Claims Processor II Job

CLAIMS PROCESSOR II needed for a CONTRACT JOB opportunity with Yoh's client located in San Diego, CA.

THE BIG PICTURE - TOP SKILLS SHOULD YOU POSSESS:

- Claims Processing
- Examine and process claims from the UB04 and CMS-1500 claim forms into the claims adjudication system for all capitated and shared services accounts

WHAT YOU'LL BE DOING:

- Processing UB04 claims per APR-DRG pricing calculations
- Reviewing/analysing/processing claim appeals
- Determining claims risk and analyze claims for payment necessity and limitations per company policy

WHAT YOU NEED TO BRING TO THE TABLE:

- Best qualified candidate will have two to three (2-3) years experience dealing with accurate review, input and adjudication of claims using common practice techniques

BONUS POINTS! OTHERWISE KNOWN AS PREFERRED QUALIFICATIONS:

- Claims Processor II two to three (2-3) years experience

WHAT'S IN IT FOR YOU?

- This role will definitely add more overall nursing experience, working in an environment where you will gain the valuable experience dealing with a client who is well known and offers a terrific work atmosphere. There will be a High degree of respect and value placed on the individual who will be selected for this role.

OPPORTUNITY IS CALLING, APPLY NOW!

RECRUITER: Daniel Kelly

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.

J2W: HC

MONJOB J2WNEHLTH

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SFSF: HC