Claims Processing Clerk, Sr. jobs in Santa Barbara, CA

Claims Processing Clerk, Sr. receives and inputs new healthcare claims, processes payments, conducts billing research, and responds to telephone inquires. Evaluates claims and administers payment, denies, or returns claims according to policy provisions and organizational guidelines. Being a Claims Processing Clerk, Sr. produces routine and ad hoc reports. Requires a high school diploma. Additionally, Claims Processing Clerk, Sr. typically reports to a supervisor. The Claims Processing Clerk, Sr. works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be a Claims Processing Clerk, Sr. typically requires 3-5 years of related experience. (Copyright 2024 Salary.com)

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Claims Examiner
  • CenCal Health
  • Santa Barbara, CA FULL_TIME
    • Review, price and release claims associated with the assigned claim types (paper and electronic)
    • Review Manual Review reports that suspend for review on all CenCal Health programs
    • Review audit reports for all CenCal Health programs
    • Analyze current processes and work with Supervisor to automate or improve quality where fit
    • Assist with ideas for creation of SCF (System Change Forms) when applicable
    • Keep up to date on all CenCal Health policies and provide materials for improvement projects within Department
    • Assure all regulatory guidelines are being followed and monitored
    • Maintain daily activity log
    • Assist with the processing of claims
    • Audit and report all billing & error trends found during the course of review and data entry;
    • Maintain processes and timelines required by AB1455 Claims Settlement Practices and DHCS Regulations

    Other duties and projects as assigned

  • 4 Days Ago

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Claims Processor
  • eTeam Inc
  • Santa Barbara, CA CONTRACTOR
  • AJ01 Job Title: Claims Processor Location: Santa Barbara, CA Duration: 13 Weeks Contract Pay Rate: $20-25/hr.Shift: 5, 8Hr 08:00 - 17:00 ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: 1. Performs a spectru...
  • 6 Days Ago

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Claims Processor
  • eTeam Inc
  • Santa Barbara, CA CONTRACTOR
  • AJ01 Job Title: Claims Processor Location: Santa Barbara, CA Duration: 13 Weeks Contract Pay Rate: $20-25/hr.Shift: 5, 8Hr 08:00 - 17:00 ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: 1. Performs a spectru...
  • 6 Days Ago

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Signal Processing Engineer
  • Toyon
  • Goleta, CA FULL_TIME
  • Description U.S. Citizenship is Required. Ability to qualify for a US Department of Defense security clearance required.Toyon has openings for technical researchers to develop/implement, test, and ana...
  • 12 Days Ago

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Sterile Processing Technician
  • Trustaff
  • Santa Barbara, 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...
  • 3 Days Ago

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Image Processing Engineer V
  • Karl Storz Endoscopy
  • Goleta, CA FULL_TIME
  • JOB SUMMARY: Brief description of what this person does, in simple direct terms.Produce advanced designs for camera image processing.Design, analyze, demonstrate, and implement image and video process...
  • 4 Days Ago

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0 Claims Processing Clerk, Sr. jobs found in Santa Barbara, 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...
  • 4/14/2024 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...
  • 4/13/2024 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...
  • 4/12/2024 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...
  • 4/12/2024 12:00:00 AM

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Produce Clerk
  • Superior Grocers
  • Oxnard, CA
  • Produce Clerk is responsible for the proper stocking and rotation of merchandise in the produce and floral department, i...
  • 4/12/2024 12:00:00 AM

Santa Barbara (Spanish: Santa Bárbara) is the county seat of Santa Barbara County in the U.S. state of California. Situated on a south-facing section of coastline, the longest such section on the West Coast of the United States, the city lies between the steeply rising Santa Ynez Mountains and the Pacific Ocean. Santa Barbara's climate is often described as Mediterranean, and the city has been promoted as the "American Riviera". As of 2014, the city had an estimated population of 91,196, up from 88,410 in 2010, making it the second most populous city in the county after Santa Maria. The contig...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Clerk, Sr. jobs
$51,872 to $63,980
Santa Barbara, California area prices
were up 2.5% from a year ago

Claims Processing Clerk, Sr. in Anchorage, AK
Is Insurance Claims and Policy Processing Clerk the right career path for you? Take the MyMajors Quiz and find out if it fits one of your top recommended majors.
February 10, 2020
Claims Processing Clerk, Sr. in Chattanooga, TN
The top 3 most similar occupations to Insurance claims & policy processing clerks by wage are Firstline supervisors of housekeeping & janitorial workers, Food service managers, and Electronic home entertainment equipment installers & repairers.
January 16, 2020
Claims Processing Clerk, Sr. in Asheville, NC
When you’re in the beginning stages of writing your insurance claims processing clerk job description, you’ll need to review common qualifications for this job.
January 12, 2020