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Medical Claims Representative

Accountemps Buena Park Seasonal/Temp
$15.84 - $18.34 / hour
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Ref ID: 00750-0011091054

Classification: Medical Claims Representative

Compensation: $15.84 to $18.34 hourly

Must have qualifications/experience:
1.To batch and prioritize claims processing utilizing the Companys in-house claims processing system.*
• To verify patients accounts for eligibility and benefits.*
• To accurately process complex claims that have been accepted for payment.*
• To request and follow-up on additional information as needed for incomplete claims.*
• To complete all steps above within designated timeframes (production quotas) and notify management if claims cannot be processed within the designated time frame.*
• To assemble denial letter background information and generate denial letters.*
• To read, interpret and summarize medical contracts/division of responsibility.
• To identify claims that is not our financial risk and forward to appropriate entity for payment.
• To review claims that is pending and follows through for payment in a timely manner.
• To treat peers, superiors, subordinates clients and vendors with fairness, courtesy and professionalism and contribute to the overall positive work environment of the department.
• To complete other production projects as assigned

Must have qualifications/experience:
1.• Requires the ability to speak, read, write and understand English and other general educational skills as is generally obtained by completing high school or a GED.
Requires 4+ years claims adjudicating experience preferably in a managed care setting.
Claims Processing

Accountemps matches highly skilled professionals with accounting finance jobs at the best companies on a temporary and temporary-to-hire basis. Our mission is to provide you with a rewarding finance or accounting job that is well matched to your professional skills – helping you to advance in your career. Our experience, combined with the resources of our worldwide network of offices, makes Accountemps a great resource for your career. We offer excellent opportunities to find temporary accounting and finance jobs for all experience levels. From accounting clerks and bookkeepers to accounts payable and staff accountants, we can provide you unparalleled access to exciting career opportunities. But don't take our word for it. Our company has appeared on Fortune® magazine’s list of “World's Most Admired Companies” since 1998, and 9 out of 10 of our customers would recommend our service to a colleague.

Contact your local Accountemps office at 888.490.3195 or visit www.accountemps.com to apply for this job now or find out more about other job opportunities.

All applicants applying for U.S. job openings must be authorized to work in the United States. All applicants applying for Canadian job openings must be authorized to work in Canada.

© 2019 Accountemps. An Equal Opportunity Employer M/F/Disability/Veterans

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We have a lot in common: You want to find meaningful work and be rewarded for it, and we want to help you do it. We believe that when you find the role that matches your skills and priorities, you’ll thrive.


Accountemps is the world’s top provider of highly skilled accounting and finance professionals like you on a temporary or full-time basis. Our process begins with one-to-one personal service from industry specialists who get to know who you are and what you’re looking for. Then we apply our deep expertise, robust resources and leading-edge technology to connect you with an assignment where you can make meaningful contributions and be valued for them.


At Accountemps, we’re dedicated to finding the fit that makes people happier and companies better. Join us.


About Us
Accountemps is a division of Robert Half, the world’s largest specialized staffing firm. For almost seven decades, we’ve helped candidates and companies find the right fit. That passion has paid off: Our company has appeared on Fortune® magazine’s list of “World's Most Admired Companies” since 1998. We love what we do-and we want you to love it too.

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