Top 77 Claims representative Jobs in San Jose Ca

Pharmacy Service Representative - (Full-Time, 8-Hour Day Shifts/Hybrid)
Stanford Health Care —Palo Alto, CA
- $31.30 - $35.25 an hour
- 8 hour shift
- Microsoft Word
- Microsoft Outlook
- Computer literacy
4d
Patient Account Representative I
Stanford Health Care —Palo Alto, CA
- $31.94 - $35.94 an hour
- Full-time
- Writing skills
- Basic math
- High school diploma or GED
6d
Patient Accounting Representative F/T
Washington Hospital —Fremont, CA
- $33.78 - $41.46 an hour
- 8 hour shift
- Computer literacy
- Mid-level
Quick Apply
Member Service Representative Level 1 (San Jose, CA)
BeneSys, Inc. —San Jose, CA
- $34.12 an hour
- Full-time
- Microsoft Word
- Basic math
- Mid-level
- Paid jury duty
- AD&D insurance
Quick Apply
Patient Accounting Representative Part Time
Washington Hospital —Fremont, CA
- $35.38 - $43.43 an hour
- 8 hour shift
- Hospital
- Mid-level
Quick Apply
13d
Member Service Representative Level 1 (Pleasanton, CA)
BeneSys, Inc. —Pleasanton, CA
- $34.12 an hour
- Full-time
- Microsoft Word
- Basic math
- High school diploma or GED
- Paid jury duty
- AD&D insurance
Quick Apply
Claim Representative III - Property
Capital Insurance Group —San Jose, CA
- $77,406 - $129,010 a year
- Full-time
- Mid-level
- 3 years
- US work authorization
- Profit sharing
- Commuter assistance
Medical Biller
Apex Cardiology of Silicon Valley —San Jose, CA
- From $25 an hour
- Full-time
- Medical office experience
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Patient Service Representative
Bay Area Kids Dentist —Sunnyvale, CA
- $21 - $25 an hour
- 8 hour shift
- Dental office
- High school diploma or GED
- Children
- Health insurance
- Dental insurance
Quick Apply
5d
Property Claims Representative - Regional Insurance Carrier - Base Salary to 110k/year - San Jose, CA
AllSearch Professional Staffing —San Jose, CA
- $71,000 - $110,000 a year
- Hybrid work
- Management
- Residential
- 3 years
- Profit sharing
- Mileage reimbursement
Quick Apply
Workers' Compensation Claims Adjuster - III
Professional Search —California
- Up to $60 an hour
- Temporary
- Remote
- 5 years
- Conflict management
- Senior level
- Health savings account
- Health insurance
Quick Apply
Licensed Insurance Sales Representative
AJ Abdelkhalek - State Farm Agency —Sunnyvale, CA
- $52,000 - $72,000 a year
- Urgently hiring
- Office
- In-person
- Communication skills
- Paid time off
- Opportunities for advancement
Quick Apply
7d
Licensed Insurance Sales Representative
AJ Abdelkhalek - State Farm Agency —Pleasanton, CA
- $52,000 - $72,000 a year
- Urgently hiring
- Office
- In-person
- Communication skills
- Paid time off
- Opportunities for advancement
Quick Apply
Customer Care Specialist III
Saia Motor Freight Line LLC —San Jose, CA
- $23.20 - $28.35 an hour
- Part-time
- 18 years or older
- English
- Office
Quick Apply
Workers’ Compensation Specialist
TransPak, Inc. —San Jose, CA
- $40,000 - $70,000 a year
- Full-time
- Remote
- Microsoft Excel
- Mid-level
- Bachelor's degree
Quick Apply
Revenue Cycle Analyst - (**This is an ONSITE/Hybrid Position)**
Momentum for Health —San Jose, CA
- $75,000 - $95,000 a year
- Full-time
- Hybrid work
- Clean driving record
- Customer service
- Bachelor of Science
- Health savings account
- Paid holidays
Quick Apply
9d
Customer Service Representative - State Farm Agent Team Member
Jim Edington - State Farm Agent —San Jose, CA
- $55,000 - $75,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- 401(k)
- Paid time off
Quick Apply
Account Representative - State Farm Agent Team Member
Johnathan Eagels - State Farm Agency Intern —San Jose, CA
- $50,000 - $70,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Health insurance
- Dental insurance
Quick Apply
Customer Service Representative - State Farm Agent Team Member
Art Holland - State Farm Agent —San Jose, CA
- $45,000 - $52,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Health insurance
- Paid time off
Quick Apply
Customer Service Representative - State Farm Agent Team Member
John Wheeler - State Farm Agent —Campbell, CA
- $54,000 - $75,000 an hour
- Full-time
- Office
- Communication skills
- Entry level
- Health insurance
- 401(k)
Quick Apply

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Pharmacy Service Representative - (Full-Time, 8-Hour Day Shifts/Hybrid)

Stanford Health Care -
Palo Alto, CA

Apply Now

Job Details

Full-time
$31.30 - $35.25 an hour
4 days ago

Qualifications

Microsoft Word
Computer operation
Customer communication
Microsoft Outlook
Word embeddings
Windows
High school diploma or GED
Desktop applications
Medical terminology

Full Job Description

1.0 FTE Full time Day - 08 Hour R2657695 Hybrid 108390011 Pharmacy OP Specialty 500P Other PALO ALTO, 2465 Faber, California

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered.

Day - 08 Hour (United States of America)

This is a Stanford Health Care job.

A Brief Overview
The Specialty Pharmacy Representative serves as a key point of contact for patients, providing support with prescription management, insurance inquiries, and medication adherence. Working under direct supervision in a fast-paced environment, this role involves handling high volumes of inbound and outbound communication, coordinating refills and deliveries, verifying benefits, and resolving claim issues. Representatives are also responsible for completing patient registration, maintaining accurate records, documenting interactions, and escalating complex matters to pharmacists or senior staff as needed.

Locations
Stanford Health Care

What you will do

Answer patient calls: Address questions about prescriptions, refills, insurance information, and other related topics.
Medication Management: Ensure patients remain on track with medication regimen-outbound therapy/medication adherence checkups; secures refill prescriptions. Contacts clients to schedule deliveries, confirm address, inform them of any financial responsibility.
Troubleshooting and resolving issues: Assisting with claim rejections, verifying insurance information, and helping with program eligibility.
Data entry and record-keeping: Updating patient information, documenting calls, and maintaining records.
Escalating complex issues: Provides assistance to Pharmacists, both those in the facility and those at other locations. Identifies and communicates issues to senior level staff as appropriate.
Providing customer service: Communicates with clients as needed regarding the fulfillment of prescription refills and refers any health-related concerns to a healthcare professional when required.
Following company procedures: Adhering to established protocols and guidelines for handling calls and resolving issues.
Maintaining confidentiality: Ensuring the privacy and security of patient information.
Performs other duties and responsibilities as assigned.

Education Qualifications

High school diploma or general education degree (GED)

Experience Qualifications

One year minimum call center experience, or other related experience providing customer service to internal and external customers, including meeting quality standards for services, and evaluation of customer satisfaction.
Experience in insurance, medical, or pharmacy environments is required.

Required Knowledge, Skills and Abilities

Ability to adapt to and deal with change and ambiguity.
Ability to plan, organize, prioritize, work independently and meet deadlines.
Ability to solve problems and identify solutions.
Ability to speak and write effectively at a level appropriate for the job.
Ability to work effectively with individuals at all levels of the organization.
Ability to work in a fast-paced work environment.
Knowledge of local, state and federal regulatory requirements related to areas of functional responsibility.
Knowledge of Medical terminology and abbreviations; and disease states.
Strong interpersonal communication skills.
Knowledge of computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications.
Knowledge of Microsoft Outlook and Word.

These principles apply to ALL employees:

SHC Commitment to Providing an Exceptional Patient & Family Experience

Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.

You will do this by executing against our three experience pillars, from the patient and family’s perspective:

Know Me: Anticipate my needs and status to deliver effective care
Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
Coordinate for Me: Own the complexity of my care through coordination

Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.

Base Pay Scale: Generally starting at $31.30 - $35.25 per hour

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

Apply Now

Refine Your Search

claims representative jobs in san jose ca

Pharmacy Service Representative - (Full-Time, 8-Hour Day Shifts/Hybrid)

Patient Account Representative I

Patient Accounting Representative F/T

Member Service Representative Level 1 (San Jose, CA)

Patient Accounting Representative Part Time

Member Service Representative Level 1 (Pleasanton, CA)

Claim Representative III - Property

Medical Biller

Patient Service Representative

Property Claims Representative - Regional Insurance Carrier - Base Salary to 110k/year - San Jose, CA

Workers' Compensation Claims Adjuster - III

Licensed Insurance Sales Representative

Licensed Insurance Sales Representative

Customer Care Specialist III

Workers’ Compensation Specialist

Revenue Cycle Analyst - (This is an ONSITE/Hybrid Position)

Customer Service Representative - State Farm Agent Team Member

Account Representative - State Farm Agent Team Member

Customer Service Representative - State Farm Agent Team Member

Customer Service Representative - State Farm Agent Team Member

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