Bilingual Medical Claims Examiner Job at Albion Staffing
Our client is currently seeking to hire a bilingual (Spanish/English) experienced claims examiner.
*
Must have fluency with reading, writing and speaking Spanish/English due to population of patients and providers on staff
*
Must be fluent with processing adjudication of claims.
*
Ability to understand and manually calculate all types of claims pricing (Medicaid, Medicare, and UCR - Usual, Customary and Reasonable, etc.)
*
Identifies inappropriate or questionable claims and refers to Claims Analysts for review.
*
Researches all complex claims, disputes and appeals thoroughly to make accurate payment decisions in a timely manner with input from the Claims Analysts for quality assurance.
*
Reviews claims based on coverage benefits, coding guidelines, medical review determination, billing discrepancies and cost containment measures.
*
Thorough knowledge of coding structures (CPT, HCPCS, Revenue codes, ICD10, DRG etc.)
They pay 100% of health insurance after 60 days
4 personal days (1 per quarter)
7 holidays
6 sick days per year and they can be carried over to the next year vacation cannot
2 weeks vacation after first year
401K with a 3.5% match
They also provide uniforms
Please Note :
caminobluff.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, caminobluff.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.
*
Must have fluency with reading, writing and speaking Spanish/English due to population of patients and providers on staff
*
Must be fluent with processing adjudication of claims.
*
Ability to understand and manually calculate all types of claims pricing (Medicaid, Medicare, and UCR - Usual, Customary and Reasonable, etc.)
*
Identifies inappropriate or questionable claims and refers to Claims Analysts for review.
*
Researches all complex claims, disputes and appeals thoroughly to make accurate payment decisions in a timely manner with input from the Claims Analysts for quality assurance.
*
Reviews claims based on coverage benefits, coding guidelines, medical review determination, billing discrepancies and cost containment measures.
*
Thorough knowledge of coding structures (CPT, HCPCS, Revenue codes, ICD10, DRG etc.)
- Direct Hire Permanent Opportunity
They pay 100% of health insurance after 60 days
4 personal days (1 per quarter)
7 holidays
6 sick days per year and they can be carried over to the next year vacation cannot
2 weeks vacation after first year
401K with a 3.5% match
They also provide uniforms
Please Note :
caminobluff.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, caminobluff.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.