What are the responsibilities and job description for the Claims - Health Plan, Ontario, California position at TotalMed?
We are seeking a Health Plan Claims for an assignment in Ontario California. responsible for the intake processing and triage of all initial claim documents in a high volume environment. This includes but is not limited to referral processing, obtaining required documents, medical records sorting and processing, preparing payment calculations, preparing the claim for a Nurse review, apply all Nurse findings to the claim, prepare and send reports, prepare and send provider packets.
The focus of our health plan clients is to improve the quality, accessibility, and affordability of care that they can provide to their members. They do this by hiring the best and brightest personnel to help the health plan fulfill their mission of improving member outcomes. At TotalMed, our aim is to be the last company you ever work with. We prove it, too, with the highest compensation, first day medical benefits, a best in industry 401(K) retirement plan, and fiduciary services offered through Creative Planning. You will have low fee, low cost funds such as Vanguard and a variety of other investment selections that will help you reach financial security and ultimately, financial freedom! We don’t just deliver a dream for your assignment, we want you to live your dream without the need to work!
With TotalMed, you’ll always have your next assignment planned, too. You shouldn’t have to work so hard at finding your next assignment and our team is here to make it easy for you.
