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Medical Claims Examiner

Careerbuilder-US

This is a Full-time position in Los Angeles, CA posted July 15, 2021.

We are currently interviewing Medical Claims Examiner for our client, a busy healthcare and benefits provider for members of the entertainment industry. They provides vision, dental, psychiatric, medical and other healthcare benefits to members (and their dependents) of creative industries. They are known for far reaching efforts that contribute to the general health and well-being of all its members.

Career Strategies Inc is a national staffing firm that provides temporary and direct hire staffing services to outstanding firms located throughout the United States. For over 30 years, we have helped thousands of talented candidates find fulfilling careers in a variety of industries including technology, entertainment, marketing, real estate, finance and accounting.

About the Position:

Processing claims

Determining eligibility

Determining coverage of claims under health plan

Help determine deductible and calculate the percentages of coverage

Follow-up on pending claims

Work on projects as assigned

Act in accordance with all HIPAA guidelines

*This is not a comprehensive list of duties

Job Requirements:

About the Candidate:

Medical terminology, ICD10 and CPT codes knowledge (MUST)

Strong mathematical skills, especially with percentages (MUST)

Knowledge of plan benefits, group insurance and medicare principles (MUST)

3+ years experience in health claims processing (PLUS)

Detail oriented (MUST)

Personality and Characteristics: punctuality, “can-do” attitude, strong organizational skills, multi-tasker, interpersonal skills, team player, ability to prioritize, able to meet deadlines, able to work in fast paced environment, solid customer service skills

See more job opportunities with Career Strategies’ clients at www.csi4jobs.com!

Equal Opportunity Employer considering qualified applicants in accordance with applicable state and federal laws, including those with criminal histories, in a manner consistent with local Hiring Ordinance.