What are the responsibilities and job description for the Claims Processor position at AllCare IPA?
Claims Processor
Job Type - Full Time/ In Person
Salary: $42,000 - $52,000 annually, depending on experience
About AllCare IPA
AllCare IPA is an Independent Physician Association established in 1989 and represented by more than 500 private practice physicians throughout Stanislaus, San Joaquin, and Merced Counties. Our mission is focused on the prevention of illness and the promotion of healthy lifestyles.
We are seeking a detail-oriented and motivated Claims Processor to join our outstanding Claims Department team in Modesto, California.
Benefits
- 401(k)
- Health Insurance
- Dental Insurance
- Vision Insurance
Position Summary
The Claims Processor is responsible for the timely and accurate processing of medical claims submitted by outside providers. This position requires strong analytical skills, attention to detail, and a working knowledge of medical terminology and claims adjudication processes.
Essential Duties and Responsibilities
- Perform accurate data entry of claims information.
- Process and adjudicate medical claims in a timely manner.
- Review claims and determine appropriate financial responsibility based on established guidelines, policies, and procedures.
- Prepare claims-related documents and correspondence.
- Ensure payments are processed accurately and in compliance with organizational policies.
- Analyze claim information and resolve discrepancies as needed.
- Maintain confidentiality of patient and provider information.
- Work effectively with internal departments to ensure efficient claims processing.
Qualifications
- High school diploma or equivalent required.
- Previous medical claims processing experience preferred.
- General medical knowledge and understanding of medical terminology required.
- Proficiency in Microsoft Excel and Microsoft Word.
- Strong attention to detail and organizational skills.
- Ability to work independently and meet deadlines.
How to Apply
Please submit your resume to:
AllCare IPA
Attn: Claims Department Manager
3320 Tully Road
Modesto, CA 95350
Fax: (209) 338-5532
Join our team and become part of an organization dedicated to improving the health and well-being of our communities.
Pay: $42,000.00 - $52,000.00 per year
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Vision insurance
Work Location: In person
Salary : $42,000 - $52,000