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Coding Jobs in Ontario, CA

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Coding • ontario ca

Last updated: 8 days ago

Claims Adjuster - Workers Compensation

MindlanceOntario, CA, United States
Full-time

Claims Adjuster - Workers Compensation.PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involvi... Show more

Remote Coding Manager / HIM Coding Leader - AI Trainer ($80-$80 per hour)

MercorOntario, California, US
$80.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Coding Managers and HIM Coding leaders to evaluate AI-powered c... Show more

Remote Medical Revenue Manager - AI Trainer ($88-$88 per hour)

MercorRancho Cucamonga, California, US
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Charge Capture, Charge Integrity, and Revenue Integrity profess... Show more

Project Controls Specialist - Cost Engineer

PM2CM, Inc.Pomona, CA, United States
Full-time

Monitor the overall integrity of the project budget and forecast in accordance with approved standard operating procedures.Provide quality assurance to College functional staff regarding all financ... Show more

Claims Examiner - Workers Compensation - Remote / Telecommute

Cynet SystemsRancho Cucamonga, CA, United States
$45.00 hourly
Full-time

Credit security clearance, confirmed via a background credit check, is required for this position.Analyzes and processes complex or technically difficult workers' compensation claims by investigati... Show more

CC&B IT Lead

EsselPomona, CA, US
$140,000.00–$160,000.00 yearly
Full-time
Quick Apply

CC&B IT Lead - Join our team at Essel!.As the CC&B IT Lead, you will be responsible for managing and supporting the Customer Care and Billing (CC&B) system.This system plays a critical ... Show more

Optometrist - Part Time

PARK AVENUE OPTOMETRY INCpomona, CA, US
Part-time

Part-Time Optometrist Opportunity.Are you looking for an opportunity to provide meaningful care in a welcoming, patient-centered practice? At Park Avenue Optometry, we believe in delivering.Why You... Show more

Remote Denials Management & Appeals Manager - AI Trainer ($93-$93 per hour)

MercorPomona, California, US
$93.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Denials Management and Appeals Managers to evaluate AI tools de... Show more

Remote Revenue-cycle analytics / decision-support / RCM reporting leader - AI Trainer ($100-$100

MercorEastvale, California, US
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Revenue Cycle Analytics and Decision-Support leaders — includin... Show more

Vice President of Health Plan Operations and Claims

Prime HealthcareOntario, CA, United States
$150,000.00 yearly
Full-time +1

Vice President Of Health Plan Operations And Claims.Prime Healthcare is an award-winning health system headquartered in Ontario, California.Prime Healthcare operates 54 hospitals and has more than ... Show more

Assistant Manager/STEM Coordinator

Code NinjasChino Hills, CA, United States
$18.00 hourly
Full-time

Assistant Manager/STEM Coordinator.Code Ninjas is the nation's fastest-growing kids coding franchise.In our center, kids ages 5-14 learn to code in a fun, non-intimidating way by playing and build... Show more

Accounts Payable Clerk

Nexgrill Industries IncChino, CA, US
Full-time
Quick Apply

We are seeking an Accounts Payable Clerk to support full-cycle AP processing, including invoice entry, 3-way matching, GL coding, and payment processing.This role also manages vendor inquiries, cre... Show more

Medical Billing and Coding - Entry Level Training Program

Dreambound Inc.Ontario, California, United States
Full-time

Note : This is an educational program, not a job.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to ... Show more

Remote Clinical Documentation Integrity (CDI) Leader - AI Trainer ($84-$84 per hour)

MercorEastvale, California, US
$84.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Clinical Documentation Integrity (CDI) managers and leaders to ... Show more

Claims Examiner - Workers Compensation

eTeamOntario, CA, United States
Full-time

Claims Examiner - Workers Compensation.Experience: Minimum 3 years of experience is needed.Public entity and County of Los Angeles experience is a plus.Primary Purpose: To analyze complex or techni... Show more

Remote Revenue-cycle Executive (VP/Sr. Director Revenue Cycle, or RCM-focused Finance Leader) - AI

MercorPomona, California, US
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Revenue Cycle Executives — including VP of Revenue Cycle, Sr.Di... Show more

Project Controls Specialist - Cost Engineer

PM2CMPomona, CA, US
$100,000.00–$110,000.00 yearly
Full-time
Quick Apply

Monitor the overall integrity of the project budget and forecast in accordance with approved standard operating procedures.Provide quality assurance to College functional staff regarding all financ... Show more

SAP EAM Test Consultant (Utility Domain)

ITL USAPomona, CA, US
$80.00 hourly
Full-time

Overview The Infosys SURE (Services, Utilities, Resources, Energy) unit is dedicated to empowering businesses within the services, utilities, energy, and resources sectors through strategic digital... Show more

Nurse Supervisor

WEST CENTRAL SERVICES INCClaremont, US
Full-time

Behavioral health nursing is not background work.It is the connective tissue of care the place where medication management meets human complexity, where clinical judgment and compassionate presence... Show more

Hotel - Director of Sales - Ontario Selected Hilton Hotel

GreensOntario, CA, United States
Full-time

We are currently looking for a highly motivated, determined, well-spoken, and experienced hotel Director of Sales with a minimum of 3 years of hotel industry experience who understands the meaning ... Show more

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Claims Adjuster - Workers Compensation

Claims Adjuster - Workers Compensation

MindlanceOntario, CA, United States
30+ days ago
Job type
  • Full-time
Job description

Claims Adjuster - Workers Compensation

PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

  • Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
  • Negotiates settlement of claims within designated authority.
  • Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
  • Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles claims within designated authority level.
  • Prepares necessary state filings within statutory limits.
  • Manages the litigation process; ensures timely and cost effective claims resolution.
  • Coordinates vendor referrals for additional investigation and/or litigation management.
  • Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.
  • Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
  • Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner.
  • Communicates claim activity and processing with the claimant and the client; maintains professional client relationships.
  • Ensures claim files are properly documented and claims coding is correct.
  • Refers cases as appropriate to supervisor and management.

ADDITIONAL FUNCTIONS AND RESPONSIBILITIES:

  • Performs other duties as assigned.
  • Supports the organization's quality program(s).
  • Travels as required.

QUALIFICATION:

Education & Licensing: Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.

Experience: Five (5) years of claims management experience or equivalent combination of education and experience required.

Skills: Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business. Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Good interpersonal skills Excellent negotiation skills Ability to work in a team environment Ability to meet or exceed Service Expectations

WORK ENVIRONMENT:

When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical: Computer keyboarding, travel as required Auditory/Visual: Hearing, vision and talking

NOTE: Credit security clearance, confirmed via a background credit check, is required for this position.