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Claims Processor II in an Acute Care Setting Job

Eingestellt von Yoh

Gesuchte Skills: Cms, Client

Projektbeschreibung

CLAIMS PROCESSOR LEVEL IIneeded for a FULL TIME/CONTRACT opportunity with Yoh's client located in SAN DIEGO, CA.

TOP SKILLS SHOULD YOU POSSESS:

- 2- 5 years of Claims Processing Experience in a Acute Care Setting
- Experience with UB04 and CMS-1500 claim forms
- Experience in processing Health Plan Claims

WHAT YOU'LL BE DOING:

- Examine and process claims from the UB04 and CMS-1500 claim forms
- Responsible for claims adjudication system for all capitated and shared services accounts
- Responsible for accurate review, input and adjudication of Managed Care claims using reasonable payment policies and methodologies

WHAT YOU NEED TO BRING TO THE TABLE:

- High School Diploma
- 2- 5 years processing/examining claims from UBO4 and CMS-1500 Claim Forms
- 2-4 years of Adjudication Claims in a Managed Care Experience
- Experience with reimbursement programs, including, County, State or federally-funded programs
- General knowledge of medical terminology
- Intermediate level use of MS Word, Excel and Outlook
- Bilingual in Spanish preferred
- Strong communication and interpersonal skills

OPPORTUNITY IS CALLING, APPLY NOW!

RECRUITER:Christine Torres

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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Ref:

SFSF: HC

Projektdetails

  • Einsatzort:

    San Diego, Vereinigte Staaten

  • Projektbeginn:

    asap

  • Projektdauer:

    Keine Angabe

  • Vertragsart:

    Contract

  • Berufserfahrung:

    Keine Angabe

Geforderte Qualifikationen

  • Kategorie:

    IT Entwicklung, Webentwicklung

  • Skills:

    cms, client

Yoh