What are the responsibilities and job description for the Medical Claims Examiner position at Fortuna?
Join our team at Fortuna as a Medical Claims Examiner Processor in Folsom, CA. With 3-5 years of experience in the employee benefits industry, you will be responsible for adjudicating medical claims, applying coordination of benefits, and ensuring accurate payment determinations. If you excel in a fast-paced environment and possess proficiency in ICD-10, CPT, and HCPCS codes, this role is perfect for you.
WHAT WE OFFER:
• Competitive pay rates: $20.00 - $26.00 per hour DOE
• Medical, Dental, and Vision benefits
• 401k with BRMS matching 100% up to 3%
• 10 paid Holidays
• Paid Time Off (PTO)
• Sick Time
WHAT YOU’LL DO:
• Adjudicate medical claims and apply coordination of benefits
• Work with providers to gather necessary documents for payment determination
• Utilize ICD-10, CPT, and HCPCS codes proficiently
• Ensure accuracy and compliance with plan guidelines
WHAT YOU’LL BRING:
• 3-5 years of experience in the employee benefits industry
• Proficiency in ICD-10, CPT, and HCPCS codes
• Strong attention to detail and accuracy
• Excellent communication and organizational skills
Fortuna BMC, founded in 2012, is a leader in business management consulting. With over 50 years of combined experience among its founders, Fortuna BMC is dedicated to excellence in client service. Join us in our mission to provide top-notch solutions to businesses worldwide. Learn more about us at gofortuna.com.
Salary : $20 - $26