Job Summary

A staffing agency has an open position for a Remote Senior Claims Analyst in Long Beach.

Core Responsibilities of this position include:

• Analyzing and researching claim disputes to determine the decision
• Conducting claim research, identify and resolving issue
• Updating created case in the system to document the claim research findings and decisions

Required Skills:

• Experienced in QNXT System to research and review how claim was adjudicated
• Experienced in FFS claim reimbursement from a managed care health plan
• CMS and CA Medi-Cal billing requirements
• 3 years of experience in claims processing, billing, adjustment, claims research, and resolution