Medical Insurance Payment Specialist

7 days ago


Los Angeles, California, United States Helpmates Full time
Medical Insurance Payment Reviewer

We are seeking a detail-oriented professional to join our team as a Medical Insurance Payment Reviewer. This is a temporary, on-site position in the Cerritos area, covering for a medical leave.

Key Responsibilities:

  • Review and analyze insurance payments against contracts to ensure accuracy and compliance.
  • Identify and document discrepancies, including potential overpayments.
  • Collaborate with the billing and collections team to address any identified issues.
  • Ensure compliance with insurance regulations and contractual obligations.
  • Prepare reports on payment discrepancies and trends for management review.
  • Assist in issuing refunds for overpayments as necessary.
  • Maintain organized records of all reviews and communications related to payment analysis.

Requirements:

  • Previous experience in insurance claims, claims auditing, medical billing, or medical collections.
  • 4-5 years in the Insurance or Medical field.
  • Strong analytical skills with a keen eye for detail.
  • Ability to interpret contracts and understand complex payment structures.
  • Excellent organizational and communication skills.
  • Proficient in relevant software or systems.

About Helpmates:

Helpmates is a leading provider of temporary and permanent staffing solutions. We are committed to delivering exceptional service and supporting our clients' success.


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