Claims Processor
Modis

Ontario, California

Posted in Engineering
about 1 month ago


This job has expired.

Job Info


Adecco is currently assisting a local client in their search to fill a Claims Processor position in Ontario, CA! Apply now if you meet the qualifications listed below! Please make sure to read the job description before applying.

Estimated start date is - ASAP

Monday-Friday - 7:00A-3:30P

$25.50 per hour - paid weekly

Responsibilities:
• Analyze professional claims to determine claims payment
• Review authorizations
• Understand Provider contract
• Apply claim reductions and denials as based on industry standard guidelines utilizing information displayed on each claim through CES review
• Monitor Error Queues and Denial queues for error corrections
• Seek assistance with claim questions through the Claims Trainer, Team Lead and Team Supervisor
• Apply proper benefit application based on service rendered
• Be able to determine where capitated payment applies versus fee for service

Required Qualifications:
• High School Diploma/Equivalent
• Knowledge of ICD-10 diagnosis codes and CPT-4 procedure coding
• Knowledge of CMS-1500 claim form - Required
• Microsoft Office knowledge
• Crystal Reports, preferred
• Xcelys claims processing system, preferred

IMPORTANT: The Claims Processor positions are being recruited for by Adecco's National Recruitment Center, not your local Adecco Branch Office. To be considered for this position, you must use the "Apply with Adecco" button to submit your resume.
The Adecco Group is a global leader in HR services. Our group connects over 700,000 associates with our business clients each day through our 6,600 offices in over 70 countries and territories around the world. We offer employment opportunities at any stage in your professional career. Contact us today to discuss available contract and direct hire positions. Adecco Group provides one of the most comprehensive benefits packages in the industry to contract workers to include Holiday, 401(k), Insurance Benefit Plans

Equal Opportunity Employer Minorities/Women/Veterans/Disabled

Equal Opportunity Employer/Veterans/Disabled

To read our Candidate Privacy Information Statement, which explains how we will use your information, please

The Company will consider qualified applicants with arrest and conviction records


This job has expired.

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