California Licensed Claims Processor

A company is looking for a Temporary Claims Processor II. Key Responsibilities Process outpatient professional and institutional claims accurately and expediently Support the Claims Production Manager and Supervisor in achieving quality program goals Handle claims related to various medical services, including lab, radiology, and outpatient care Required Qualifications Minimum of two years of experience in adjudicating outpatient claims in an HMO or Managed Care setting Experience processing Medicare, Medi-Cal, or Commercial claims High school diploma or GED required Proficient in rate applications for Medi-Cal and/or Medicare pricers Knowledge of ICD-9 and CPT coding preferred

May 9, 2025 - 04:46
 0
California Licensed Claims Processor
A company is looking for a Temporary Claims Processor II. Key Responsibilities Process outpatient professional and institutional claims accurately and expediently Support the Claims Production Manager and Supervisor in achieving quality program goals Handle claims related to various medical services, including lab, radiology, and outpatient care Required Qualifications Minimum of two years of experience in adjudicating outpatient claims in an HMO or Managed Care setting Experience processing Medicare, Medi-Cal, or Commercial claims High school diploma or GED required Proficient in rate applications for Medi-Cal and/or Medicare pricers Knowledge of ICD-9 and CPT coding preferred