Claims Resolution Specialist
The Judge Group Inc.

Location: Orange, CA
Salary: $24.00 USD Hourly - $33.00 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)

The Claims Resolution Specialist will provide assistance in resolving provider claims payment status issues, provider payment disputes, eligibility and authorization verification.

Job Responsibilities:

• Addresses provider inquiries, questions and concerns in all areas, including enrollment, claims submission and payment, benefit interpretation and referrals/authorizations for medical care.
• Verifies member eligibility, claims and authorization status for providers.
• Ensures thorough follow-up and completion of all provider inquiries or requests.
  

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, preferred.

For immediate consideration email your resume to Christina at chead@judge.com.

Contact: chead@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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