Robert Half Medical Claims Examiner in Encino, California
A Healthcare Organization in the Mid-Wilshire area is in need of a Medical Claims Examiner on a temporary to full-time basis. Looking for someone with at least 2+ years of medical claims experience, has strong medical terminology and knowledge of CPT Codes and ICD 10.
Main day to day duties:
-Accurate and timely processing of delegated claims per regulatory and contractual guidelines
-Review policy booklet and guidelines to determine coverage of claims under the policy
-Research and respond to scheduled reports regarding claim inquiries
-Provide benefits to providers, participants and their business managers.
-Investigate and adjudicate complex claim requests
-Write follow-up letters to participants and providers to request additional information if needed.
This role is remote but the candidate must live near Encino CA to attend in office training.
HMO, PPO and Managed Care
Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.
Robert Half puts you in the best position to succeed by advocating on your behalf and promoting you to employers. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity – even on the go. Download the Robert Half app and get 1-tap apply, instant notifications for AI-matched jobs, and more.
Questions? Call your local office at 1.888.490.3195. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals. Visit https://roberthalf.gobenefits.net/ for more information.