Claims Examiner I
Foundation for Medical Care of Tulare & Kings Counties, Inc.
Foundation for Medical Care of Tulare & Kings Counties, Inc.
Visalia, CA Visalia, CA Full-time Full-time $17.
50 - $19.
00 an hour $17.
50 - $19.
00 an hour 13 days ago 13 days ago 13 days ago Reporting to:
Operations Supervisor Overview:
Responsible for consistently and accurately adjudicating claims in accordance with policies, procedures and guidelines as outlined by company policy.
Process claims according to all CMS and DMHC guidelines.
Primary
Responsibilities:
1.
Provide expertise or general claims support by reviewing and processing claims 2.
Authorize appropriate payment or refer claims to leads or supervisors for further review 3.
Analyze and identify trends and provides reports as necessary 4.
Consistently meet established productivity, schedule adherence, and quality standards 5.
Provide excellent customer service 6.
Accurately process professional and hospital claims 7.
Analyze and adjudicate claims to ensure accurate payment 8.
Interfaces with other departments to obtain necessary information required for resolution of claims 9.
Advise management of any claim issues or inappropriate and/or incorrect billing 10.
Other duties assigned by management Required
Qualifications:
An education level of at least a high school diploma or GED Proficient experience with Word and Excel Preferred
Qualifications:
Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product Excellent Data Entry skills Job Type:
Full-time Shift/Time:
Monday-Friday, 8:
00AM-5:
00PM We offer a competitive compensation package, benefits package and a pleasant work environment.
Our current benefit package include, health insurance (medical, dental and vision), 401K, Life Insurance, Flexible Spending Account (medical and daycare), vacation, sick and holidays.
Work Remotely No Job Type:
Full-time Pay:
$17.
50 - $19.
00 per hour
Benefits:
401(k) 401(k) matching Dental insurance Health insurance Life insurance Paid time off Retirement plan Vision insurance Physical setting:
Office Schedule:
8 hour shift Education:
High school or equivalent (Preferred)
Experience:
Medical Claims Processing:
1 year (Preferred) Work Location:
In person.
Estimated Salary: $20 to $28 per hour based on qualifications.
Foundation for Medical Care of Tulare & Kings Counties, Inc.
Visalia, CA Visalia, CA Full-time Full-time $17.
50 - $19.
00 an hour $17.
50 - $19.
00 an hour 13 days ago 13 days ago 13 days ago Reporting to:
Operations Supervisor Overview:
Responsible for consistently and accurately adjudicating claims in accordance with policies, procedures and guidelines as outlined by company policy.
Process claims according to all CMS and DMHC guidelines.
Primary
Responsibilities:
1.
Provide expertise or general claims support by reviewing and processing claims 2.
Authorize appropriate payment or refer claims to leads or supervisors for further review 3.
Analyze and identify trends and provides reports as necessary 4.
Consistently meet established productivity, schedule adherence, and quality standards 5.
Provide excellent customer service 6.
Accurately process professional and hospital claims 7.
Analyze and adjudicate claims to ensure accurate payment 8.
Interfaces with other departments to obtain necessary information required for resolution of claims 9.
Advise management of any claim issues or inappropriate and/or incorrect billing 10.
Other duties assigned by management Required
Qualifications:
An education level of at least a high school diploma or GED Proficient experience with Word and Excel Preferred
Qualifications:
Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product Excellent Data Entry skills Job Type:
Full-time Shift/Time:
Monday-Friday, 8:
00AM-5:
00PM We offer a competitive compensation package, benefits package and a pleasant work environment.
Our current benefit package include, health insurance (medical, dental and vision), 401K, Life Insurance, Flexible Spending Account (medical and daycare), vacation, sick and holidays.
Work Remotely No Job Type:
Full-time Pay:
$17.
50 - $19.
00 per hour
Benefits:
401(k) 401(k) matching Dental insurance Health insurance Life insurance Paid time off Retirement plan Vision insurance Physical setting:
Office Schedule:
8 hour shift Education:
High school or equivalent (Preferred)
Experience:
Medical Claims Processing:
1 year (Preferred) Work Location:
In person.
Estimated Salary: $20 to $28 per hour based on qualifications.
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