Claims Examiner, Insurance Serv. - Community Medical Centers of Fresno, CA
Fresno, CA
About the Job
Overview: Qualifications: Disclaimers:
*All positions are located in Fresno/Clovis CA*
Opportunities for you!
- Consecutively recognized as a top employer by Forbes!
- Tuition reimbursement, education programs, and scholarships
- Vacation time starts building on Day 1, and builds with your seniority
- 403(b) retirement plan with up to 8% matching contributions
Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community.
We know that our ability to provide the highest level of care begins with taking care of our incredible teams. Want to learn more?Click here.
Responsibilities:
The Claims Examiner is responsible for accurately processing professional and hospital claims for Community Care Health (CCH) for in-network and out-of-network providers. This role will review and analyze claims: verifying coverage, assessing eligibility, and determining the validity of claims based on policy terms.
Education
• High School Diploma, High School Equivalency (HSE) or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required
Experience
• 1 year of medical claims processing/adjudication experience required
• Pay ranges listed are an estimate and subject to change.
• If any bonuses are noted, they are only applicable to external hires meeting criteria.
Source : Community Medical Centers of Fresno, CA
