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Coding Jobs in Ontario, CA

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Coding • ontario ca

Last updated: 8 hours ago

Claims Examiner - Workers Compensation

Cynet SystemsOntario, CA, United States
$47.00 hourly
Full-time

Bachelor's degree from an accredited college or university preferred.Professional certification as applicable to line of business preferred.Analyzes and processes complex or technically difficult w... Show more

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

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

MercorRancho Cucamonga, 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

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

Xcelys Medical Claims Examiner-REMOTE

NTT DATAOntario, CA, United States
Temporary

Xcelys Medical Claims Examiner.At NTT DATA, we know that with the right people on board, anything is possible.The quality, integrity, and commitment of our employees have been key factors in our co... Show more

 • New!

Senior Software Engineer

Bonterra Tech LLCRemote, Ontario, CA
$120,000.00 yearly
Remote
Full-time

US based Salary: $120,000 - $150,000.Bonterra exists to propel every doer of good to their peak impact.We measure that impact against our vision to increase the giving rate as a percentage of GDP f... Show more

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

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 Charge Capture, Charge Integrity, and Revenue Integrity profess... 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

Medical Billing and Coding - Entry Level Training Program

Dreambound Inc.La Verne, California, US
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 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

Remote Senior Software Engineers - AI Trainer ($50-$75 per hour)

MercorChino, California, US
$50.00 hourly
Remote
Full-time

Join us in helping advance the next generation of AI models! We are looking for experienced Software Engineers to contribute to a cutting-edge AI evaluation project.This project plays a key role in... 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

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

MercorUpland, 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

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

MercorUpland, 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

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

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Claims Examiner - Workers Compensation

Claims Examiner - Workers Compensation

Cynet SystemsOntario, CA, United States
25 days ago
Salary
$47.00 hourly
Job type
  • Full-time
Job description

Job Title

Pay Range: $47hr - $52hr

Requirement/Must Have

  • 5+ years of claims management experience or equivalent combination of education and experience required.
  • Bachelor's degree from an accredited college or university preferred.
  • Professional certification as applicable to line of business preferred.

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