What are the responsibilities and job description for the Claims Processor position at PRIDE Health?
Pride Health is hiring for a Claims Processor to support our client’s healthcare organization in Whittier, CA . This is a 3 month contract opportunity (POTENTIAL CONTRACT TO HIRE)
Schedule: Monday- Friday, 8am – 5pm (40 hours/week)
Duties:
- The claims examiner reports directly to the claims manager. They are primarily responsible for the processing functions (operation, adjudication, and payment) of UB-92 and HCFA-1500 claims that are received from PHP affiliated medical groups and hospitals for HMO patients.
- Knowledge and understanding of timeliness and payment accuracy guidelines for commercial, senior and Medi-Cal claims
- Knowledge of compliance issues as they relate to claims processing
- Experience in interpreting provider contract reimbursement terms desirable
Qualifications
- High school graduate or equivalent required
- Minimum of 2 years claims related experience in ambulatory, acute care hospital, HMO, or IPA environment.
Pay Range: $27-28/hour
*Pay offered will be based on experience, expertise and education.
#CB
Rate/Salary:
Salary : $27 - $0
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