Claims Processing Clerk jobs in Modesto, 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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Instrument Tech Supervisor - Sterile Processing Supervisor - SPD Supervisor
  • Sterile Processing Services of America
  • Modesto, CA FULL_TIME
  • SUMMARY:

    Responsible for managing the flow of product and staff working on the production floor. Ensures that products reprocessed are done so according to written manufactures IFU’s, best practice standards and SPSA procedures and work instructions. Manage all aspects of the reprocessing areas including staffing, supplies, and production. Monitor customer requirements to ensure expectations are met, and coach staff on operational process steps.

    Duties and Responsibilities:

    • Must be a team player as measured by his/her peers.
    • Collaborates with the site leadership to manage operational activities pertaining to product quality to ensure 100% Customer lot acceptance.
    • Collaborates with the site leadership to manage operational activities pertaining to transportation and distribution to ensure 100% on time Customer soiled pick up and sterile product delivery.
    • Serves as a role model for sterile processing best practice, safety, and regulatory compliance.
    • Develops and fosters high performance quality driven work teams.
    • Oversees the staff shift assignments ensuring adequate resources for each production area.
    • Directs and oversees the SPSA Team Leads to ensure consistent workflow, staff direction and coaching, adherence to best practice standards, regulatory compliance, and quality.
    • Collaborates with site leadership to ensure compliance with OSHA & other employee safety regulations to ensure a safe working environment for staff.
    • Builds and maintains a good working relationship with internal and external customers. Responds to customer communications during the shift.
    • Collaborates with the site leadership and customer service manager to ensure products are processed according to the customer contract as well as timely response to quality and service issues.
    • Collaborates with site leadership on reviewing time keeping tasks such as OT approvals and timecard approvals using company tools such as ADP.
    • Collaborate with site leadership and Educator with training new employees and supporting educational needs of existing staff.
    • Works closely with transportation team to ensure on time product delivery and pick up of products to customers.
    • Collaborates with SPSA site leadership on scheduling and completion of strategic initiatives and company goals.
    • Assists Site leadership in maintaining adequate production supplies necessary for site operations.
    • Monitors staff productivity and adherence to time and attendance policies.
    • Collaborates with SPSA Site Maintenance Team on trouble shooting processing equipment to ensure optimal performance.
    • Collaborates with SPSA Quality team on promoting continuous quality improvement, establishment, and monitoring of KPIs (Key Performance Indicators) that reflect performance levels for the operation. • Other duties as required and/or assigned.

    Supervisory Responsibilities:

    The Shift Supervisor has direct supervision of all operational staff on the designated shift.

    Travel Requirements:

    None

    QUALIFICATIONS:

    Experience:

    Minimum of 3 years of production floor experience is required. 2-3 years supervisor experience with progressively increasing responsibility in a sophisticated, industry- leading manufacturing or process-oriented operation. Healthcare industry or medical device experience is preferred. Previous customer facing experience is preferred.

    Education:

    College degree is preferred. Equivalent work experience may be substituted for educational background. High School diploma or GED required.

    Certification in sterile processing (CRCST) from HSPA is required. Certification in healthcare leadership is preferred.

    Knowledge, Skills, Abilities:

    • Excellent working knowledge of MS Word, MS Excel.
    • Knowledge of management operating systems used on the product floor.
    • Knowledge of general instruments.
    • Ability to work independently, manage time and work effectively under pressure.
    • Detail-oriented, excellent organizational and documentation skills.
    • Good interpersonal and telephone skills.
    • Ability to set priorities, be flexible, multi-task and meet deadlines.
    • Ability to communicate effectively in both oral and written forms.
    • Ability to interact effectively with all levels of management.
    • Capable of communicating and coordinating with multiple departments, team player.

    PHYSICAL DEMANDS AND WORK ENVIRONMENT

    Working Conditions:

    Work is performed in a fast-paced indoor production area with little exposure to dust and high temperatures; moderate exposure to excessive noise; climate-controlled environment; and controlled access. Frequent exposure to bio-hazardous materials and strong odorous chemicals or elements.

    SPSA is an Equal Opportunity Employer

    Job Type: Full-time

    Pay: $75,000.00 - $90,000.00 per year

    Benefits:

    • 401(k)
    • Dental insurance
    • Flexible spending account
    • Health insurance
    • Life insurance
    • Vision insurance

    Schedule:

    • 8 hour shift
    • Evening shift
    • Monday to Friday
    • Weekends as needed

    Experience:

    • Leadership: 2 years (Required)
    • Sterile Processing: 2 years (Required)

    License/Certification:

    • CRCST (Required)

    Shift availability:

    • Night Shift (Required)

    Ability to Commute:

    • Modesto, CA 95350 (Required)

    Ability to Relocate:

    • Modesto, CA 95350: Relocate before starting work (Required)

    Work Location: In person

  • Just Posted

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Class C Driver - Morning Shift
  • Sterile Processing Services of America
  • Modesto, CA FULL_TIME
  • Transports product or provides services to hospital clients, potentially unloads inventory to shelves, maintains accurate counts of inventory, obtains signatures on any required documents, and interac...
  • Just Posted

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Clerk
  • Raley's Supermarkets
  • Turlock, CA OTHER
  • Overview We are now hiring Great People Who Care! We are looking for a fearless and accountable Clerk who is positive and passionate! Our Clerks will be responsible for executing a wide variety of tas...
  • 13 Days Ago

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Clerk
  • Raley's Supermarkets
  • Merced, CA OTHER
  • Overview We are now hiring Great People Who Care! We are looking for a fearless and accountable Clerk who is positive and passionate! Our Clerks will be responsible for executing a wide variety of tas...
  • 13 Days Ago

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Clerk
  • Raley's Supermarkets
  • Oakdale, CA OTHER
  • Overview We are now hiring Great People Who Care! We are looking for a fearless and accountable Clerk who is positive and passionate! Our Clerks will be responsible for executing a wide variety of tas...
  • 20 Days Ago

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Clerk
  • Raley's Supermarkets
  • Modesto, CA OTHER
  • Overview We are now hiring Great People Who Care! We are looking for a fearless and accountable Clerk who is positive and passionate! Our Clerks will be responsible for executing a wide variety of tas...
  • 1 Month Ago

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0 Claims Processing Clerk jobs found in Modesto, CA area

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Insurance Agent
  • Bankers Life
  • Modesto, CA
  • Bankers Life® is searching for future agents to work in a fast-paced and dynamic hybrid remote environment. Jumpstart yo...
  • 4/17/2024 12:00:00 AM

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Life Insurance Sales Agent-Remote Position
  • The Jake Davis Agency LLC
  • Modesto, CA
  • The Davis Agency is looking for a sales representative to join our team in our Insurance Sales - Work from Home position...
  • 4/17/2024 12:00:00 AM

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Life/Health Insurance Position - State Farm Agent Team Member
  • Pam Shelton-Allen State Farm Insurance
  • Modesto, CA
  • Job Description Job Description I am looking for a qualified and empathetic professional for the role of Insurance Repre...
  • 4/15/2024 12:00:00 AM

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Insurance Sales Agent - No Cold Calls, 1 on 1 Coaching, Remote
  • Clarks Financial Services
  • Modesto, CA
  • Why Work Here? Have your Life & Health insurance license, or willing to pass a test to earn it? Put it to work today, ge...
  • 4/15/2024 12:00:00 AM

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Independent Insurance Claims Adjuster in Modesto, California
  • MileHigh Adjusters Houston Inc
  • Modesto, CA
  • Exciting Opportunity for Aspiring Claims Adjusters! INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to ...
  • 4/15/2024 12:00:00 AM

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Licensed Agent Insurance Representative
  • Bankers Life
  • Modesto, CA
  • Licensed Agent Insurance Representative Location: Modesto, CA, United States Job Category: Licensed Agents Posted: 13-Ju...
  • 4/14/2024 12:00:00 AM

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Billing Clerk-MFA Business Office
  • Merced Faculty Associates Medical Group
  • Merced, CA
  • Description Description Description Job Title: Medical Billing Clerk Department: Billing Reports To: Billing Department ...
  • 4/13/2024 12:00:00 AM

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Insurance Agent
  • RANCHO AMIGO INSURANCE SERVICES
  • Modesto, CA
  • Job Description Job Description Seeking Licensed Insurance Agent (or in process of becoming licensed ) to work in Modest...
  • 4/13/2024 12:00:00 AM

Modesto /məˈdɛstoʊ/ (Spanish for "modest"), officially the City of Modesto, is the county seat and largest city of Stanislaus County, California, United States. With a population of approximately 201,165 at the 2010 census, it is the 18th largest city in the state of California and forms part of the Modesto–Merced combined statistical area. The Modesto Census County Division, which includes the cities of Ceres and Riverbank, had a population of 312,842 as of 2010[update]. Modesto is located in the Central Valley, 90 miles (140 km) north of Fresno, 40 miles (64 km) north of Merced, California, ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Clerk jobs
$40,163 to $48,566
Modesto, California area prices
were up 2.5% from a year ago