What are the responsibilities and job description for the Claims Examiner position at TEKsystems?
A large medical group in Fresno is looking to add on expereinced claims processing reps to join the team onsite!
Highlights:
Location: Onsite in Fresno
Pay: $19
Schedule:M-F
Low turnover deparment and lots of opportuntiy for career advancement.
Job Description:
- Maintain multiple groups
- Process CMS-1500 claims
- Process UB-04 claims
- Process high dollar claims
- Process JAA / BlueCard claims
- Interpret individual group SPD’s and apply benefits appropriately
- Zero dollar adjustments
- Maintain Provider Assignment, COB, Medi-Cal, CAS Status 8 reports
- Review/create/process FOGBUGZ cases
- Access Anthem Blue Cross website for inquiries and JAA / BlueCard claims processing
- Batch/Scan correspondence
- Access WIKI for Advantek policies and procedures
- .Access email for department communication
- Keep track of and work spreadsheets for special projects
- Maintain confidentiality of sensitive information.
- Maintain effective communication with team members and managers.
- Maintain Claim Inventory turnaround time and volume within acceptable levels
- In the spirit of teamwork, employees are expected to follow any other job-related instructions and to perform any other job-related duties as requested.
Qualifications:
- High School Diploma/GED equivalent required.
- Minimum of 3 years of experience processing medical claims in a computerized environment.
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
About the Company:
TEKsystems
About TEKsystems:
- We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
- The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
Company Size:
5,000 to 9,999 employees
Industry:
Staffing/Employment Agencies
Founded:
0
Website:
https://www.teksystems.com/en/
Salary : $19
