Medical Insurance Payment Specialist
7 days ago
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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