Top 10 Senior claims representative Jobs in Oakland, Ca

Senior Collections Representative
University of California San Francisco —Emeryville, CA
- Full-time
- Computer literacy
- Medical office experience
- HIPAA
Claims Analyst or (Senior) Claims & Patient Safety Specialist
MIEC —Oakland, CA
- $73,050 - $156,958 a year
- Full-time
- Remote
- Customer service
- 5 years
- Bachelor of Science
- Health insurance
- Dental insurance
Senior Claims Examiner - County Account
Athens Administrators —Concord, CA
- $50.29 - $55.87 an hour
- Urgently hiring
- Management
- Bachelor of Science
- Basic math
- Health savings account
- AD&D insurance
Quick Apply
3d
Sr. Claims Specialist, Commercial Casualty - Remote
CSAA Insurance Services, Inc. —Walnut Creek, CA
- $74,295 - $99,050 a year
- Full-time
- Remote
- Spanish
- Bachelor of Science
- 3 years
- 401(k) matching
4d
COLL REPR SR
University of California San Francisco —San Francisco, CA
- Dental office
- Microsoft Outlook
- Medical office experience
Senior Healthcare Broker- Risk Management
EPIC Brokers —San Francisco, CA
- $150,000 - $175,000 a year
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Paid parental leave
- Paid holidays
Quick Apply

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Accounting Specialist
Friant & Associates, LLC —San Leandro, CA
Associate’s degree in accounting, Finance, or a related field (Bachelor's degree is preferred). This role is responsible for the timely and accurate processing…
$30 - $32 an hour
Quick Apply
3d
Healthcare Billing Specialist
East Bay Rheumatology Medical Group Inc —San Leandro, CA
Experience in submitting claims, following up with payers, eligibility, close cash drawers, collecting, posting and managing account payments.
$25 - $30 an hour
Quick Apply

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Senior Claims Representative - REMOTE
Ryder System —Columbus, OH
Interacts with Law Department on significant cases, and updates field operations personnel on claims status. Bachelor's degree required in a related field.
$75,000 - $80,000 a year
10d
Disability Representative Sr
Sedgwick —Dublin, OH
State certification or licensing in statutory leaves is preferred or may be required based on state regulations. High School diploma or GED required.

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Senior Collections Representative

University of California San Francisco -
Emeryville, CA

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Job Details

Full-time

Qualifications

Computer operation
Medicare
Accounts receivable management
Account troubleshooting
Copy machines
Medical office experience
Coding for hospital billing
High school diploma or GED
Health insurance knowledge
Medicare regulations
Fax machines
Health information regulatory compliance
Centers for Medicare & Medicaid Services (CMS) billing regulations
Medical claims submission
Typing
Productivity software
Faxing
DRG
Financial compliance

Full Job Description

A Senior Collections Representative Biller/Collector is responsible for both billing and collections, gathering and securing all information needed for billing, follow-up, and payment of accounts in accordance with the specific payer guidelines, policies, procedures, and compliance regulations. A Biller/Collector is responsible for reviewing, correcting, and completing billings to ensure complete and accurate billing of Medicare, Medi-cal, Managed Medicare/Medi-cal, and/or Other Government payers. A Biller/Collector calculates expected reimbursement to verify expected payments versus actual payments received. A Biller/Collector files disputes with payers for denials and/or underpayments. A Biller/Collector is accountable and responsible for accurate billing and reconciling accounts to closure.

Senior Collections Representative Biller/Collector utilizes multiple databases and applications to analyze and take appropriate action on information or documents received. Applications and Databases consist of: EPIC, Hospital Rates, CIRIUS, RevCyclePro, Imaging, DDE, and various payer websites. Frequent contact with Patient Financial Services staff, departments, and management, as well as patients, billing, professional fee and collection services vendors.

Required Qualifications

Four or more years of experience working in a hospital billing office environment
High school diploma or GED certificate.
Must demonstrate an in-depth understanding of all aspects of billing. For internal hires, one must be greater than that of an Office Assistant III and a Senior Collections Rep I
Knowledge of contracts, insurance billing requirements, UB04 claim forms, Medicare, Medi-Cal and compliance program regulations.
Good analytical and organizational skills, interpersonal, verbal, and written communication skills.
Knowledge of computer operation, keyboard functions, calculator, copier, and fax machine operation.
Adequate keyboard skills.
Proactive and assertive account resolution skills.
Must be a motivated individual with a positive and exceptional work ethic.
Ability to follow directions and written procedures.
Ability to balance assertiveness with compassion for the patient and others.
Must have a thorough understanding of CPT, ICD, DRG, and HCPC codes
Must have a thorough understanding of stop losses, per diems, carve-outs, and other contract terms and conditions.
Computer software skills (i.e. Microsoft Applications and E-mail, etc.).

Preferred Qualifications

Medical terminology experience.
ICD, CPT4, HCPCS, DRG coding experience.
Understanding of HIPAA rules and regulations

About UCSF

The University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences. We bring together the world’s leading experts in nearly every area of health. We are home to five Nobel laureates who have advanced the understanding of cancer, neurodegenerative diseases, aging and stem cells.

Pride Values

UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence – also known as our PRIDE values .

In addition to our PRIDE values, UCSF is committed to equity – both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available here .

Join us to find a rewarding career contributing to improving healthcare worldwide.

Equal Employment Opportunity

The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law.

Salary Information

The final salary and offer components are subject to additional approvals based on UC policy.

Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement.

To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html

Apply Now

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senior claims representative jobs in oakland, ca

Senior Collections Representative

Claims Analyst or (Senior) Claims & Patient Safety Specialist

Senior Claims Examiner - County Account

Sr. Claims Specialist, Commercial Casualty - Remote

COLL REPR SR

Senior Healthcare Broker- Risk Management

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