Telecommute Senior Healthcare Claims Analyst in Long Beach

Job ID: Available for Members

Location: California

Compensation: To Be Discussed

Staff Reviewed: Thu, Feb 06, 2020

Job Category: Financial

Telecommute Level: 100% Telecommute

Travel Requirements: No Travel

Employer Type: Staffing Agency

Career Level: Experienced

Job Summary

A staffing agency is searching for a person to fill their position for a Telecommute Senior Healthcare Claims Analyst in Long Beach.

Core Responsibilities of this position include:

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

Applicants must meet the following qualifications:

  • Experienced in QNXT System to research and review how claim was adjudicated and reimbursed
  • Experience in FFS claim reimbursement from a managed care health plan (as the payer)
  • Know CMS and CA Medi-Cal billing requirements
  • Know how to gather evidence from these regulatory sources.
  • 3 years of experience related to claims processing, billing, adjustment, research, and dispute