Healthcare Collections Representative

Jobot

Los Angeles, CA

JOB DETAILS
SALARY
$24–$28 Per Hour
SKILLS
Adjudication, Analysis Skills, Claims Management, Claims Processing, Communication Skills, Computer Skills, Consulting, Corporate Compliance, Data Entry, Dental Insurance, Detail Oriented, Health Insurance, Healthcare, Healthcare Administration, Industry/Trade Analysis, Interpersonal Skills, Legal, Life Insurance, Maintain Compliance, Medical Billing, Microsoft Office, Policy Development, Problem Solving Skills, Procedure Development, Regulations, Regulatory Compliance, Regulatory Requirements, Research Skills, Time Management, Training/Teaching, Vision Plan
LOCATION
Los Angeles, CA
POSTED
1 day ago
Healthcare Collections Representative in Los Angeles, CA. 3+ Month contract Opportunity!

This Jobot Consulting Job is hosted by: Robert Reyes
Are you a fit? Easy Apply now by clicking the "Quick Apply" button and sending us your resume.
Salary: $24 - $28 per hour

A bit about us:

Prestige Hospital System
Advancing new knowledge and improving health outcomes through research

Why join us?

Competitive compensation
Medical Insurance
Dental Insurance
Vision Insurance
Life Insurance
Flexible Schedule
Job Stability
Career growth
If you are passionate, thrive in a fast-paced environment and are ready to take your career to the next level, we would love to hear from you.

Job Details

Job Details

We are seeking a dynamic and experienced Consulting Claims Examiner III to join our growing team in the healthcare industry. This position requires an individual who is detail-oriented, highly analytical, and adept at handling a high volume of claims. The successful candidate will be responsible for the accurate and timely data entry, review, and adjudication of professional, ancillary, and institutional claims for services rendered in various healthcare settings. This role requires a deep understanding of regulatory guidelines, contract provisions, and established policies and procedures. The incumbent will be responsible for meeting quality, productivity, service-level, and turn-around requirements in accordance with the department’s performance standards and regulatory requirements.

Responsibilities

  • Accurate and timely data entry, review, and adjudication of all types of healthcare claims.
  • Ensuring compliance with regulatory guidelines, contract provisions, and established policies and procedures.
  • Meeting quality, productivity, service-level, and turn-around requirements.
  • Receiving work assignments via batch, report, in-basket pools, work queues, or other methods.
  • Researching and resolving complex claim issues.
  • Training others on claims processes and workflows.
  • Collaborating with other departments to ensure the accuracy of claims processing and resolve any discrepancies.
  • Continuously updating knowledge on industry trends and regulations to ensure the company's compliance.

Qualifications

  • 5+ years of experience in claims examination, preferably in the healthcare industry.
  • Proficient in data entry, review, and adjudication of healthcare claims.
  • Strong knowledge of regulatory guidelines, contract provisions, and established policies and procedures related to healthcare claims.
  • Excellent analytical skills with the ability to research and resolve complex claim issues.
  • Proven experience in meeting quality, productivity, service-level, and turn-around requirements.
  • Strong training skills with the ability to effectively train others on claims processes and workflows.
  • Excellent communication and interpersonal skills.
  • Strong computer skills, including proficiency in Microsoft Office Suite and claims management software.
  • Ability to work independently and collaboratively within a team environment.
  • Bachelor's degree in healthcare administration, business, or a related field is preferred.


Interested in hearing more? Easy Apply now by clicking the "Quick Apply" button.

Jobot is an Equal Opportunity Employer. We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, age (40 and over), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. Jobot also prohibits harassment of applicants or employees based on any of these protected categories. It is Jobot’s policy to comply with all applicable federal, state and local laws respecting consideration of unemployment status in making hiring decisions.

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About the Company

J

Jobot

Jobot is on a mission to connect good people with good jobs. By combining AI-powered technology with the expertise of Jobot Pros, our experienced recruiters, we help you find career opportunities that align with your goals and values.

Founded in 2018 and employee-owned since 2024, Jobot is committed to fostering a culture of kindness, respect, innovation, and connection.  As an industry leader, we’ve been recognized as a top workplace by Forbes, Fortune, USA Today, and Staffing Industry Analysts (SIA).

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COMPANY SIZE
100 to 499 employees
INDUSTRY
Staffing/Employment Agencies
FOUNDED
2018
WEBSITE
http://www.jobot.com