Non-Clinical - Finance/Accounting - Claims Processor

San Diego, California


Employer: vTech Solution, Inc.
Industry: 
Salary: Competitive
Job type: Full-Time

Requirements:- H.S Diploma, GED, or Equivalent- 2 years of experience in claims processing required; 3 years preferred- Knowledge of rules and regulatory guidelines of Medi-Cal/Medicaid claims processingShift/Hours: 5x8 Days (8am-5pm, Mon-Fri)Length of Assignment: 3 to 6 monthsJob Summary: The primary purpose of this position is to examine & process claims from the UB04 and CMS-1500 claim forms into the claims adjudication system for all capitated & shared services accounts. This position is responsible for the accurate review, input & adjudication of claims using reasonable payment policies & methodologies that are consistent with & recognized by Health Plans, nationally recognized medical organizations, federal regulatory bodies & contractual obligations of the organization.

Created: 2024-06-24
Reference: VTJC-145913
Country: United States
State: California
City: San Diego
ZIP: 92109


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