Claims Examiner

healthcaresupportstaffing1
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📍 CA📍 Monterey Park📍 Monterey Park, CA, United States📍 us

About this role

Company Description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Intro:


Are you an experienced Claims Examiner looking for a new opportunity with a prestigious healthcare company? Do you have claims adjudication or facility claims experience in healthcare? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions – this is the position for you!


Daily Responsibilities:

Conducts claims payment analyses to identify root cause of claims issues/deficiencies.

Adjudicates medical claims

Verifies patient account, eligibility, benefits and authorizations.

Prioritizes assigned claims according to regulatory timelines.

Requests additional information for incomplete or unclean claims; follows up with provider as necessary.

Runs claims report to adjudicate adjustments due to retroactive effective date of contract or fee schedule changes.

Corresponds with IPAs/Medical Groups regarding misdirected claims.

Qualifications

Requirements:


2-5 years medical claims examining experience,

Minimum typing speed of 45 WPM and use of Ten-Key by touch

Knowledge of ICD9-CM, HCPCS level II and III, CPT, and revenue Codes, DRG and APC coding a plus

Knowledge of different payment methodologies such as Medi-Cal, RBRVS, DRG and other Medicare reimbursements

Additional Information

If you are interested, PLEASE CONTACT Tyler AT 407-478-0332 EXT 117


Frequently Asked Questions

Is the salary disclosed for the Claims Examiner position at healthcaresupportstaffing1?
The salary for this Claims Examiner role at healthcaresupportstaffing1 is not publicly listed. Click "Apply Now" to learn more about the compensation package on their official careers page.
Where is the Claims Examiner position at healthcaresupportstaffing1 located?
This Claims Examiner role at healthcaresupportstaffing1 is based in CA, Monterey Park, Monterey Park, CA, United States, us. The position is listed as on-site or hybrid. Check the full job description or apply directly to confirm the work arrangement.
How do I apply for the Claims Examiner position at healthcaresupportstaffing1?
Click the "Apply Now" button on this page. You will be redirected to healthcaresupportstaffing1's official application portal hosted on smartrecruiters where you can submit your application directly.
When was the Claims Examiner job at healthcaresupportstaffing1 posted?
This Claims Examiner position at healthcaresupportstaffing1 was posted on Aug 11, 2015. Apply as soon as possible — early applications are often reviewed first.
Claims Examiner
healthcaresupportstaffing1
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