Medical Claims Examiner at Roth Staffing Companies in El Monte, California

Posted in Other 18 days ago.





Job Description:

Job Title: Medical Claims Examiner


Location: El Monte, CA


Job Type: Temporary (3-Month Project)


Pay Rate: $24/hour


Schedule: Monday - Friday, 8:30 AM - 4:30 PM



Overview:

We are seeking three Medical Claims Examiners to assist with an increased workload for a three-month project. This role requires candidates with prior experience processing medical or hospital claims (HMO and PPO). Dental claims experience is also highly valued.



Responsibilities:



Review and assess submitted claims for accuracy and completeness, ensuring all required documentation is provided.
Verify compliance with insurance policies, guidelines, and regulations, confirming eligibility and coverage.
Investigate discrepancies or issues related to claims by contacting healthcare providers, policyholders, or other relevant parties.
Determine claim outcomes, including approvals, denials, or adjustments, based on thorough evaluations and criteria.
Accurately input claim information into databases and maintain detailed records of claim statuses and resolutions.



Requirements:



Previous experience in medical or hospital claims processing (HMO/PPO preferred).
Familiarity with dental claims is a plus.
Strong attention to detail and excellent organizational skills.
Effective communication and problem-solving abilities.
Proficiency with claim management systems and database entry.



Additional Information:



Start Date: Immediately (This week)
Interviews: Virtual interviews
Parking: Open lot provided ( Fully onsite role)


Join a dedicated team working to support critical medical claims processing. Email me today -


All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, and Los Angeles County Fair Chance Ordinance. For unincorporated Los Angeles county, to the extent our customers require a background check for certain positions, the Company faces a significant risk to its business operations and business reputation unless a review of criminal history is conducted for those specific job positions.


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