Claims Resolution Specialist at The Judge Group Inc. in Orange, California

Posted in Other 16 days ago.





Job Description:

Location: Orange, CA

Salary: $24.00 USD Hourly - $35.00 USD Hourly

Description:

Judge Healthcare is currently seeking Claims Resolution Specialist in Orange, CA!!




Contract: 6+ months



Hours: Monday-Friday, business hours



Location: On-site (Orange, CA)



Summary:



The Claims Resolution Specialist will be the first line of contact for providers. The incumbent will assist providers with questions related to the payment of claims and resolution of claims payment issues.



Job Responsibilities:





  • Responds and researches issues on provider questions regarding claims payments, denials, resolves claim issues, contractual and/or Client's Health agreements, established payment methodologies, division of financial responsibility, applicable regulatory legislation, claims processing guidelines and company policies and procedures.



Qualifications & Requirements:

  • High School Diploma or equivalent.

  • 2+ years claims experience required.

  • 1+ year of call center experience with high call volumes

  • Experience in Health Maintenance Organization, Medicare, Medi-Cal/Medicaid


For immediate consideration email your resume to Brittany at bkirking@judge.com.



Contact: bkirking@judge.com


This job and many more are available through The Judge Group. Find us on the web at www.judge.com
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