Claims Examiner

Posting ID : A1068474240
Date Posted : 2015-08-18
Category : Healthcare

Currently seeking Claims Examiners for a great opportunity in the West San Fernando Valley area!
If you are someone who loves the challenges of a fast-paced environment, are highly detail oriented, and have experience with hospital claims then this is an opportunity you don't want to miss the out on:

Some of the qualities and expectations for this role include:
Must be able to correctly evaluate financial responsibility and liability for claims submitted by both members and providers.
Accurate inputting of data is required for claims adjudication including: diagnostic and procedural coding, pricing schedules, member and provider identification, and all other associated information as necessary.
Must be able to process high volume of claims per day.
Must have an excellent understanding of health and managed care concepts and their application in the adjudication of claims.
Maintains and keeps the confidentiality of all files, documents and records that pertain to the operation of business.

Minimum Qualifications:
Must have hospital claims experience.
High School Diploma or GED Equivalent.
Ten Key by touch, type 40- 45 words per minute.
Correct and prompt adjudication of all claims.
Strong working knowledge of ICD.9.CM, CPT, HCPCS, RBRVS coding systems and medical terminology required.
EZ-Cap Software experience is a BIG PLUS!

If you know this is something you can do confidently and have great experience you want to bring to the table. . . then send your resume (Word or PDF) for immediate consideration!!!

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