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Full Job Description
*Staffmax Healthcare *is looking for a *Temporary Finance/Accounting –
Claims Processor* in *Whittier, CA*
*Pay*
*
starting at $24 an hour
*Shift*
* Day
*
5×8-Hour
* 7:00am – 3:30pm
*Position Requirements*
* High school graduate or equivalent required
* Minimum
of 2 years claims ADJUDICATION related experience in ambulatory, acute
care hospital, HMO, or IPA environment
* Knowledge of payment
methodologies for: Professional (MD), Hospital, Skilled Nursing
Facilities, and Ancillary Services
* Knowledge and understanding
of timeliness and payment accuracy guidelines for commercial, senior
and Medi-Cal claims
* Knowledge of compliance issues as they
relate to claims processing
* Experience in interpreting provider
contract reimbursement terms desirable
* Ability to identify
non-contracted providers for Letter of Agreement consideration
*
Data entry experience
* Training on basic office automation and
managed care computer systems
* COVID-19 Vaccine (Facility
Guideline):Required + Booster – No Exemptions, Current Booster
*
Flu Vaccine (Facility Guideline):Required – Medical/Religious
Exemptions and Declinations Allowed
*Submittal
Requirements*
* Resume with previous work history including
name of facility, start and end dates, manager name and phone
*
Explanations of any work history gaps of 90+ days within the
chronology of the resume
* RTO – if none, please specify “none”
so we know it wasn’t overlooked
* Interview availability for the
following 3-5 business days
* Copy of COVID card/vaccinations &
boosters
* Copy of Drivers License (front and back)
* Full
name, phone number, physical address
* Selling
points/highlights
* Two references with name and phone number
*POSITION SUMMARY*
* The claims examiner reports
directly to the claims manager. They are primarily responsible for the
processing functions (operation, adjudication, and payment) of UB-92
and HCFA-1500 claims that are received from PHP affiliated medical
groups and hospitals for HMO patients.
*Prior to start date
you will need the following sent to the recruiter and
credentialing:*
* Two forms of ID; one must be a photo
ID
* Photo for Badge ID without filters on white background
* Immunization Documentation; Covid, Flu (current season), HEP B,
MMR, TDaP, Varicella
* Current Yearly Physical
* TB TEST;
Two step or Quantiferon as requested by facility.
* Background
Check and Urine Drug Screens are ordered after receiving job offers
* Credentialing will require other documentation.
* Must be
fully credentialed prior to start date.
*Staffmax
Benefits*
* We have a range of health and retirement
benefits to temporary employees that are actively on an assignment
* We offer medical, dental, vision, short-term disability, critical
illness, hospital indemnity, accident and life insurance options for
employees and eligible dependents
* 401 K available
* Member
Assistance Program for counselling, legal advice, financial advice,
and more
* Amazing savings and deals on thousands of the brands
you love in entertainment, restaurants, spa, travel and more like
Costco, Planet Fitness, care rentals, and so much more.
*Please contact us today* if you are interested in permanent or
travel positions throughout the United States.
Don’t forget
to download the *Staffmax Healthcare App,* from any app store, or go
to *STAFFMAX.COM* to see all our current jobs. Tell your friends and
family about us as well.
#staffmax #staffmaxhealthcare
#healthcarejobs #jobs #job #hospital #newjob #newcareer
#healthcareheros #healthcareprofessionals #herosworkhere #ready2work
#readytowork #careers #finance #accounting #claimsprocessor
#healthsystem #whittier #ca #california
Job Types:
Full-time, Temporary
Salary: From $24.00 per hour
Benefits:
* 401(k)
* Dental insurance
* Disability
insurance
* Employee assistance program
* Health
insurance
* Life insurance
* Vision insurance
Physical
setting:
* Office
Schedule:
* 8 hour shift
* Day
shift
* Monday to Friday
Ability to
commute/relocate:
* California: Reliably commute or planning to
relocate before starting work (Required)
Experience:
*
claims ADJUDICATION in ambulatory/acute/hospital/HMO/IPA: 2 years
(Required)
Work Location: In person
