Claims Review Specialist/Claims Examiner

*#N95**Job Title: Claims Review Specialist/Claims Examiner**Job Location: Los Angeles, CA 90024 (Hybrid-Remote)**Job Duration: 3+ Months (High Possibility of Extension)**Pay Range: $41.00 to $41.40/hour on W2.**Shift: Day 5x8-Hour (08:00 AM - 05:00 PM)**Job Description*:*Required Experience:*At least one of these 3 certifications: CPC CPCH CCSHigh school diploma, GED or equivalent required, Two year degree preferred.Minimum of 3 years previous experience working for a Health Plan, IPA, or other Managed Care Organization.Minimum of 2 years previous direct experience that included verifying and maintaining provider information and provider contract configuration in a managed care transaction system.Working knowledge of one or more of the following managed care transaction systems: EPIC (Tapestry Module), EZ Cap, Facets, QNXT.Working knowledge of CPT-4, ICD-9/ICD-10, and HCPCS codes.Must have the ability to interpret a variety of instructions furnished in written, oral, diagram and schedule form including provider contracts and contract summaries.Ability to adhere to detailed data entry procedures in a complex Managed Care Transaction System with high accuracy for alpha and numeric data inputting.Strong organizational skills and the ability to manage aggressive timelines and prioritize multiple concurrent tasks while maintaining high quality standards.Proficient computer skills including Microsoft Excel and Word. Competence in navigating the internet.Excellent customer service and interpersonal skills, with an ability to work with internal and external representativesWillingness to learn new technologies, practices and procedures.Job Type: ContractPay: $40.00 - $41.40 per hourSchedule:* 8 hour shift* Monday to FridayAbility to Commute:* Los Angeles, CA 90024 (Required)Ability to Relocate:* Los Angeles, CA 90024: Relocate before starting work (Required)Work Location: Hybrid remote in Los Angeles, CA 90024

Created: 2025-03-01