Hiring: Claims Customer Service Representative III Company: Partnership HealthPlan of California Location: Fairfield, CA Job Posted Time: 2026-09-03 07:38:56 About the job Experience: •Processing experience in an automated claim environment; or equivalent •Combination of education and experience. •Knowledge of CPT, HCPC procedure coding, and ICD-9 diagnostic •Coding. Knowledge of medical terminology. Ability to access coding •Reference guides for accurate information. Typing speed 30 wpm and Required Skills: •Research, resolve, and communicate outcome to providers on CIFs, claim tracers, and •General claim correspondence within established timeframes. •Participate in provider meetings to resolve claim issues. Along with Provider Relations •Staff, participate in quarterly provider focus group meetings and in-services. •Follow established Partnership policies and procedures, Partnership claims operating instruction •Memorandums, EDS provider manual guidelines, and Title 22 regulations when resolving •Claims and claim issues. Complete claim processing accurately within established •Enter, process, and resolve claims from all Partnership CIF claim types and in any form (paper or Qualifications: •High school diploma or equivalent. Minimum one (1) year of prior claims •Special Skills, Licenses and Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!