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Claims Resolution Specialist
Judge Group Orange, CA
$69k-87k (estimate)
Full Time | Business Services 3 Months Ago
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Judge Group is Hiring a Claims Resolution Specialist Near Orange, CA

Location: Orange, CA
Salary: $24.00 USD Hourly - $33.00 USD Hourly
Description:
Judge Healthcare is currently seeking Claims Resolution Specialist in Orange, CA!!
Contract: 6 months
Hours: Monday-Friday, business hours 
Location: On-site (Orange, CA) 
The Claims Resolution Specialist will provide assistance in resolving provider claims payment status issues, provider payment disputes, eligibility and authorization verification.
Job Responsibilities:
  • Addresses provider inquiries, questions and concerns in all areas, including enrollment, claims submission and payment, benefit interpretation and referrals/authorizations for medical care.
  • Verifies member eligibility, claims and authorization status for providers. 
  • Ensures thorough follow-up and completion of all provider inquiries or requests.
Qualifications & Requirements:
  • High School Diploma or equivalent. 
  • 2 years claims experience required. 
  • 1 year of call center experience with high call volumes
  • Experience in Health Maintenance Organization, Medicare, Medi-Cal/Medicaid, preferred. 
For immediate consideration email your resume to Christina at chead@judge.com. 
Contact: chead@judge.com
This job and many more are available through The Judge Group. Find us on the web at www.judge.com

About the Company:
Judge Group

The Judge Group Inc., is a leading professional services firm specializing in talent, technology, and learning solutions. We consult, staff, train, and solve. Through our work we make people and organizations better. Our services are successfully delivered through a network of more than 30 offices across the United States, Canada, and India.

The Judge Group is proud to partner with the best and brightest companies in business today, including over 60 of the Fortune 100. We serve organizations in financial services, healthcare, life sciences, insurance, government (including aerospace and defense), manufacturing, and technology and telecommunications. If you would like to learn more about The Judge Group visit www.judge.com or call toll free (800) 360-4474.

Company Size:
5,000 to 9,999 employees

Industry:
Computer/IT Services

Founded:
1970

Website:
https://www.judge.com

Job Summary

JOB TYPE

Full Time

INDUSTRY

Business Services

SALARY

$69k-87k (estimate)

POST DATE

02/03/2024

EXPIRATION DATE

06/08/2024

WEBSITE

judge.com

HEADQUARTERS

FORT MYERS, FL

SIZE

3,000 - 7,500

FOUNDED

1970

TYPE

Private

CEO

TINA GANNON

REVENUE

$200M - $500M

INDUSTRY

Business Services

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The Judge Group provides staffing, corporate training and digital consulting services.

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The following is the career advancement route for Claims Resolution Specialist positions, which can be used as a reference in future career path planning. As a Claims Resolution Specialist, it can be promoted into senior positions as a Claims Adjuster III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Claims Resolution Specialist. You can explore the career advancement for a Claims Resolution Specialist below and select your interested title to get hiring information.

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