Heavy Highway Superintendent

Hybrid, mostly Remote Claims Examiner in Los Angeles, CA. 6+ Month contract Opportunity!This Jobot Consulting Job is hosted by: Robert ReyesAre you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume.Salary: $30 - $35 per hourA bit about us:Hybrid, mostly Remote Claims Examiner in Los Angeles, CA. 6+ Month contract Opportunity!Prestige Hospital SystemAdvancing new knowledge and improving health outcomes through researchWhy join us?Hybrid, mostly Remote Claims Examiner in Los Angeles, CA. 6+ Month contract Opportunity!Competitive compensationMedical InsuranceDental InsuranceVision InsuranceLife InsuranceFlexible ScheduleJob Stability Career growthIf 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 DetailsJob Details:We are seeking a highly skilled and dedicated Consulting Claims Examiner to join our dynamic team in the Healthcare industry. This individual will play a crucial role in reviewing, analyzing, and processing medical claims to ensure accuracy and compliance with industry regulations. This position is an excellent opportunity for an individual with a strong background in medical coding and claims examination, who thrives in a fast-paced, challenging environment. The ideal candidate should have a deep understanding of the healthcare industry, possess excellent analytical skills, and have a keen eye for detail. Responsibilities:1. Review and analyze medical claims to verify accuracy and compliance with industry standards and regulations.2. Identify and address discrepancies in claims and work closely with healthcare providers and insurance companies to resolve any issues.3. Use medical coding systems such as CPC, CCS, CPCH, epic, EZ Cap, and Epic Tapestry to accurately code and process claims.4. Provide expert consultation to clients on complex claims issues, providing recommendations and solutions to optimize claims management processes.5. Maintain up-to-date knowledge of changes in healthcare regulations, medical coding systems, and insurance policies.6. Collaborate with other healthcare professionals and departments to ensure seamless operations and high-quality service delivery.7. Conduct audits of claims processes and procedures to identify areas for improvement and ensure compliance with industry standards.8. Provide training and mentorship to junior claims examiners, imparting knowledge and skills to enhance their professional growth.Qualifications:1. Bachelor's degree in Healthcare Administration, Business, or a related field.2. 5+ years of experience in medical claims examination, with a strong background in medical coding.3. Proficient in medical coding systems such as CPC, CCS, CPCH, epic, EZ Cap, and Epic Tapestry.4. Excellent analytical skills with the ability to review and interpret complex medical claims.5. In-depth knowledge of healthcare industry regulations and insurance policies.6. Exceptional communication skills, with the ability to effectively consult with clients and collaborate with other healthcare professionals.7. Strong problem-solving skills, with the ability to identify and resolve discrepancies in claims.8. Ability to work in a fast-paced, challenging environment, managing multiple tasks and deadlines efficiently.9. Commitment to continuous learning and staying updated with changes in the healthcare industry.Interested in hearing more? Easy Apply now by clicking the "Apply" button.Jobot is an Equal Opportunity Employer. We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.Sometimes Jobot is required to perform background checks with your authorization. Jobot will consider qualified candidates with criminal histories in a manner consistent with any applicable federal, state, or local law regarding criminal backgrounds, including but not limited to the Los Angeles Fair Chance Initiative for Hiring and the San Francisco Fair Chance Ordinance.

Created: 2025-04-29