Skip navigation
Unable to save this job. Please try again later.


Email this Job to Yourself or a Friend

To begin the application process, please enter your email address.

Company Contact Info

Already have an account?

Sign in to apply with your saved resumes.

New to CareerBuilder?

Don't have an account? Continue as a guest!

Sorry, we cannot save or unsave this job right now.

Report this Job

Trust and Site Security Team.

Don't miss out on new jobs!

Get the latest Sr. Claims Representative jobs in Anaheim, CA delivered directly to your inbox. You can unsubscribe at any time.

Saving Your Job Alert

Job Alert Saved!

Could not save Job Alert!

You have too many Job Alerts!

This email address has reached the maximum of 5 email alerts. To create a new alert, you will need to log into your email and unsubscribe from at least one.

Sign Up

or   Sign In Here
Password Must Contain
8 to 15 characters
1 uppercase letter
1 number or symbol
1 lowercase letter
Create an Account with CareerBuilder to save jobs & unlock these great features
See similar job titles and skills to help you make your next move
Upload a resume and become visible to Hiring Managers and Employers
Compare Salary Information to see where you stand amongst your peers
Easily Quick Apply to jobs with just one click!

Email Send Failed!

Sr. Claims Representative

Medix • Anaheim, CA

Posted 1 month ago

Job Snapshot

Degree - High School
Healthcare - Health Services
Health Care

Job Competition



How Do You Compare to the Competition?

Get facts about other applicants with a CareerBuilder Account

Job Description

  • Manages and determines the flow of claims payment paperwork. Audits processed claims ready for payment to determine any necessary adjustments. (20%)

  • Establishes and maintains monthly check production schedule and coordinates holiday exceptions. (10%)

  • Manages cash flow management and communicates any unusual cash requirements based on processed claims. (5%)

  • Responsible for producing reports provided to network finance departments following each check run. (10%)

  • Prepares checks and EOB's for check signature and is responsible to obtain a physical signature where needed. Oversees preparation of signed checks to comply with timely mailing. (20%)

  • Audits and processes manual checks as requested. (10%)

  • Responsible for monthly closing of books and network reconciliation issues. Forwards final report to networks for review. (5%)

  • Processes refund withholds as appropriate and monitors vendor cash flow, deducting appropriate overpayments from providers when requested by Revenue Recovery. Responsible for posting refunds in IDX, requiring extensive knowledge of IDX and claims adjudication. (15%)

  • Responsible to oversee IDX check run process, which includes Electronic Funds Transfer (EFT), identifies and resolves issues in IDX Globals (tables and fields) and to present the issues to Perot as applicable. Test system on issues and works with Perot to resolve. (5%)


  • Ability to process 100 UB04 Commercial and Sr. HMO claims daily, while maintaining a 95% accuracy rate.

Job Requirements

2 + Years in Managed Care setting 1+ Years of claims processing/examining experience within hospital setting - need experience with manually processing UBO4 claims Computer Savvy (Excel and other Microsoft Office products) High School Diploma or GED Must know how and when to manually price a claim
Job ID: 82002
Help us improve CareerBuilder by providing feedback about this job: Report this Job.
For your privacy and protection, when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. Learn more.
By applying to a job using CareerBuilder you are agreeing to comply with and be subject to the CareerBuilder Terms and Conditions for use of our website. To use our website, you must agree with the Terms and Conditions and both meet and comply with their provisions.
Don't miss out on new jobs like this
Get the latest jobs delivered to your inbox. Unsubscribe at any time.

Saving Your Job Alert

Job Alert Created

Well, this is embarrassing. We are having trouble saving your search. You can try again or come back at a later time.

Maximum Email Alerts

This email address has reached the maximum of 5 email alerts. To create a new alert, you will need to log into your email and unsubscribe from at least one.