Workforce Connections

Claims Processor I

Workforce Connections Sacramento, CA
Workforce Connections

Claims Processor I

Workforce Connections Sacramento, CA
5 months ago
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Job Title: Claims Processors

Contract Duration: 9+ month (potential to extend)

Pay Rate: $23.00

Location: Remote - Must reside in CA

Work Hours: 8-5 PST

Qualifications/Skills Needed

Claims experience in product lines – PPO, HMO, Point of Service

Understanding of Facility and Professional Claim forms

Understanding of codes providers bill with

Medical Terminology

Billing Coder

High School Diploma

Experience with Word, Excel , Outlook and Teams

Day To Day Responsibilities Of Role

  • Reviewing cases to determine if the services require and authorization and if there is an authorization on file with us or medical group

Performance Expectations

  • Must meet quality and production of 95%

  • Seniority level

    Entry level

  • Employment type

    Contract

  • Job function

    Other

  • Industries

    Wellness and Fitness Services, Hospitals and Health Care, and Mental Health Care

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