Top 60 Claims representative Jobs in San Bernardino Ca

Insurance Verification Representative - Glenwood Surgical Center
SCA Health —Riverside, CA
- $16.88 - $30.53 an hour
- Full-time
- Surgery
- Bachelor's degree
- Entry level
- Disability insurance
- Health insurance
Provider Service Representative
Optum —Ontario, CA
- $18 - $32 an hour
- Full-time
- Spanish
- Pass drug screening
- English
- AD&D insurance
- Employee stock purchase plan
Claims Associate - Workers Compensation (On-Site - Rancho Cucamonga)
Sedgwick —Rancho Cucamonga, CA
- Full-time
- Mid-level
- Office
- High school diploma or GED
- Health savings account
- Disability insurance
Transportation Network Representative
Inland Empire Health Plan —Rancho Cucamonga, CA
- $27.43 - $35.66 an hour
- Extended hours
- Hybrid work
- Microsoft Word
- Mid-level
- Office
- Disability insurance
- Health insurance
Denial and Appeals Management Clerk
Riverside-San Bernardino Co. Indian Health, Inc —Grand Terrace, CA
- $22 - $23 an hour
- Weekends as needed
- Hybrid work
- Background check
- BLS Certification
- HIPAA
- Health insurance
- Dental insurance
Claims Specialist
PRSH Holdings Inc. —Riverside, CA
- $85,000 - $115,000 a year
- Full-time
- Microsoft Word
- Clean driving record
- 7 years
- Paid holidays
- Health insurance
5d
Sales Representative Entry Level
Leininger Region - Aflac —Rialto, 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
Insurance Account Representative - State Farm Agent Team Member
Scott Fowler - State Farm Agent —Riverside, CA
- $41,600 - $65,000 a year
- Full-time
- Spanish
- Office
- Entry level
- 401(k)
- Paid time off
Quick Apply
Collector
Arrowhead Orthopaedics —Redlands, CA
- $18 - $24 an hour
- Full-time
- Microsoft Outlook
- Computer literacy
- Research
5d
Customer Service Representative (NE)
Syncreon —Perris, CA
- $18.27 - $27.40 an hour
- English
- Mid-level
- 2 years
6d
Provider Dispute Resolution Specialist
LSMA Management Inc —San Bernardino, CA
- $33.50 - $39.50 an hour
- Full-time
- 5 years
- Writing skills
- English
Claims Specialist
Pavement Recycling Systems, Inc —Jurupa Valley, CA
- $85,000 - $115,000 a year
- Full-time
- Microsoft Word
- Clean driving record
- 7 years
- Paid holidays
- Health insurance
Medical Biller- Full - Time - On -Site
Raincross Medical Group, Inc. —Riverside, CA
- $18 - $25 an hour
- Full-time
- Mid-level
- High school diploma or GED
- In-person
- Paid holidays
- Health insurance
Quick Apply
Accounts Receivable Specialist - Full Time
Riverside Medical Clinic —Riverside, CA
- $23.00 - $33.18 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Clinic
Property Claims Specialist Field I
Mercury Insurance Services, LLC —Rancho Cucamonga, CA
- $61,864 - $108,197 a year
- Overtime
- Remote
- Bilingual
- Military
- Writing skills
- Paid holidays
- Health insurance
Customer Service Representative - State Farm Agent Team Member
Massie Hazegh - State Farm Agent —Rancho Cucamonga, CA
- $21 - $28 an hour
- Part-time
- Office
- Communication skills
- Entry level
- 401(k)
- Paid time off
Quick Apply
Customer Service Representative - State Farm Agent Team Member
Scott Manning - State Farm Agent —Colton, CA
- $20 - $30 an hour
- Full-time
- Spanish
- Office
- Communication skills
- Health insurance
- Paid time off
Quick Apply
Claims Coordinator
ServiceMaster Restore 10253 - Mission Viejo —Riverside, CA
- $20 - $30 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
Quick Apply
Insurance Verification Representative
Rezolut —Chino Hills, CA
- $21 - $25 an hour
- Full-time
- Dental office
- Radiology
- Communication skills
- Health savings account
- Health insurance
Quick Apply
Assistant Medical Records Manager
County of Riverside —Riverside, CA
- $79,070.25 - $117,762.16 a year
- Background check
- Mid-level
- Master's degree
- Paid holidays
- Disability insurance
3d

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Insurance Verification Representative - Glenwood Surgical Center

SCA Health -
Riverside, CA

Apply Now

Job Details

Full-time
$16.88 - $30.53 an hour

Benefits

Disability insurance
Health insurance
Dental insurance
Paid time off
Vision insurance
401(k) matching

Qualifications

CPT coding

Full Job Description

Overview:

At SCA Health, we believe health care is about people – the patients we serve, the physicians we support and the teammates who push us forward. Behind every successful facility, procedure or innovation is a team of 15,000+ professionals working together, learning from each other and living out the mission, vision and values that define our organization.

As part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a broad spectrum of services, all designed to support physicians, health systems and employers in delivering efficient, value-based care to patients without compromising quality or autonomy.

What sets SCA Health apart isn’t just what we do, it’s how we do it. Each decision we make is rooted in seven core values:

Clinical quality
Integrity
Service excellence
Teamwork
Accountability
Continuous improvement
Inclusion

Our values aren’t empty words – they inform our attitudes, actions and culture. At SCA Health, your work directly impacts patients, physicians and communities. Here, you’ll find opportunities to build your career alongside a team that values your expertise, invests in your success, and shares a common mission to care for patients, serve physicians and improve health care in America.

At SCA Health, we offer a comprehensive benefits package to support your health, well-being, and financial future. Our offerings include medical, dental, and vision coverage, 401k plan with company match, paid time off, life and disability insurance, and more. Please visit, https://careers.sca.health/why-sca, to learn more about our benefits.

Your ideas should inspire change. If you join our team, they will.

Accountabilities / Responsibilities:

Insurance Verification:

Verify that sufficient information is available for accurate verification and eligibility. This step may require direct contact with the physician office and/or the patient.
Determine if a secondary insurance should be added to the patient account ensuring the appropriate payer is selected for Primary insurance.
Utilize the centers selected vendor for claims and eligibility and/or individual payer websites to obtain eligibility, benefits and/or pre-certs and authorization information.
Enter the patient insurance information into patient accounting system ensuring the selection is the appropriate payer and associated financial class.
When the patient’s insurance is Out of Network notify the manager immediately. Follow the Policies and Procedures when accepting Out of Network payers.
SCA’s goal for each patient’s insurance verification is complete and accurate. The insurance verifier will document the findings in the patient account and will contact the patient with either estimated co-insurance, co-pay and or deductible amounts due on or before the date of service as applicable
The Insurance Verifier will call each patient as part of center compliance with CMS Conditions for Coverage guidelines in contacting patient’s prior to the date of service to review, Physician Ownership, Advance Directives and Patient Rights.

Authorization:

Obtain authorizations from insurance companies/physician offices. Ensure complete and accurate information is entered into the patient accounting system and the procedure scheduled, date of service and facility name are on the authorization. Ensure the authorization has not expired.
Enter authorization into patient accounting system. Include the name/CPT codes effective date of the authorized procedures.
Ensure high cost implant/supply or equipment rental is included on authorization.
Check insurance company approved procedure lists/medical policies. If procedure is not payable, notify patient. If patient wants to proceed, obtain signature on Medicare ABN or other non-covered notification form.

Financial Orientation:

Calculate co-pay, and estimated co-insurance due from patients per the individual payer contract per the individual payer contract and plan as applicable.
Acceptance of in-network benefits for out-of-network payers must be pre-approved by SCA Compliance Dept.
Be familiar with individual payer guidelines and the process of collecting over the counter payments/deductibles/copay/co-insurance. Knowledge of payer contracts including Medicare, Medicaid and other government contracts and guidelines and workmen’s compensation fee schedule.
Contact the patient and communicate the center financial policy

Qualifications:

Bachelor’s degree preferred but not required
Experience checking authorizations
Must be experienced with cpt codes
Detailed and able to work in a high production environment
Healthcare experience a must
Local or within driving distance

Min: USD $16.88/Hr. Max: USD $30.53/Hr.

Apply Now

Refine Your Search

claims representative jobs in san bernardino ca

Insurance Verification Representative - Glenwood Surgical Center

Provider Service Representative

Claims Associate - Workers Compensation (On-Site - Rancho Cucamonga)

Transportation Network Representative

Denial and Appeals Management Clerk

Claims Specialist

Sales Representative Entry Level

Insurance Account Representative - State Farm Agent Team Member

Collector

Customer Service Representative (NE)

Provider Dispute Resolution Specialist

Claims Specialist

Medical Biller- Full - Time - On -Site

Accounts Receivable Specialist - Full Time

Property Claims Specialist Field I

Customer Service Representative - State Farm Agent Team Member

Customer Service Representative - State Farm Agent Team Member

Claims Coordinator

Insurance Verification Representative

Assistant Medical Records Manager

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