Claims Examiner
Company: Pacer Staffing
Location: Whittier
Posted on: March 22, 2026
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Job Description:
Job Description Job Position: Claims Examiner Location:
Whittier, CA Shift: 40 hours weekly (7 :00AM-4:30PM) Hourly Pay
Rate: $27/hr POSITION SUMMARY: The claims examiner reports directly
to the claims manager. They are 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. 2 YEARS EXPERIENCE
REQUIRED - MUST BE ABLE TO VERIFY HS DIPLOMA or GED or HIGHER
EDUCATION EDUCATION/EXPERIENCE/TRAINING: • High school graduate or
equivalent required. Must have physical proof on hand if background
check is unable to verify your education background. • Minimum of 2
years claims ADJUDICATION related experience in ambulatory, acute
care hospital, HMO, or IPA environment • Knowledge of payment
methodologies for: Professional (MD), Hospital, Skilled Nursing
Facilities, and Ancillary Services * Knowledge and understanding of
timeliness and payment accuracy guidelines for commercial, senior
and Medi-Cal claims * Knowledge of compliance issues as they relate
to claims processing • Experience in interpreting provider contract
reimbursement terms desirable • Ability to identify non-contracted
providers for Letter of Agreement consideration • Data entry
experience • Training on basic office automation and managed care
computer syste
Keywords: Pacer Staffing, Lake Elsinore , Claims Examiner, Administration, Clerical , Whittier, California
