Claims Processor
1 month ago
Requirements:
- H.S Diploma, GED, or Equivalent
- 2 years of experience in claims processing required; 3 years preferred
- Knowledge of rules and regulatory guidelines of Medi-Cal/Medicaid claims processing
Shift/Hours: 5x8 Days (8am-5pm, Mon-Fri)
Length of Assignment: 3 to 6 months
Job Summary:
The primary purpose of this position is to examine & process claims from the UB04 and CMS-1500 claim forms into the claims adjudication system for all capitated & shared services accounts. This position is responsible for the accurate review, input & adjudication of claims using reasonable payment policies & methodologies that are consistent with & recognized by Health Plans, nationally recognized medical organizations, federal regulatory bodies & contractual obligations of the organization.
**Job Types**: Full-time, Contract
Pay: $25.00 per hour
Expected hours: 40 per week
**Benefits**:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
Work setting:
- In-person
**Experience**:
- Medi-Cal/Medicaid claims processing: 3 years (required)
- Claims Processing: 3 years (required)
Ability to Commute:
- San Diego, CA 92111 (preferred)
Ability to Relocate:
- San Diego, CA 92111: Relocate before starting work (required)
Work Location: In person
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