Hospital Claims Examiner

This is a fully remote position, open to applicants in California.

📋 Description

• Evaluate and scrutinize hospital claims to ensure accuracy and compliance with applicable regulations.

• Investigate any discrepancies and address issues associated with claims processing.

• Work collaboratively with healthcare providers to gather essential documentation.

• Guarantee the timely submission of claims to enhance reimbursement opportunities.

• Keep comprehensive records of claims and all communications related to them.

• Aid in the creation of procedures and guidelines for claims processing.

• Remain informed about industry regulations and best practices.

• Provide support to team members through training and knowledge sharing.

⛳️ Requirements

• Demonstrated experience in hospital claims processing or medical billing.

• Comprehensive knowledge of healthcare regulations and coding systems.

• Exceptional analytical and problem-solving abilities.

• Detail-oriented with a strong emphasis on accuracy.

• Proficient communication and interpersonal skills.

• Skilled in claims management software and Microsoft Office suite.

• Capable of working both independently and collaboratively within a team.

• High school diploma or equivalent; additional certifications are preferred.

🏝️ Benefits

• 401(k)

• 401(k) matching

• Dental insurance

• Health insurance

• Vision insurance

• Wellness resources

• Company parties

• Employee discounts

• Opportunities for advancement

• Paid time off

• Parental leave

• Savings bank

• Training & development