Third-Party Medical Claims Processor

Don’t miss this amazing opportunity with one of our best employers in Fresno!

Exciting Opportunity for a Medical Biller / Claims Processor in Fresno, CA!

We are seeking a skilled Medical Biller or Claims Processor to join one of our top employers in Fresno, CA.

This full-time, on-site position runs Monday to Friday from 7:00 AM to 4:00 PM, offering competitive pay ranging from $18 to $20 per hour, depending on experience.
Ideal Candidate:
The perfect fit for this role has at least 3 years of experience in medical billing or claims processing—especially if that experience includes working with a third-party administrator (TPA) within an insurance company. Prior TPA exposure is highly preferred due to the nature of this employer’s group benefit processing.
Job Requirements:

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  High School Diploma or GED required
  
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  Minimum of 3 years of experience in a computerized medical billing or claims processing environment
  

Key Responsibilities:

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  Manage claims across multiple groups with accuracy and speed
  
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  Process CMS-1500 and UB-04 claims
  
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  Accurately handle high-dollar claims
  
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  Work with JAA/BlueCard claims
  
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  Interpret group SPD’s and apply benefits appropriately
  
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  Perform zero-dollar adjustments and review flagged claims
  
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  Maintain accurate reporting and resolve issues via FOGBUGZ
  
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  Use tools like the Anthem Blue Cross website for claims verification
  
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  Batch and scan correspondence
  
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  Track spreadsheets for special projects
  
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  Maintain excellent email communication and confidentiality
  

If you're detail-oriented, passionate about claims or billing, and thrive in a fast-paced environment, apply today and take the next step in your healthcare career!

#INDHP