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Medical Claims Specialist
TotalMed Medfi Santa Barbara, CA
$50k-61k (estimate)
Full Time | Contractor 2 Weeks Ago
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TotalMed Medfi is Hiring a Medical Claims Specialist Near Santa Barbara, CA

Job Title: Medical Claims Processor

Location: Santa Barbara, CA
Shift: M-F 8a-4:30p
Wage: $24 an Hour

Job Description: The processing involves making reasoned determinations as to eligibility for benefits, authorization of services rendered, financial responsibility for the costs incurred, verification of payment-amounts based on contractual agreements with providers, and fulfillment of co-payments or shared risk payments.

Key Responsibilities:

  • Perform tasks related to claim operation, adjudication, and payment.
  • Verify accuracy of claim information and apply appropriate payment methodologies.
  • Ensure compliance with timeliness and payment accuracy guidelines for various insurance plans.
  • Identify and address potential compliance issues during claims processing.

Qualifications:

  • High school diploma or equivalent (verifiable proof required)
  • A minimum of 2 years of experience in medical claims processing or insurance billing in a medical capacity

Benefits:

  • Competitive hourly wage
  • Opportunity to make a difference in the lives of our patients
  • Health, Dental, & Vision

#INDREV

Job Types: Full-time, Contract

Pay: $24.00 per hour

Expected hours: 40 per week

Benefits:

  • Dental insurance
  • Health insurance
  • Vision insurance

Schedule:

  • 8 hour shift
  • Day shift
  • Monday to Friday

Ability to Relocate:

  • Santa Barbara, CA: Relocate before starting work (Required)

Work Location: In person

Job Summary

JOB TYPE

Full Time | Contractor

SALARY

$50k-61k (estimate)

POST DATE

04/16/2024

EXPIRATION DATE

04/22/2024

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

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