Medical Claims AnalystBookmark This
Monterey Park, CA
DescriptionMedical Claims Analyst WANTED for a Medical Provider near Alhambra. The Medical Claims Analyst must be able to analyzing and adjudicating medical claims. The Medical Claims Analyst performs payment reconciliations and/or adjustments related to retroactive contract rate and fee schedule changes. The Medical Claims Analyst must be able to resolve claims payment issues as presented through Provider Dispute Resolution process and/or Customer Service Inquiry Module. The Medical Claims Analyst identifies root causes of claims payment errors and reports to Management. This candidate must be able to handle provider inquiries/calls related to claims payments. Generates and develop reports which include but not limited to root causes of Provider Dispute Resolution process and/or Customer Service Inquiry Module. Collaborates with other departments and/or providers in successful resolution of claims related issues.
Medical Claims Analyst MUST have experience in ether Health Plan, Managed Care, or IPA experience
Selected candidates are offered medical and dental insurance. 401K retirement savings, holiday and bonus pay.
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