Claims Processing Clerk jobs in Ventura, CA

Claims Processing Clerk receives and inputs new healthcare claims, processes payments, researches billing issues, and responds to email and telephone inquiries. Evaluates claims and administers payment, denies, or returns claims according to policy provisions and organizational guidelines. Being a Claims Processing Clerk produces routine and ad hoc reports. Requires a high school diploma. Additionally, Claims Processing Clerk typically reports to a supervisor. The Claims Processing Clerk works under the close direction of senior personnel in the functional area. Possesses a moderate understanding of general aspects of the job. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)

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Medical Claims Processing
  • Community Memorial Healthcare
  • Ventura, CA OTHER
  • Compensation

    Salary Range: $18.36 - $27.67 / hour

     

    The pay range above represents the lowest possible rate for the position and the highest possible rate. Factors that may be used to determine where newly hired employees will be placed in the pay range include the employee specific skills and qualifications, relevant years of experience and comparison to other employees already in this role. Most often, a newly hired employee will be placed below the midpoint of the range. If you are viewing this posting on a job site, please visit our company page and search for the opportunity to view the pay range: https://careers-mycmh.icims.com/jobs

    Pay for PRN positions is calculated differently than Full-Time, Regular Part-Time, and Part-Time positions. PRN Rates depend on the position and other factors, including years of experience, or shift commitment according to the department policy. PRN differential is added in certain positions.

    Responsibilities

    Position Overview:

     

    Responsible for correcting all electronic 837 claims that have been flagged for various billing correction. Verify all claims transmissions to insurance companies for all billing systems and working all claims denials.

     

    Qualifications

    Required:  

    • High school diploma or general education degree (GED)
    • At least 1 year of Medical Claims Processing experience.

    Preferred: 

    • Associates degree in related field

    Overview

    When it comes to quality, we're 5 Star!

     

     

    Community Memorial Health System was established in 2005 when Community Memorial Hospital in Ventura merged with Ojai Valley Community Hospital. It is comprised of these two hospitals along with a network of primary and specialty care health centers serving various communities across west Ventura County. Our health system is a community-owned, not-for-profit organization. As such, we are not backed by a corporate or government entity, nor do we answer to shareholders. We depend on – and answer to – the communities we serve.

     

    Community Memorial Hospital – Ventura has been awarded a prestigious five-star rating by the Centers for Medicare & Medicaid Services (CMS)! This achievement represents thousands of people going the extra mile every day for our patients, and we are the ONLY hospital in Ventura County to earn this distinction!

     

     

    Community Memorial Healthcare Benefits

    To help heal, comfort, and promote health for the communities we serve, Community Memorial Healthcare takes care of our community of employees so our local community can be cared for. That’s why we provide competitive benefits, along with great career choices, training, and leadership development. Our total rewards package provides benefits that support you and your family’s health and wellness in all aspects of life. From our top tier insurance plans to our employee assistance program, take advantage of what CMH has to offer so you and your loved ones can have peace of mind now and for years to come. CMH is here for you and your family every step of the way.

     

    • Competitive Pay
    • Shift Differentials
    • In-House Registry Rates
    • Fidelity 403(b) Retirement Plan
    • Paid Time Off
    • Medical (EPO/PPO), Dental, & Vision Insurance Coverage
    • Voluntary Worksite Benefits
    • Employee Assistance Program Available 24/7 (EAP)
    • Tuition Reimbursement
    • Public Service Loan Forgiveness (PSLF)
    • Recognition programs
    • Employee service recognition events
    • Home, Retail, Travel & Entertainment Discounts
    • National Hospital Week and National Nurses Week celebrations

     

    Community Memorial Healthcare is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation. We strive to promote an environment where exceptional people bring diverse perspectives and find belonging, support and connection to their work in our community.

    “We are an AA/EEO/Veterans/Disabled Employer”

  • 11 Days Ago

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Claims Analyst
  • ALKEME
  • Thousand Oaks, CA FULL_TIME
  • DescriptionPosition Summary:Looking for a detail-oriented, proactive individual with a passion for assisting clients and ensuring their peace of mind during challenging times. In this role, you will p...
  • 1 Month Ago

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Order Processing
  • Elwood Staffing
  • Oxnard, CA FULL_TIME
  • Order Processing Company In the city of Camarillo is looking for a candidate with experience in Order Processing and experience in standup and cherry-picking forklifts. Company ProfileThis is a great ...
  • 7 Days Ago

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Order Processing
  • Elwood Staffing
  • Camarillo, CA FULL_TIME
  • Order Processing Company In the city of Camarillo is looking for a candidate with experience in Order Processing and experience in standup and cherry-picking forklifts. Company ProfileThis is a great ...
  • 8 Days Ago

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Field Claims Investigator (1099)
  • Konkordia Phoenix PLC, Inc.
  • Thousand Oaks, CA CONTRACTOR
  • Position: Field Claims Investigator Job Type: 1099 / Contracted Work Location 50% working from home. 50% working in the field Compensation: $20/hr and $.67/mile COMPANY OVERVIEW Phoenix Loss Control (...
  • Just Posted

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Sterile Processing Technician
  • Trustaff
  • Simi Valley, CA FULL_TIME
  • As a Sterile Processing Technician, you are a critical part of ensuring a clean, pathogen-free patient environment. Sterile Processing Techs document, inspect, and decontaminate medical instruments an...
  • 6 Days Ago

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0 Claims Processing Clerk jobs found in Ventura, CA area

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Grocery Clerk
  • Superior Grocers
  • Santa Paula, CA
  • Grocery Clerk will maintain stocking and rotation of merchandise in the grocery area and to perform other functions as r...
  • 4/24/2024 12:00:00 AM

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Accountant-PT
  • City of Port Hueneme, CA
  • Port Hueneme, CA
  • Salary: $35.54 - $46.21 Hourly Location : Port Hueneme, CA Job Type: Part Time Job Number: 2022NJ10182022 Department: Ho...
  • 4/23/2024 12:00:00 AM

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Receiving Clerk
  • Superior Grocers
  • Oxnard, CA
  • Receiving clerk must maximize sales potential through effective and proper procedures for receiving all products enterin...
  • 4/22/2024 12:00:00 AM

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Bakery Clerk
  • Superior Grocers
  • Oxnard, CA
  • Bakery Clerk will expected to perform sanitation and cleaniliness, maintain the presentation of the department: Pastry C...
  • 4/22/2024 12:00:00 AM

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Meat Service Clerk
  • Superior Grocers
  • Santa Paula, CA
  • Meat Service Clerk main focus will be delivering great customer service to secure store's financial success. Meat Servic...
  • 4/22/2024 12:00:00 AM

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Courtesy Clerk $16.00/hr -$16.78/hr
  • Vallarta Supermarkets
  • Canoga Park, CA
  • Description: California Minimum Wage is $16.00/hr effective 1/1/2024 Some Cities have higher Minimum Wages (LA City curr...
  • 4/21/2024 12:00:00 AM

Ventura is located northwest of Los Angeles on the California coast. The western portion of the city stretches north along the Ventura River and is characterized by a narrow valley with steeply sloped areas along both sides. The steep slopes of the Ventura foothills abut the northern portion of the community. Much of the eastern portion is on a relatively flat alluvial coastal plain lying along the western edge of the Oxnard Plain. The Santa Clara River forms the city's southerly boundary with the city limits reaching up to the beginning of the Santa Clara River Valley at the historic communit...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Clerk jobs
$40,465 to $48,932
Ventura, California area prices
were up 2.5% from a year ago