24-HOUR MEDICAL STAFFING SERVICES, LLC is hiring experienced CLAIMS PROCESSOR to join our growing team of healthcare professionals.

LOCATION: San Diego, CA

PAYRATE: NEGOTIABLE START DATE: ASAP SHIFT: Day (8 Hours) 8:00 17:00

DESCRIPTION:

• Start Date ASAP Duration 13 weeks Hours M-F 5 x 8 800 - 1600 
• The primary purpose of this Claims Processor II position is to examine and process claims from the UB04 and CMS-1500 claim forms into the claims adjudication system for all capitated and shared services accounts. This position is responsible for the accurate review input and adjudication of claims using reasonable payment policies and methodologies that are consistent with and recognized by Health Plans nationally recognized medical organizations federal regulatory bodies and contractual obligations of the organization. Provide expertise and/or general claims support by reviewing researching investigating negotiating processing and adjusting claims Authorize appropriate payment or refer claims for further investigation as appropriate Analyze and identify trends Consistently meet established productivity schedule adherence and quality standards Process priority and special claims requests Process claims adjustments and/or appeals 
• Must Have's *2 years' working experience in in the role 
• *Preferred knowledge of Medi-cal Managed Care 
• *Working experience and knowledge of examining and process claims from the UB04 and CMS-1500 claim forms into the claims adjudication system for all capitated and shared services accounts 
• *High School Diploma GED or foreign equivalent 
• *Able to work in a call center environment Minimum Qualifications High School Diploma GED or foreign equivalent 3 year experience require

BENEFITS:

24-Hour Medical Staffing Services provides professional liability and workers compensation coverage Medical, Dental, and Vision Insurance 401K Retirement Plan with company match Weekly Pay and Direct Deposit Referral Bonuses