Sr. Claims Examiner

Long Beach, CA | Full time

Job ID: [CE] Industry: Healthcare Pay Rate: $19

The Sr. Claims Examiner is responsible for meeting established department and company guidelines to process non-contracted and contracted provider claims.

How you will make a difference:

  • Sr. Claims Examiner will identify the appropriate outcomes for claim payment, or denial
  • Accurately enter coding information for claims ineligibility
  • Sr. Claims Examiner will determine level of reimbursement
  • Adhere to department quality and productivity standards

Department Requirements:

  • Software: MS Office Outlook, and accurate date entry
  • Knowledge of health care benefits structures and insurance procedures
  • Sr. Claims Examiner will have knowledge of Medicare and Medicaid sites
  • Knowledge of coding: CPT4, ICD9, DRG, and HCPSC
  • Education: Associate’s degree, or equivalent work experience

Must be willing to submit a background, application, and online assessments.

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