Managed Care Claims Adjudicator

Healthcare Support Staffing; San Fernando (CA); On-site; USD 50,000 - 70,000; Full time

Job summary

A leading healthcare staffing firm in San Fernando, CA is seeking an experienced Claims Examiner to join their team. This role requires 1-3 years of experience in processing managed care health claims, with responsibilities including analyzing claims, reviewing authorizations, and ensuring accurate data entry. If you have an understanding of health & managed care concepts and strong knowledge of coding schemes, this opportunity is for you. Join a prestigious company and advance your career in the healthcare industry.

Qualifications

• 1-3+ years of experience processing managed care health claims.
• Ability to type 40-45 wpm.
• Excellent understanding of health & managed care concepts.

Responsibilities

• Analyze professional & hospital claims for accuracy according to set standards.
• Review authorization & adjudicate claims accordingly.
• Accurate input of data for claims adjudication.

Skills

Managed Care claims experience

Understanding of health & managed care concepts

Knowledge of ICD9 CM, CPT, HCPCS coding

Medical terminology

Job description

A leading healthcare staffing firm in San Fernando, CA is seeking an experienced Claims Examiner to join their team. This role requires 1-3 years of experience in processing managed care health claims, with responsibilities including analyzing claims, reviewing authorizations, and ensuring accurate data entry. If you have an understanding of health & managed care concepts and strong knowledge of coding schemes, this opportunity is for you. Join a prestigious company and advance your career in the healthcare industry.