Job Description:

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 Apply Now