Institutional Claims Examiner Job
Company Name:
Arca24.com
Salary period: Annual
Additional classifications: Medical/Hospital
Senior Institutional Claims Examiner needed for a Contract to Hire opportunity with Yoh's client located in Irvine, CA.
The Big Picture - Top Skills You Should Possess:
- Three to five (3 - 5) years of medical Institutional Claims experience in a Managed Care Setting
- Knowledge of EZ Cap Systems
- Experience with Ambulance, Home Health, DME and Skilled Nursing Claims
What You'll Be Doing:
- Determines level of reimbursement based on established criteria, provider contract, plan contract/DOFR
What You Need to Bring to the Table:
- High School Diploma
- Three to five (3 - 5) years medical Institutional Claims Experience in a Managed Care Setting
- Knowledge of AB1455, CMS, DMHC and DOHC
- Process Institutional Claims Experience that include: Ambulance, Home Health, DME, Skilled Nursing, Out Patient Surgery Facility
- Must have experience in processing Ambulance, Home Health, DME, Skilled Nursing, Out Patient Surgery Facility Claims
- Must have knowledge of EZ CAP Systems
- Intermediate skills in Excel, Word, and Outlook
- Ability to operate general office equipment, ie, copier, fax
- Knowledge of State and Federal regulations
- Working knowledge of CPT/HCPCS, ICD9 coding and medical terminology managed care industry
Opportunity is Calling, Apply Now!
Recruiter: Christine Torres
Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer, M/F/D/V. Click here to contact us if you are an individual with a disability and require accommodation in the application process.
J2W: HC; J2W: PROF
MONJOB
J2WSWHLTH
Ref:
SFSF: HCEstimated Salary: $20 to $28 per hour based on qualifications.
Arca24.com
Salary period: Annual
Additional classifications: Medical/Hospital
Senior Institutional Claims Examiner needed for a Contract to Hire opportunity with Yoh's client located in Irvine, CA.
The Big Picture - Top Skills You Should Possess:
- Three to five (3 - 5) years of medical Institutional Claims experience in a Managed Care Setting
- Knowledge of EZ Cap Systems
- Experience with Ambulance, Home Health, DME and Skilled Nursing Claims
What You'll Be Doing:
- Determines level of reimbursement based on established criteria, provider contract, plan contract/DOFR
What You Need to Bring to the Table:
- High School Diploma
- Three to five (3 - 5) years medical Institutional Claims Experience in a Managed Care Setting
- Knowledge of AB1455, CMS, DMHC and DOHC
- Process Institutional Claims Experience that include: Ambulance, Home Health, DME, Skilled Nursing, Out Patient Surgery Facility
- Must have experience in processing Ambulance, Home Health, DME, Skilled Nursing, Out Patient Surgery Facility Claims
- Must have knowledge of EZ CAP Systems
- Intermediate skills in Excel, Word, and Outlook
- Ability to operate general office equipment, ie, copier, fax
- Knowledge of State and Federal regulations
- Working knowledge of CPT/HCPCS, ICD9 coding and medical terminology managed care industry
Opportunity is Calling, Apply Now!
Recruiter: Christine Torres
Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer, M/F/D/V. Click here to contact us if you are an individual with a disability and require accommodation in the application process.
J2W: HC; J2W: PROF
MONJOB
J2WSWHLTH
Ref:
SFSF: HCEstimated Salary: $20 to $28 per hour based on qualifications.
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