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Claims Examiner
7370 N. Palm Ave Suite 101 Fresno, CA 93711 US
Job Description
Hire UP Staffing is seeking an experienced Medical Claims Examiner for well established client in Fresno, CA. This position is temp to hire with the hours being Mon-Fri 7:00am-4:00pm, with the pay ranging from $19-$22 an hour.
JOB QUALIFICATIONS:
High School Diploma/GED equivalent required. Minimum 3Â years of experience processing medical claims in a computerized environment.
ESSENTIAL FUNCTIONS:
- Maintain multiple groups
- Process CMS-1500 claims
- Process UB-04 claims
- Process high-dollar claims
- Process JAA/BlueCard claims
- Interpret group SPD’s and apply benefits
- Zero dollar adjustments
- Maintain various reports
- Review/create/process FOGBUGZ cases
- Access Anthem Blue Cross website for inquiries
- Batch/Scan correspondence
- Access email for department communication
- Track and work spreadsheets for special projects
- Maintain confidentiality
Additional Information
Career Expert
Rebecca Kirkman
President
Rebecca Kirkman is the President and founder of Hire Up Staffing and Hire Up Healthcare. She works hard daily to support our teams with the necessary training and vision in order to elevate our company to being an industry leader for staffing. What people don't know is she started the company when she was 28 years old, with already 5 years of successful staffing experience with a major name in the industry. She has helped countless people and has a true knack for intuitively being able to match people with their best path, whether it be a new job or considering to add to your team. She teaches the team those strategies and pushes everyone to get out of their comfort zone and elevate the way that they think so that they too can reach higher boundaries, then push past those as well!