-payment of claims through adjudication and recommending solutions to resolve these issues.
Manage a caseload of various types of complex claims. Procure all medical records and statements that support the claim.
Meet department quality and production standards.
Meet State and Federal regulatory Compliance Regulations on turnaround times and claims payment for multiple lines of business.
Perform other duties as assigned.

Qualifications

Education & Experience:

Associate degree or equivalent combination of experience in health insurance or related fields, which would provide the necessary knowledge, skills, and abilities to successfully perform the work.
Three or more (3 +) years of experience in examining and processing institutional claims for inpatient, dialysis, SNF, and home health using Medicare prices.
Two (2) years of experience in examining and processing medical claims, professional or institutional.
Experience with Medicare/Medi-Cal is preferred.
Experience with claim adjustments, provider appeals, and/or disputes is preferred.

Skills:

Advanced knowledge and skills in medical terminology, HCPCS/CPT, and ICD-9/ICD-10.
Knowledge of Centers for Medicare and Medicaid Services claims payment guidelines.
Strong analytical skills, including the ability to analyze and organize data.
Strong attention to detail.
Excellent organizational, oral presentation, and written and verbal communication skills.
Proficiency in MS Office products, including PowerPoint, Excel, and Word.
Ability to provide effective leadership and direction within an organization.
Meet and consistently maintain production standards for Claims Adjudication.

Job Type: Full-time

Pay: From $29.00 per hour

Benefits:

401(k)
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance

Work Location: In person

Quick Apply

Refine Your Search

quality dialysis center jobs in los angeles, ca

Claims Examiner III

FLOAT Spectrum Dialysis Certified Hemodialysis Technician ACUTE

Dialysis Registered Nurse

Patient Care Technician - PCT

Patient Care Technician - PCT CCHT - Dialysis

Clinical Coordinator (Dialysis RN)

Registered Dietitian

RN Clinical - 7 E Abdominal Organ Transplant ICU - Full Time 12 Hour Nights (Non-Exempt) (Union)

RN Clinical - 8 E Pulmonary Medicine Telemetry - Full Time 12 Hour Nights (Non-Exempt) (Union)

Certified Hemodialysis Technician CHT PRN

RN Clinical - 5W Cardiothoracic Surgery ICU - Full Time 12 Hour Nights (Non-Exempt) (Union)

Certified Hemodialysis Technician CHT FT Closer

Physician

RN Clinical - 8 E Pulmonary Medicine Telemetry - Full Time 12 Hour Days (Non-Exempt) (Union)

Dialysis Registered Nurse PRN

MWF/TTS RN for EVN Dialysis/Centro De Cuidado Renal

Dialysis Registered Nurse - PT

Dialysis Social Worker - Centro De Cuidado Renal

Customer Service Representative I (CSR I) - Paid Training

Registered Nurse (RN) - In-Center Hemodialysis (ICHD)

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