Job Detail

Claims Adjuster - CMF - Corona, CA 92879 - Medical Billing & Coding

Date Posted: Dec 13, 2021

Job Description

Urgently hiring

Job details

$40,000 - $60,000 a year
Job Type
Number of hires for this role


    • High school or equivalent (Preferred)

Pulled from the full job description
Health insurance
Dental insurance
Paid time off

Full Job Description

Job Summary

Claims adjuster level 1 , to ensure accuracy of claims records and payments in a fast-paced environment with the opportunity for growth.

Responsibilities: will include review and processing of claims, determining eligibility and claims inquiry. must meet and/or exceed qualitative and quantitative production standards. minimum 4 years medical claims experiences, knowledge of Medicare policies CPT/ICD-10 coding, Medical terminology and diagnosis Medicare fees schedule Radiology/Radiation, Labs, DME, AMB, physicians, injections strong PC skills analytical data entry and typing.

Job Duties:

  • Review aging daily (professional HFCA)
  • Read and interpret DOFR and Contracts
  • Read and interpret EOC
  • Production of 150 claims and 10 appeals
  • other duties as assigned by the Supervisor
  • develop claims
  • process and pay claims EOB, Labs and x-ray


  • 4 years managed care experience , including medical and/or hospital claims payment and/or billing required; certified preferred
  • knowledge of general office equipment
  • ability to deal with stress gracefully
  • ability to work well both independently and with others in a team environment
  • detailed oriented with the ability to follow directions
  • cooperative team spirited attitude positive attitude
  • Medicare and Medical claims guidelines

Job Type: Full-time

Pay: $40,000.00 - $60,000.00 per year


  • 401(k)
  • Dental insurance
  • Health insurance
  • Paid time off

Physical Setting:

  • Office


  • 8 hour shift
  • Monday to Friday

COVID-19 considerations:
Must be fully vaccinated and provide proof of vaccine


  • High school or equivalent (Preferred)

Work Location: One location

Related Jobs

Job Detail