Medical Claims Specialist - Full-Time Onsite

Medasource; Bakersfield (CA); On-site; USD 28,000 - 40,000; Full time

Benefits offered by this job

Free onsite parking

Dress code: Business casual or scrubs

Health screening and onboarding

Onsite interview

Job summary

Medasource is seeking a detail-oriented Medical Claims Processor to support a Bakersfield-based healthcare organization. The role focuses on reviewing, processing, and adjudicating medical claims to ensure correct reimbursement and adherence to billing guidelines.

Ideal candidates have 2–3 years in medical claims processing, healthcare billing, or claims administration, with strong analytical, organizational, and Microsoft Office skills to handle complex claims and respond to inquiries

Qualifications

• 2–3 years of relevant experience in medical claims processing, healthcare billing, or claims administration.
• High school diploma or GED required.
• Proficiency in Microsoft Office Suite, including Excel, Word, and Outlook.

Responsibilities

• Review, process, and adjudicate medical claims and billing submissions to determine payment or denial.
• Analyze claims for accuracy, completeness, and compliance with policies.
• Research claims and obtain supporting documentation for billing information.
• Identify discrepancies and make adjustments for accurate processing and reimbursement.
• Investigate and resolve billing discrepancies, payment issues, and denials.
• Respond to inquiries from providers, vendors, and members about claim status and outcomes.
• Maintain documentation of claims processing and resolutions.
• Collaborate with internal teams to improve claims processing efficiency.
• Utilize Microsoft Office applications and internal systems to manage claims data.

Skills

Analytical skills

Problem-solving

Organizational skills

Attention to detail

Education

High school diploma or GED

Tools

Microsoft Office Suite

Job description

Medasource is seeking a detail-oriented Medical Claims Processor to support a Bakersfield-based healthcare organization. The role focuses on reviewing, processing, and adjudicating medical claims to ensure correct reimbursement and adherence to billing guidelines.

Ideal candidates have 2–3 years in medical claims processing, healthcare billing, or claims administration, with strong analytical, organizational, and Microsoft Office skills to handle complex claims and respond to inquiries