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Third-Party Claims Processor
Third-Party Claims ProcessorHire Up • Fresno, CA, US
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Third-Party Claims Processor

Third-Party Claims Processor

Hire Up • Fresno, CA, US
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  • [job_card.full_time]
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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 processingespecially 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 :

  • High school diploma or GED required
  • Minimum of 3 years of experience in a computerized medical billing or claims processing environment

Key responsibilities :

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

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