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Senior Claims Examiner, PIH Health Physicians, Full Time Day Shift

Apply Now Hospital Name PIH Health Physicians Location Whittier, California Job Type Full-Time/Regular Job ID 16138-977 Date posted 07/21/2022

PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Hospital - Whittier, PIH Health Hospital - Downey and PIH Health Good Samaritan Hospital, 27 outpatient medical locations, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, women’s health, urgent care and emergency services. The organization is recognized by Watson Health as one of the nation’s Top Hospitals, and College of Healthcare Information Management Executives (CHIME) as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. PIH Health is certified as a Great Place to Work TM. For more information, visit PIHHealth.org or follow us on Facebook, Twitter, or Instagram.

The Senior Claims Examiner administers health plan contracts by processing medical claims in an efficient, cost-effective, and timely manner meeting all required guidelines and performs adjustments as necessary.


Required Skills

  • Computer and 10-key skills by touch;
  • Knowledge of medical terminology, CPT/RBRVS/ICD-9 codes;
  • Full understanding of HMO & capitation concepts and Medicare guidelines;
  • Excellent communication skills;
  • Ability to work independently and function under time deadlines.

Required Experience

  • Must have a high school diploma or G.E.D.
  • Must have a minimum two (2) years medical claims processing experience

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

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  • Administrative, 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 IC3.gov.