Hospital Claims Examiner

ADP

(remote)

JOB DETAILS
SKILLS
Analysis Skills, Best Practices, Claims Management, Claims Processing, Communication Skills, Customer Support/Service, Dental Insurance, Detail Oriented, Documentation, Health Insurance, Healthcare, Healthcare Management, Healthcare Providers, High School Diploma, Hospital, Hospital Administration, Interpersonal Skills, Medical Billing, Microsoft Office, Problem Solving Skills, Procedure Development, Record Keeping, Regulations, Regulatory Compliance, Reimbursement, Savings Bank, Team Player, Time Management, Training/Teaching, Vision Plan
POSTED
30+ days ago
Benefits:
  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Vision insurance
  • Wellness resources
  • Company parties
  • Employee discounts
  • Opportunity for advancement
  • Paid time off
  • Parental leave
  • Savings bank
  • Training & development
About the Role:
Join MedPOINT Management as a Hospital Claims Examiner in Sherman Oaks, CA, where you'll play a crucial role in ensuring accurate and timely processing of hospital claims. Be part of a dynamic team that values precision and efficiency in the healthcare industry.


Responsibilities:
  • Review and analyze hospital claims for accuracy and compliance with regulations.
  • Investigate discrepancies and resolve issues related to claims processing.
  • Collaborate with healthcare providers to obtain necessary documentation.
  • Ensure timely submission of claims to maximize reimbursement.
  • Maintain detailed records of claims and communications.
  • Assist in the development of claims processing procedures and guidelines.
  • Stay updated on industry regulations and best practices.
  • Support team members in training and knowledge sharing.
Requirements:
  • Proven experience in hospital claims processing or medical billing.
  • Strong understanding of healthcare regulations and coding systems.
  • Excellent analytical and problem-solving skills.
  • Detail-oriented with a focus on accuracy.
  • Effective communication and interpersonal skills.
  • Proficiency in claims management software and MS Office.
  • Ability to work independently and as part of a team.
  • High school diploma or equivalent; additional certification preferred.
About Us:
MedPOINT Management has been a leader in healthcare management for over a decade, providing exceptional services to our clients. Our commitment to quality and innovation has earned us a reputation for excellence, making us a preferred partner in the healthcare industry.

This is a remote position.

Compensation: $21.00 - $26.00 per hour




About the Company

A

ADP

ADP powers the working world with comprehensive solutions that drive business success. Consistently named one of the "Most Admired Companies" by FORTUNE® Magazine, and recognized by Forbes® as one of "The World's Most Innovative Companies," ADP has over a half-million clients around the globe and 65 years of experience as one of the largest providers of human capital management solutions world-wide. At ADP, we believe that diversity fuels innovation. ADP is committed to equal employment opportunities regardless of race, color, genetic information, creed, religion, sex, sexual orientation, gender identity, lawful alien status, national origin, age, marital status, non-job related physical or mental disability, or protected veteran status. We support an inclusive workplace where associates excel based on personal merit, qualifications, experience, ability, and job performance.
COMPANY SIZE
10,000 employees or more
INDUSTRY
Management Consulting Services
WEBSITE
https://jobs.adp.com/life-at-adp/