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MedPOINT Management

Hospital Claims Examiner

Posted 2 months ago
$21 - $26 per hour
2-5 years experience
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AI Summary

Review and analyze hospital claims for accuracy and compliance while resolving discrepancies with healthcare providers. Maintain detailed records and assist in developing claims processing guidelines to maximize reimbursement.

Benefits:
  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Vision insurance
  • Wellness resources
  • Company parties
  • Employee discounts
  • Opportunity for advancement
  • Paid time off
  • Parental leave
  • Savings bank
  • Training & development
About the Role:
Join MedPOINT Management as a Hospital Claims Examiner in Sherman Oaks, CA, where you'll play a crucial role in ensuring accurate and timely processing of hospital claims. Be part of a dynamic team that values precision and efficiency in the healthcare industry.


Responsibilities:
  • Review and analyze hospital claims for accuracy and compliance with regulations.
  • Investigate discrepancies and resolve issues related to claims processing.
  • Collaborate with healthcare providers to obtain necessary documentation.
  • Ensure timely submission of claims to maximize reimbursement.
  • Maintain detailed records of claims and communications.
  • Assist in the development of claims processing procedures and guidelines.
  • Stay updated on industry regulations and best practices.
  • Support team members in training and knowledge sharing.
Requirements:
  • Proven experience in hospital claims processing or medical billing.
  • Strong understanding of healthcare regulations and coding systems.
  • Excellent analytical and problem-solving skills.
  • Detail-oriented with a focus on accuracy.
  • Effective communication and interpersonal skills.
  • Proficiency in claims management software and MS Office.
  • Ability to work independently and as part of a team.
  • High school diploma or equivalent; additional certification preferred.
About Us:
MedPOINT Management has been a leader in healthcare management for over a decade, providing exceptional services to our clients. Our commitment to quality and innovation has earned us a reputation for excellence, making us a preferred partner in the healthcare industry.

This is a remote position.

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