Medical Claims Examiner PPO
Los Angeles, CA
$24.00 per hour
Experienced Medical Claims Representative/Examiner
High volume of cases.
Excellent computer skills
Job Title: Medical Claims Examiner
Job Description:
- Assess submitted claims for accuracy and completeness, checking for missing information and ensuring that all required documentation is provided.
- Ensure claims comply with insurance policies, guidelines, and regulations, verifying eligibility and coverage details.
- Investigate any discrepancies or issues related to claims, which may involve contacting healthcare providers, policyholders, or other relevant parties.
- Make determinations on claims, including approvals, denials, or adjustments, based on thorough evaluation and established criteria.
- Accurately enter claim information into databases and maintain detailed records of claim statuses and decisions.
Please send resume to:
Call direct: Carolyn (626) 389-1518
Desired Skills and Experience
Medical Claims Examiner PPO
Los Angeles, CA
$24.00 per hour
Experienced Medical Claims Representative/Examiner
High volume of cases.
Excellent computer skills
Job Title: Medical Claims Examiner
Job Description:
* Assess submitted claims for accuracy and completeness, checking for missing information and ensuring that all required documentation is provided.
* Ensure claims comply with insurance policies, guidelines, and regulations, verifying eligibility and coverage details.
* Investigate any discrepancies or issues related to claims, which may involve contacting healthcare providers, policyholders, or other relevant parties.
* Make determinations on claims, including approvals, denials, or adjustments, based on thorough evaluation and established criteria.
* Accurately enter claim information into databases and maintain detailed records of claim statuses and decisions.
Please send resume to: cdriedger@ultimatestaffing.com
Call direct: Carolyn (626) 389-1518
All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, and Los Angeles County Fair Chance Ordinance. For unincorporated Los Angeles county, to the extent our customers require a background check for certain positions, the Company faces a significant risk to its business operations and business reputation unless a review of criminal history is conducted for those specific job positions.
