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Claims Examiner, Medical

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Job Summary

Sherman Oaks, CA
Healthcare Services
Job Type
Full Time
Years of Experience
2+ to 5 Years
Career Level
Experienced (Non-Manager)

Claims Examiner, Medical

About the Job

  • Health Care Company


  • Examiners (HMO Claims)


  • Monday-Friday, 40 hours per week.


  • Must have at least 2+ years of recent Medical Claims experience


  • Able to meet hourly and daily production standards

Experience with HMO, Managed Care, Medicare, Medi-Cal, Commercial, Senior, DRG/RCC rates, ICD-9, anesthesia claims, in-patient claims, SNF, DME, dialysis, chemo, stop loss or case rates, COB, outpatient surgeries, ER, Professional, Institutional, Facility and all other claim types


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