Claims Processor - Whittier, United States - Intilify INC

Intilify INC

Verified Company

Whittier, United States

5 days ago

Posted by:

Mark Lane

beBee recruiter

Description

Job Title:
Claims processor

Job Locations:
Whittier, CA

Shift time:
Monday to Friday (7am to 3:30pm)

Contract duration: 13 weeks + possible extension

Guarantee hours: 40 hours

Payrate:
$30/hr on W2 without benefits

Start Date:

ASAP

Responsibilities:

The claims examiner reports directly to the claims manager.
They are primarily responsible for the processing functions (operation, adjudication, and payment) of UB92 and HCFA1500 claims that are received from PHP affiliated medical groups and hospitals for HMO patients

Minimum requirement:

Minimum of 2 years claims ADJUDICATION related experience in ambulatory, acute care hospital, HMO, or IPA environment
High school graduate or equivalent required. Must have physical proof on hand if background check is unable to verify your education background
Knowledge of payment methodologies for: Professional (MD), Hospital, Skilled Nursing Facilities, and Ancillary Services
Knowledge and understanding of timeliness and payment accuracy guidelines for commercial, senior and Medi-Cal claims
Knowledge of compliance issues as they relate to claims processing
Experience in interpreting provider contract reimbursement terms desirable
Ability to identify noncontracted providers for Letter of Agreement consideration
Data entry experience
Training on basic office automation and managed care computer systems
Covid card
2 professional references
Updated resume
Immunization and flu shots (if the position offered)