Claims Adjuster Job at Medpoint Management, Woodland Hills, CA

V0x4YitodVBPYmZzb3RkbnpWNzRXR1ZvTEE9PQ==
  • Medpoint Management
  • Woodland Hills, CA

Job Description

Summary

The claims adjuster is responsible for the adjusting of claims, in accordance with outside regulations and the contractual obligations of the Health Plans and/or the IPAs. Researches, reviews and contacts provider services for problem claims and issues, as needed. Suggests process improvements to management and is a resource of information to all staff.

Duties and Responsibilities:

  • Accurately review all incoming adjustment requests to verify necessary information is available.
  • Adjust claims in accordance with departmental policies and procedures and other rules applicable to claims.
  • Coordinate resolution of claims issues with other Departments.
  • Assist Providers and other Departments in claims research.
  • Review and adjudicate web portal inquiries.
  • Assist in training claims personnel when issues are identified.
  • Promote a spirit of cooperation and understanding among all personnel.
  • Attend organizational meetings as required
  • Adhere to organizational policies and procedures.
  • Performs other tasks as assigned by supervisor/manager
  • Adhere to MedPOINT Management’s core value: Accountability, Community, Celebration, Integrity, Innovation & Collaboration
  • Meets production standards of 20-100 claims as established by claims management.

Minimum Job Requirements:

High school graduate. One-year experience as a Claims Examiner on an automated claims adjudication system. Strong organizational and mathematical skills. Ability to get work done efficiently and within timeliness guidelines.

Skills and Abilities Required:

  • Experience in a managed care environment preferred.
  • ICD-10 and CPT-4 coding knowledge preferred.
  • Must be detail oriented and have the ability to work independently

Salary Range:

  • $20-$23 per hour

Job Tags

Hourly pay,

Similar Jobs

Chick-fil-A - St. Matthews

Restaurant Team Member up to $16/hr Job at Chick-fil-A - St. Matthews

 ...Under 18 YO - $12/hr, 18 YO and over - $13.50/hr PT Over 20 hrs/wk: Under 18 YO - $13.50/hr, 18 YO and over - $16.00/hr Full Time Year Round $16.00/hr plus additional benefits Thank you for your interest in a starting your career with Chick-fil-A. Every job at... 

Daily Jobs

Data Entry Clerk Night Shift Job at Daily Jobs

 ...administrative assistants receptionists sales assistants customer service agents warehouse workers factory employees drivers medical assistants nurses call center representatives and more, all working with us. Employment Type: Part-Time Salary: $ 18.00 21.00 Per Hour

Capital One

Software Engineer, Full Stack (Bank Tech) Job at Capital One

 ...America, Wilmington, Delaware Software Engineer, Full Stack (Bank Tech) Do you love building and pioneering in the technology...  ..., inclusive, and iterative delivery environment? At Capital One, you'll be part of a big group of makers, breakers, doers and disruptors... 

Tesla

Internship, Backend Engineer, AI Infrastructure (Summer 2025) Job at Tesla

 ...closely with their Manager, Mentor, and team. We are dedicated to providing an experience that allows the intern to experience life at Tesla by including them in projects that are critical to their teams success. About The Team As a member of the Foundation... 

Hangzhou Muhe Clothing design co. LTD

still model Job at Hangzhou Muhe Clothing design co. LTD

We are a girls' style women's wear shop. So I hope that young girls will be the models, and we shoot in a sweet and lovely style. There will also be cool dark styles. Close to Lolita