Hospital Claims Examiner
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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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