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Claims Specialist

Pyramid Consulting

Claims Specialist

Sacramento, CA
Full Time
Paid
  • Responsibilities

    Job Description

    TITLE: CLAIMS SPECIALIST LOCATION: SACRAMENTO, CA 95834 DURATION: 12 MONTHS CONTRACT / POTENTIAL TO EXTEND SHIFT: 7:00 AM TO 4:00 PM       JOB DESCRIPTION:  

    • Serve as a liaison between the plan, claims, providers and various departments to effectively identify and resolve claims issues

     

    EDUCATION/EXPERIENCE:  

    • High school diploma or equivalent.  
    • 3+ years of claims processing, provider billing, or provider relations experience, preferably in a managed care environment.  
    • Proficient in Excel, CPC certification and knowledge of provider contracts/reimbursement interpretation preferred.

     

     

     

    Company Description

    We place top talent through our divisions: Technology, Staffing, Professionals, Talent Digitalization, and Pyramid Academy. Our flexible staffing options include contract, contract-to-hire, direct hire, and SOW/Statement of Work. We deliver top talent to our clients by combining the use of the latest technology with the subject-matter expertise that our seasoned team of recruiters brings to the process. With the integration of smart sourcing tools, machine learning, and AI/Artificial Intelligence into our screening process across the organization; we evaluate a large volume of candidates to find the most suitable talent.