Claims Examiner

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Job details

Hybrid, mostly Remote Claims Examiner in Los Angeles, CA. 6 Month contract Opportunity!

This Jobot Consulting Job is hosted by Robert Reyes

Are you a fit? Easy Apply now by clicking the "Easy Apply" button and sending us your resume.

Salary $30 - $35 per hour

A Bit About Us

Hybrid, mostly Remote Claims Examiner in Los Angeles, CA. 6 Month contract Opportunity!

Prestige Hospital System

Advancing new knowledge and improving health outcomes through research



Why join us?


Hybrid, mostly Remote Claims Examiner in Los Angeles, CA. 6 Month contract Opportunity!

Competitive compensation

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Flexible Schedule

Job Stability

Career growth

If you are passionate, thrive in a fast-paced environment and are ready to take your career to the next level, we would love to hear from you.

Job Details

Hybrid, mostly Remote Claims Examiner in Los Angeles, CA. 6 Month contract Opportunity!

Job Details

We are seeking a dynamic and experienced Consulting Claims Examiner to join our team in the Healthcare industry. This role requires a deep understanding of healthcare claims processing and the ability to provide strategic consulting services to our clients. The ideal candidate will have a proven track record in claims examination, a comprehensive understanding of healthcare regulations, and the ability to work collaboratively with a diverse team. This is a unique opportunity to leverage your expertise, solve complex challenges, and make a meaningful impact in the healthcare industry.

Responsibilities

• Conduct detailed analysis of healthcare claims to ensure accuracy, completeness, and compliance with relevant laws and regulations.
• Utilize EPIC (Tapestry Module), EZ Cap, Facets, QNXT, and other relevant software to process and examine claims.
• Provide strategic consulting services to clients, offering solutions and recommendations to improve claims processing and compliance.
• Collaborate with cross-functional teams to address claim discrepancies and resolve issues promptly.
• Stay abreast of changes in healthcare regulations and industry trends to ensure compliance and maintain a competitive edge.
• Develop and implement effective claim processing procedures to enhance efficiency and accuracy.
• Provide training and guidance to junior staff, fostering a culture of continuous learning and improvement.
• Prepare detailed reports on claim activities, highlighting trends, issues, and recommendations.
• Participate in audits and investigations related to claims processing as required.
  
  

Qualifications

• A bachelor's degree in Health Administration, Business Administration, or a related field.
• A minimum of 3 years of experience in healthcare claims examination.
• Proficiency in EPIC (Tapestry Module), EZ Cap, Facets, QNXT, or equivalent software.
• Comprehensive knowledge of healthcare regulations and industry trends.
• Exceptional analytical and problem-solving skills.
• Excellent interpersonal and communication skills, with the ability to work effectively with diverse teams.
• Strong project management skills, with the ability to manage multiple tasks simultaneously and meet tight deadlines.
• Detail-oriented with a high level of accuracy in data entry and analysis.
• Proven experience in providing strategic consulting services in the healthcare industry.
• Ability to maintain confidentiality and handle sensitive information with discretion.
  
  

Interested in hearing more? Easy Apply now by clicking the "Easy Apply" button.

Want to learn more about this role and Jobot Consulting?

Click our Jobot Consulting logo and follow our LinkedIn page!