Medical Claims Adjudicator / Claims Processor

Required Level of Education: • High School• How many years of related experience are you looking for in your ideal candidate? 2-3 Years• Certifications needed: No• Remote Options (Fully Remote, Partially Remote, Client Onsite): Onsite• If Onsite (please note if the worker is onsite, they must be vaccinated before starting the role): Yes• Parking Situation: Parking Lot - Free parking• Dress Code: Business Casual or Scrubs• Office Location (if remote, please provide the Client Site address): CA-Bakersfield• Will this worker work in a patient access building more than 50% of the time?: Yes• Interview Process: Onsite• Duration of assignment, Option to extend or convert to FTE? 12/31/26, possible to extend.Position details:• Receives and adjudicates medical claims/bills for payment/denial. • Researches claims/bills for appropriate support documents &/or documentation. • Analyzes and adjusts data and benefits criteria for payment. • Responds to and researches vendor and member problems, questions and complaints. (Medical coding not included in description)\*\*Only those lawfully authorized to work in the designated country associated with the position will be considered.\*\* \*\*Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.\*\*