Robert Half International Claims Team Member in Roseville, California

Description

Medical Claims Specialist

Accountemps has an immediate opportunity for a medical claims specialist who has experience working within a health insurance organization. If you're detail oriented with excellent verbal and written communication skills, we'd love to hear from you. Contact us today.

Your responsibilities in this role:

  • Adjudicating claims using standard principles and state specific policies and regulations

  • Identifying errors in the coding and billing process, abuse and fraudulent billing practices, waste and provider overpayments

  • Answering provider questions regarding reimbursement

  • Meeting department quality and productivity metrics

Qualifications that we're looking for:

  • At least 1 year of healthcare experience required preferably with a health insurance organization

  • High School diploma required

  • Demonstrated flexibility to adapt to changes in procedures and job assignments

  • Possess strong organizational and follow-up skills

  • Strong technical skills including proficiency with MS Office

  • Strong knowledge of explanation of benefits (EOBs)

About Accountemps

Accountemps Healthcare Practice matches highly skilled professionals with accounting finance jobs at the best companies on a temporary and temporary-to-hire basis. Our mission is to provide you with a rewarding finance or accounting job that is well matched to your professional skills ? helping you to advance in your career. Our experience, combined with the resources of our worldwide network of offices, makes Accountemps Healthcare Practice a great resource for your career. We offer excellent opportunities to find temporary accounting and finance jobs for all experience levels. From accounting clerks and bookkeepers to accounts payable and staff accountants, we provide access to a variety of accounting jobs across industries.

Requirements

Duties:

  • Performs all billing and follow-up functions including the investigation of payment delays resulting from pended claims with the objective of receiving appropriate reimbursement based upon services delivered and ensuring that the claim is paid/settled in the timeliest manner possible

  • Applies knowledge of specific payer billing/payment rules, managed care contracts, reimbursement schedules, eligible provider information and other available data in order to research payment variances make corrections and take appropriate corrective actions

  • Submits 3rd party claims and patient statements including the maintenance of bill holds and the correction of errors in an effort to provide timely accurate billing services

  • Edits technical (UB-04) claim forms within the patient accounting system and external Claims Scrubber using proper data element instructions for each payer applying principles of coordination of benefits and ensuring that correct diagnosis and procedure codes are utilized

  • Researches claim rejections making corrections taking corrective actions and/or referring claims to appropriate staff members for follow through to ensure timely claim resolutions.

  • Adapts to learning new processes concepts and skills

  • Seeks and responds to regular performance feedback from team lead; provides upward feedback as needed

Accountemps matches highly skilled professionals with accounting finance jobs at the best companies on a temporary and temporary-to-hire basis. Our mission is to provide you with a rewarding finance or accounting job that is well matched to your professional skills – helping you to advance in your career. Our experience, combined with the resources of our worldwide network of offices, makes Accountemps a great resource for your career. We offer excellent opportunities to find temporary accounting and finance jobs for all experience levels. From accounting clerks and bookkeepers to accounts payable and staff accountants, we can provide you unparalleled access to exciting career opportunities. But don't take our word for it. Our company has appeared on Fortune® magazine's list of "World's Most Admired Companies" since 1998, and 9 out of 10 of our customers would recommend our service to a colleague.

Contact your local Accountemps office at 888-490-3195 or visit www.accountemps.com to apply for this job now or find out more about other job opportunities.

All applicants applying for U.S. job openings must be authorized to work in the United States. Robert Half will consider qualified applicants with criminal histories in a manner consistent with the requirements of the San Francisco Fair Chance Ordinance.

© 2019 Accountemps. An Equal Opportunity Employer M/F/Disability/Veterans

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Salary: $13.30 - 15.40/hr

Location: Roseville, CA

Date Posted: March 15, 2019

Employment Type: Temporary

Job Reference: 00393-0010898686

Staffing Area: Temporary Accounting & Finance