Claims Examiner (Institutional/Hospital) Woodland Hills, CA 8/29/2014 Save Job Sign in Now Email Print Report Apply Now Job Description Sr. Claims Examiner III (Institutional/Hospital) Complete processing of hospital medical claims including adjudication and accuracy. Responsibilities: Accurately process institutional (hospital) claims. Accurately process claims billed on UB04 Claim form. Maintaining/meeting compliance time-frames. Responsible for editing and adjudicating claims. Analyze claims to ensure accurate billing and payment. Interpret contracts and fee schedules. Meet department accuracy and production standards. Interface with other departments to obtain necessary information required for resolution of claims. Job Requirements UB Claim form CPT, ICD-9 Volumes 1,2,3 and HCPCS coding Revenue centers associated with billing Hospital, ambulatory surgery center, home health, skilled nursing and dialysis claims Division of Financial Responsibilities (DOFR) Understanding of Stop Loss Job Snapshot Employment Type Full-Time Job Type Health Care, Insurance Education Not Specified Experience At least 2 year(s) Manages Others No Industry Healthcare - Health Services, Insurance Required Travel Not Specified Job ID 09A* Apply Now SIMILAR JOBS Credentialing Specialist (Coordinator) (Health Care) Medical Claims Examiner Accountemps Medical Claims Auditor (Quality Control Analyst) Claims Examiner The Ascent Services Group Claims Examiners (Work-from-Home) (Can Sit Anywhere in the USA) Preferred Medical Plan, Inc.