Medical Claims Examiner
Roth Staffing Companies

Job Info

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We are seeking a detail-oriented Medical Claims Examiner to join our team. In this role, you will be responsible for reviewing and processing medical claims to ensure accuracy and compliance with insurance policies.

Your key responsibilities will include:

Assessing submitted claims for accuracy and completeness, identifying any missing information and ensuring all required documentation is provided.
Ensuring claims comply with insurance policies, guidelines, and regulations by verifying eligibility and coverage details.
Investigating discrepancies or issues related to claims by contacting healthcare providers, policyholders, or other relevant parties as necessary.
Making determinations on claims, including approvals, denials, or adjustments, based on thorough evaluation and established criteria.
Accurately entering claim information into databases and maintaining detailed records of claim statuses and decisions.

Qualifications:

Strong attention to detail and analytical skills.
Knowledge of medical billing and insurance processes.
Excellent communication skills for interacting with healthcare providers and clients.
Ability to work independently and handle multiple tasks effectively.

Job Title: Medical Claims Examiner
Location: El Monte, CA 91731
Duration: 3-6 month contract
Salary: $21-24/hour
Hours: Monday - Friday, 8:30 AM - 4:30 PM - Fully onsite

If you are looking for a rewarding opportunity in the medical claims field, we encourage you to apply!

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.

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