Claims Examiner I Job

CLAIMS EXAMINER needed for a CONTRACT opportunity with Yoh's client located in Arcadia, CA.

Top Skills You Should Possess:
- Claims
- ICD-9, ICD-10
- Healthcare Coding

What You'll Be Doing:
- Accurately process institutional (hospital) claims.
- Accurately process claims billed on UB04 Claim form.
- Maintaining/meeting compliance time-frames.
- Responsible for editing and adjudicating claims.
- Analyze claims to ensure accurate billing and payment.
- Interpret contracts and fee schedules.
- Meet department accuracy and production standards.
- Interface with other departments to obtain necessary information required for resolution of claims.

What You Need to Bring to the Table:
- UB Claim form
- CPT, ICD-9, ICD-10 Volumes 1,2,3 and HCPCS coding
- Revenue centers associated with billing
- Hospital, ambulatory surgery center, home health, skilled nursing and dialysis claims
- Division of Financial Responsibilities (DOFR)
- Understanding of Stop Loss

WHAT ARE YOU WAITING FOR? APPLY NOW!

RECRUITER: David Washko

Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer, M/F/D/V. Contact us if you are an individual with a disability and require accommodation in the application process.

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