Claims Examiner Level III/IPA Setting Job

CLAIMS EXAMINER LEVEL III in an IPA setting needed for a CONTRACT opportunity with Yoh's client located in Ontario, CA. PLEASE NOTE THIS IS NOT A REMOTE POSITION

Top Skills Should You Possess:
- Claims Examiner Level III Experience in an IPA Setting
- Have an understanding of Stop Loss

What You'll Be Doing:
- Responsible for editing and adjudicating Institutional claims
- Analyze claims to ensure accurate billing and payment
- Interpret contracts and fee schedules
- Process claims billed on UB04 Claim form

What You Need to Bring to the Table:
- Three to five (3-5) years of Institutional/Hospital Claims Experience in an IPA Setting
- Experienced in Hospital, Ambulatory Surgery Center, Home Health, Dialysis and Skilled Nursing
- Understanding of Stop Loss and Adjudication
- CPT, ICD-9 Volumes 1,2,3 and HCPCS coding
- Experience in UB04 Claim form
- Must be able to work in the Ontario, California location
- Hospital/Institutional medical claims including adjudication experience

OPPORTUNITY IS CALLING, APPLY NOW!

RECRUITER: Christine Mosessian

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

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