Claims Analyst/Examiner


Ontario, CA

What you'll be doing

Process and complete the claims upon the first receipt. Process all types of claims consistently ahead of company turnaround standards. Route claims to other departments for review as appropriate and monitor pending claims taking immediate action to ensure timely adjudication. Process adjustment requests submitted by customer; respond to all inquiries in a professional manner. Process and adjudicate claims as appropriate while maintaining a 98 percent accuracy rate and process the minimum claims allowable as set forth by the company guidelines. Follow a one and done approach taking appropriate action regarding problem resolution. Identify opportunities for recovery and refer information as applicable.

What your background should be

The candidate should have experience in working with CMS-1500 and UB 04 forms. Medical terminology; ICD-9; CPT coding. Excellent computer, key boarding, and typing skills.

Required Schooling / Training

Not specified

Who is the client company

This company offers the fastest and easiest way to get a job listing in front of millions of candidates, and now includes digital onboarding for all subscribers.
If you are interested in this position, send your resume to