Claims Processor III Job at IEHP, Rancho Cucamonga, CA

WnorSWxyc3FoTnZsZmovZ0QzaEREU1hWZ2c9PQ==
  • IEHP
  • Rancho Cucamonga, CA

Job Description

What you can expect!

Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!

Under the direction of the Claims Production Manager and Supervisor, the Claims Processor Level III must have experience in processing complex professional and institutional claims. This includes, but is not limited to, inpatient high dollar claim types, COB, home health, transplant, dialysis, oncology/chemo, hospital exclusions, and claim adjustments in an accurate and expedient manner.

Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.

Perks

IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more.

  • Competitive salary
  • Telecommute schedule
  • State of the art fitness center on-site
  • Medical Insurance with Dental and Vision
  • Life, short-term, and long-term disability options
  • Career advancement opportunities and professional development
  • Wellness programs that promote a healthy work-life balance
  • Flexible Spending Account – Health Care/Childcare
  • CalPERS retirement
  • 457(b) option with a contribution match
  • Paid life insurance for employees
  • Pet care insurance

Education & Requirements

  • Minimum of three (3) years of experience processing inpatient and outpatient professional and institutional claims preferably in an HMO or Managed Care setting
  • Processing of Medicare, Medi-Cal, or Commercial claims required
  • Proficient in rate applications for Medi-Cal and/or Medicare pricers
  • High school diploma or GED required

Key Qualifications

  • ICD-9 and CPT coding and general practices of claims processing
  • Prefer knowledge of capitated managed care environment
  • Microcomputer skills, proficiency in Windows applications preferred
  • Excellent communication and interpersonal skills, strong organizational skills
  • Professional demeanor
  • Must be computer literate, maintain good attendance, and have the right attitude and discipline to work from home
  • All IEHP positions approved for telecommute work locations may periodically be required to report to IEHP’s main campus for mandatory in-person meetings or for other business needs as determined by IEHP leadership

Start your journey towards a thriving future with IEHP and apply TODAY!

Pay Range

  • $25.90 USD Hourly - $33.02 USD Hourly

Job Tags

Hourly pay, Temporary work, Remote work, Flexible hours,

Similar Jobs

M3USA

Physician Recruiting Consultant (Remote) Job at M3USA

 ...its Performance, People, and Partnerships. One of the largest physician recruitment companies in the US, TMF focuses on providing the most...  ...basis Consultative sales experience a plus. Ability to travel up to 20%. Positive attitude and a strong work ethic. Excellent... 

Mistequa Casino Hotel

Mistequa Hotel F&B Banquet Server-On Call Job at Mistequa Casino Hotel

 ...MISTEQUA HOTEL JOB ANNOUNCEMENT POSITION: Banquet Server STATUS: On call REPORTS TO: Banquet Captain/F&B Manager SALARY: $17.13 / hour + tips POSITION OPENS: 11/14/2025 CLOSES: 11/23/2025 POSITION SUMMARY A Banquet Server is responsible for... 

Mymdcareers

Endocrinology Physician Job at Mymdcareers

Well respected multi specialty group in Tampa continues to experience growth and is now looking to add a BE/BC Endocrinologist.Guaranteed base salary with bonus planTop notch benefits with relocation assistanceCall 1:4Outpatient based opportunityFor more information...

Northeast Grocery

Part time E-Commerce Shopper Store #213 Job at Northeast Grocery

 ...neighborhood store that saves the customer time and money. The E-Commerce Shopper is responsible for accurately and efficiently receiving,...  ...shelf sections Responsible for assembling customers online orders Ability to navigate through the store and accurately... 

BCL Private Practice

Real Estate Attorney Job at BCL Private Practice

 ...Commercial leasing (office, retail, industrial) Title and survey review Real estate finance and development matters Drafting...  ...and stable team with strong client relationships and a healthy pipeline of work Competitive compensation and genuine work-life balance...