Insurance Claims Specialist

3 weeks ago


San Diego, California, United States Rady Children's Hospital San Diego Full time

We are seeking an experienced Insurance Claims Specialist to join our team at Rady Children's Hospital San Diego.

This key role involves supporting relationships with members, providers, and health plans by providing timely, courteous resolution of issues and friendly answers to questions.

Key Responsibilities:

  • Answering calls from provider offices and members of the medical group
  • Performing PCP assignment updates
  • Providing or scheduling translation services
  • Data entry of authorization requests
  • Authorization processing
  • Researching and responding to provider calls regarding authorization or claim payment status
  • Any other questions they may have

Requirements:

  • High School graduate, GED, or Equivalent
  • 1 year of experience (Bachelor's degree considered in lieu of experience)
  • Excellent communication and interpersonal skills
  • Knowledge of medical terminology, ICD-10 codes, CPT Codes, HCPC Codes, Health Plan benefits, or claims
  • Previous experience in the health care field, such as hospital, medical group, health insurance, or other Risk Bearing Organization (RBO)

The salary range for this position is $21.00 to $28.88 per hour, commensurate with experience. Paid time off, health insurance, and opportunities for career growth and development are also included in the compensation package.

Join our dedicated team of professionals who share our commitment to delivering high-quality patient care and exceptional customer service. Apply now for this rewarding opportunity.



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