What are the responsibilities and job description for the Claims Examiner III - Medicare Advantage position at UCLA Health Careers?
Take on a key role within a world-class, award-winning health system. Contribute to the delivery of award-winning patient care. Take your career in an exciting new direction. You can do all this and more at UCLA Health.
You will be responsible for accurate and timely data entry, and the review and adjudication of professional, ancillary, and institutional claims for services rendered in our inpatient, ambulatory and outpatient settings. This will cover all contracted lines of business in accordance with regulatory guidelines, contract provisions, and established policies and procedures. Working from batches, reports, in-basket pools, work queues, or other methods, you will be called on to meet established quality, productivity, service level, and turn-around requirements. This role requires the ability to research and resolve complex claim issues as well as train others on claims processes and workflows.
Salary Range: $29.42 - $42.12/Hourly
Salary : $1,000 - $1,000,000
