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Medical Claims Processor

Company: Foundation for Medical Care of Kern County
Location: Bakersfield
Posted on: November 25, 2022

Job Description:

*Foundation for Medical Care of Kern County* and *HealthEdge Administrators* is currently recruiting for a Medical Claims Processorin Bakersfield, CA. We are looking for the right candidate to join our team! The ideal candidate has extensive professional medical claims processing, billing and/or coding experience, insurance and benefits plan knowledge, is familiar with Medicare guidelines and is detail-oriented with a production focus. Previous medical claims processing experience preferred.

*Job Summary*

Processes medical claims and claims related duties accurately and with reasonable speed. Conducts research, analyzes claims information and evaluates benefit plans and fee schedules to accurately process claims. Follows Company, client and regulatory guidelines to meet and exceed departmental production goals as established by the Claims Manager.

*Knowledge, Skills and Abilities Required*

* Must possess extensive knowledge of medical terminology and benefits, CPT, HCPCS, Revenue and ICD10 codes
* Must possess knowledge of professional medical claims, including modifiers and medical procedures
* Must be familiar with Medicare guidelines
* Detail-oriented, self-starter with desire to learn
* Thoroughly researches and analyzes information, thinks critically
* Proficient in data based systems and related technical software programs
* Proficient in Microsoft Office applications including Word, Outlook and Excel
* Must possess the ability to perform mathematic equations
* Must have high level attendance in accordance with FMC Attendance Policy

*Qualifications*

* High school diploma or equivalent required
* Two years' professional medical office experience, medical billing, claims or appeals processing required
* Certified Coder preferred
* Familiarity with Medicare guidelines preferred
* Current typing certificate, minimum 35 wpm

Full-Time position. Excellent health benefits, 401(k), employee culture, development and rewards programs. \*Salary depends on experience & qualifications.\*

Job Type: Full-time

Pay: $17.32 - $22.85 per hour

Benefits:
* 401(k)
* 401(k) matching
* Dental insurance
* Disability insurance
* Employee assistance program
* Flexible schedule
* Flexible spending account
* Health insurance
* Life insurance
* Paid time off
* Vision insurance
* Work from home
Schedule:
* 8 hour shift
* Monday to Friday

COVID-19 considerations:
Though not required, the majority of our employees are vaccinated. We have allowed more employees to work remotely to reduce in-office personnel and ensure 6' social distancing. Employees promptly report symptoms and potential COVID-19 exposures.

Education:
* High school or equivalent (Required)

Experience:
* Claims Processing: 2 years (Preferred)
* Medical billing: 2 years (Preferred)
* Medical Front Office: 2 years (Required)

Work Location: Hybrid remote in Bakersfield, CA 93309%58047475%

Keywords: Foundation for Medical Care of Kern County, Bakersfield , Medical Claims Processor, Other , Bakersfield, California

Click here to apply!

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