Job Detail

Job Posting Title: Temporary Claims Specialist II - Provider Claims
Assignment Length: Six Months
Shifts: Days
Education & Requirements

• Four (4) years of experience in a managed care environment in the area of claims processing; appeals & adjustments, and customer service, preferably in an HMO or Managed Care setting
• A thorough understanding of medical claim processing and customer service standards
• Medi-Cal/Medicare experience and prior experience in a lead role preferred
• High school diploma or GED required

Key Qualifications

• Must have a valid California Driver's license
• Understanding of claim appeal process, provider contracts, claim system functionality and medical claim processing practices
• Strong analytical and problem-solving skills
• Microsoft Office, Advanced Microsoft Excel
• Microcomputer skills, proficiency in Windows applications preferred
• Excellent oral and written communication skills
• Excellent communication and interpersonal skills
• Customer service skills and skilled in data entry required
• Typing a minimum of 45 wpm
• Ability to build successful relationships across the organization
• Professional demeanor and strong organization skills
• High degree of patience

Job Types: Full-time, Contract

Pay: $27.43 per hour

Expected hours: 40 per week

Experience:

• Medical Claims Specialist: 4 years (Required)

Work Location: Remote