Hiring: Claims Examiner II Company: Partnership HealthPlan of California Location: Shasta County, CA Job Posted Time: 2026-09-10 07:38:56 About the job Experience: •Billing and/or claims examining experience in an automated •Effective written and oral communication skills. Good organization skills. •Knowledge of claims processing and/or Medi-Cal billing, CPT, and ICD10 knowledge preferred. •Demonstrated capacity to effectively exercise good judgement within scope of authority Required Skills: •Reviews, researches, and resolves pended claims for Medi-Cal types: medical, ancillary, •Long term care, CHDP, encounter data, other coverage, and batch claims within established •Production and quality standards. Completes claims from the Batch Error Report and Batch •Routes claims to appropriate Partnership departments and internal staff for additional review. •Follows up and completes claims once response to request has been received. •Follows established Partnership policies and procedures, Partnership Claims Operating Instruction •Memorandums, State of California Medi-Cal Provider Manual guidelines, Title 22 •Regulations, and CMS guidelines when resolving pended claims. Qualifications: •High school diploma or equivalent; minimum one (1) year in Medi-Cal •Special Skills, Licenses and •And handle sensitive issues with tact and diplomacy. Ability to stay 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!