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Medical claims processor Jobs in San Jose, CA
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Medical Claims Investigator
VirtualVocationsSunnyvale, California, United States- Promoted
Medical Provider Claims Fraud Investigator
Zurich Insurance Company LtdSan Jose, CA, United States- Promoted
Field Claims Adjuster
EAC Claims Solutions LLCMilpitas, CA, United StatesSr. Medical Malpractice Claims Manager - Professional Liability •Remote •
ProvidenceCA, United States- Promoted
Postal Mail Processor
The Postal ServiceSan Jose, CA, United States- Promoted
CLAIMS ADJUSTER
George Hills CompanyCA, United States- Promoted
SENIOR CLAIMS AJUSTER
EMPLOYERSCA, United States- Promoted
Senior Loan Processor
Red Tower Capital, Inc.Sunnyvale, CA, United States- Promoted
- New!
Payroll Processor
Nesco ResourceSan Jose, CA, US- Promoted
Claims Investigator -Experienced
Command InvestigationsSan Jose, CA, United States- Promoted
LOCKBOX PROCESSOR - EXTRACTION
PNC Financial Services Group, Inc.CA, United StatesClaims Examiner
Lucent HealthCA, USWFH Claims Processor
ReqRouteSan Jose, CA, US- Promoted
Specimen Processor
Ascend ClinicalSunnyvale, CA, US- Promoted
Senior Claims Ajuster
EmployersSan Jose, California, US- Promoted
ACCOUNTS PAYABLE PROCESSOR
Management SupportCA, United States- Promoted
Postal Mail Processor
Postal SourcePhoenix Lake, CA, United States- Promoted
Postal Mail Processor
Postal Jobs SourcePhoenix Lake, CA, United States- Promoted
MEDICAL PROVIDER CLAIMS FRAUD INVESTIGATOR
Zurich Insurance Company Ltd.CA, United States- Promoted
VAULT PROCESSOR
BrinksCA, United StatesMedical Claims Investigator
VirtualVocationsSunnyvale, California, United States- Full-time
A company is looking for a Medical Claims Investigator.Key ResponsibilitiesReview medical paid claims against provider contracts to ensure accurate processingUtilize data mining techniques to analyze hospital and physician claims for errorsCollaborate with team members to promote a positive work environment and achieve goalsRequired QualificationsMinimum high school diploma or GED with two years of experience in medical claims investigationPreferred medical billing and coding certification and bachelor's degree in a relevant fieldKnowledge of coding edits and medical claim reimbursement methodologiesProficiency in medical terminology and familiarity with automated medical claims payment systemsAdvanced computer skills, particularly in Microsoft Excel