What are the responsibilities and job description for the Medical Claims Processor position at Health Services & Benefit Administrators - (HS&BA,...?
Third Party Administrator office has an immediate full-time opening for a medical claims processor for Taft-Hartley trust funds.
Duties and responsibilities
- Adjudicate claims in accordance with Plan rules.
- Properly handle benefit refunds, stop-payments, voids and reissue of voids on the system.
- Compose online written correspondence to Plan members, Providers and other Health Care Plans or agencies and prepare for mailing.
- Perform support functions as directed by management.
Qualifications (Required – R/Preferred – P)
- Minimum two year’s medical claims examiner experience - R
- Knowledge of medical terminology - R
- Ability to use computers and peripheral equipment - R
- Comprehensive understanding of health benefit provisions including C.O.B., ICD-10 and C.P.T. concepts and HCPCS – R
- Experience with preferred provider arrangements – R
- Familiarity with benefit language and Plan provisions for Basic and Major Medical Plans - R
- Broad knowledge of claims processing systems - R
- Ability to read and comprehend claims data – R
We offer:
- Paid holidays
- Paid vacation
- Health Insurance
- Supplemental 401(k) Plan
- Flex schedule
Job Type: Full-time
Flex time is offered. Hybrid in office one day per week.
Salary: $30.48 - $32.73
Job Type: Full-time
Pay: $30.48 - $32.73 per hour
Benefits:
- 401(k)
- Dental insurance
- Flexible schedule
- Health insurance
- Paid time off
- Vision insurance
Application Question(s):
- Have a comprehensive understanding of health benefit provisions including C.O.B., ICD-10, C.P.T. concepts and HCPCS?
Experience:
- Medical Claims Processing: 2 years (Required)
Work Location: Hybrid remote in Dublin, CA 94568
Salary : $30 - $33