Claims Resolution Specialist
The Judge Group Inc.

Job Info

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Location: Orange, CA
Salary: $24.00 USD Hourly - $35.00 USD Hourly
Description:
Judge Healthcare is currently seeking Claims Resolution Specialist in Orange, CA!!

Contract: 6+ months

Hours: Monday-Friday, business hours

Location: On-site (Orange, CA)

Summary:

The Claims Resolution Specialist will be the first line of contact for providers. The incumbent will assist providers with questions related to the payment of claims and resolution of claims payment issues.

Job Responsibilities:

• Responds and researches issues on provider questions regarding claims payments, denials, resolves claim issues, contractual and/or Client's Health agreements, established payment methodologies, division of financial responsibility, applicable regulatory legislation, claims processing guidelines and company policies and procedures.
  

Qualifications & Requirements:

• High School Diploma or equivalent.
• 2+ years claims experience required.
• 1+ year of call center experience with high call volumes
• Experience in Health Maintenance Organization, Medicare, Medi-Cal/Medicaid

For immediate consideration email your resume to Brittany at bkirking@judge.com.

Contact: bkirking@judge.com

This job and many more are available through The Judge Group. Find us on the web at www.judge.com

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