Claims Processor

3 weeks ago

Santa Fe Springs, United States Managed Staffing Full time
*Duties:*
- Review and analyze insurance claims to determine their validity and accuracy
- Verify insurance coverage and eligibility for claims
- 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.

*Qualifications:*
- Previous experience in claims processing or medical billing is preferred
- Familiarity with Medicare, workers compensation laws, and insurance verification processes
- ADJUDICATION related experience in ambulatory, acute care hospital, HMO, or IPA environment

*Pay Rate: $31.17/Hourly*

Job Type: Contract

Pay: $29.49 - $31.17 per hour

Work setting:
* In-person

Experience:
* Insurance verification: 1 year (Required)
* Claims processing: 1 year (Required)

Ability to Commute:
* Santa Fe Springs, CA 90670 (Preferred)

Ability to Relocate:
* Santa Fe Springs, CA 90670: Relocate before starting work (Preferred)

Work Location: In person

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