Skip Navigation

Search Our Jobs

To view compensation ranges, please click on Apply Now on a specific job posting.

Claims Examiner

Apply Now Hospital Name PIH Health Physicians (PHP) Location Whittier, California Job Type Full-Time/Regular Job ID 18600-977 Date posted 05/18/2023

We’re a nonprofit, regional healthcare network with two hospitals, numerous outpatient medical offices, a multi-specialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer and emergency services. Our leadership is dedicated to putting patients first—a cornerstone of our mission, vision and values—as we deliver top-quality healthcare.

From our extensive facilities in Whittier, California and Downey, California, PIH Health serves more than two million residents in Los Angeles and Orange Counties and throughout the San Gabriel Valley.

The Claims Examiner reports directly to the Claims Manager.  He/she is primarily responsible for the processing functions (operation, adjudication, and payment); of UB-92 and HCFA-1500 claims that are received from PHP affiliated medical groups and hospitals for HMO patients.

Required Skills

    1. Self-motivated.
    2. Positive attitude.
    3. Excellent verbal and written skills.
    4. Ability to learn quickly.
    5. Possess strong computer skills.
    6. 10-key by touch, data entry experience preferred.
    7. Basic math competency.
    8. Deal effectively in a fast-paced, changing environment.
    9. Good organizational skills.
    10. Ability to work independently as well as be part of a team.
    11. Develops effective working relationships with all levels of the organization, including administration, doctors, and staff.
    12. Ability to identify and solve problems.

Required Experience

  • High School graduate or G.E.D. is required
  • Must have a minimum two (2) years of claims pricing and processing experience in ambulatory, acute care hospital, HMO or IPA environment.
  • Must have knowledge of payment methodologies for: Professional (MD), Hospital, Skilled Nursing Facilities, and Ancillary Services
  • Must have thorough understanding of timeliness and payment accuracy guidelines for commercial, senior and Medi-Cal claims.
  • Experienced in interpreting provider contract reimbursement terms strongly preferred

Beyond the benefits that come with working for the area's leading community healthcare provider – one that also recognizes the need to ensure patient safety and comfort – you'll enjoy an extremely competitive compensation and benefits package.  We are an equal opportunity employer and seek diversity in our workforce.   EOE M/F/D/V

6557 Greenleaf Ave.



FLSA Status

Zip Code
Apply Now

Recent Jobs

Don't see your dream job posted? Please set a job alert and you will be notified when a position becomes available.

Areas of InterestSearch for a category and select one from the list of suggestions. Select a location from the list of options. Finally, click “Add” to create your job alert.

  • Billing and Coding, Whittier, California, United StatesRemove

Recruitment Fraud Alert

PIH Health is aware of a scam involving cybercriminals using the PIH Health logo and likeness in fake job posting. PIH Health will never request banking information, or any other financial information from job candidates. If you are suspicious of a PIH Health job postings on any online recruitment site please contact the PIH Health Human Resources Department at 562.698.0811, Ext. 12483 to verify the legitimacy of the job posting. You can also file a report with the FBI’s Internet Crime Complaint Center at