Medical Claims Examiner

Ref ID:00670-9501416843
Classification:Claims Adjuster
Compensation:$15.00 to $20.00 per hour
Healthcare facility in the West Coachella Valley is seeking an experienced Medical Claims Examiner The Claims Examiner position is primarily responsible for the accurate and timely adjudication of paper and/or electronically. This person processes all claims and applicable claims correspondence in accordance with Medicare and Medi-Cal regulatory guidelines, contract provisions and established policies and procedures. Additionally, he/she is responsible for consistently meeting accuracy and productivity targets outlined in the department's performance standards. Job Qualifications: ?Minimum of 2 year medical claims payment experience in an HMO environment (i.e. MSO, IPA or health plan) ?Strong knowledge of Medicare and Medi-Cal managed care claims processing and compliance guidelines. ?Experience with CPT-4, ICD-9CM, ICD-10CM, RBRVS, ASA and HCPCS as well as in depth understanding of Medicare and Medi-Cal guidelines that apply to COB and Medicare Secondary Payer. ?Working knowledge of reimbursement methodologies of professional claims including injectable drugs. Must be detail-oriented, attentive, organized, and able to follow directions. ?Ability to work independently utilizing company established processes. ?Ability to meet deadlines and maintain department quality standards. ?Ability to interact well with providers calling regarding claim status. ?Ability to interact well with fellow employees and supervisors and be a team player. ?Strong work ethics and professionalism. ?Intermediate computer skills including Microsoft Word, Excel and Internet navigation.
Medical Claims Examiner Excel Heathcare
Accountemps matches highly skilled professionals with accounting finance jobs at the best companies on a temporary and temporary-to-hire basis. Our mission is to provide you with a rewarding finance or accounting job that is well matched to your professional skills ? helping you to advance in your career. Our experience, combined with the resources of our worldwide network of offices, makes Accountemps a great resource for your career. We offer excellent opportunities to find temporary accounting and finance jobs for all experience levels. From accounting clerks and bookkeepers to accounts payable and staff accountants, we can provide you unparalleled access to exciting career opportunities. But don't take our word for it. Our company has appeared on Fortune? magazine's list of "World's Most Admired Companies" since 1998, and 9 out of 10 of our customers would recommend our service to a colleague.
Contact your local Accountemps office at 888.670.5403 or visit www.accountemps.com to apply for this job now or find out more about other job opportunities.
All applicants applying for U.S. job openings must be authorized to work in the United States. All applicants applying for Canadian job openings must be authorized to work in Canada.
? 2018 Accountemps. An Equal Opportunity Employer M/F/Disability/Veterans
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