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Job Details
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Job Information:
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Job title
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Pasadena-Medical Claims Examiner - QNXT exp
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Company
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Wage
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between $0.00 - $0.00 Hourly
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Location
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United States, California, Pasadena
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Employment type
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Full Time
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Education
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Not Specified
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Year Experience
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4 - 5 Years of Practical Experience
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Travel
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Not Specified
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Published on
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1/9/2012
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Description
Immediate need for an experienced medical claims examiner to process medical PPO claims - previous or recent qnxt system and blue cross claims processing experience highly desiresable. Experienced in pricing and repricing claims highly desirable as well.
Accurate and timely adjudication of medical claims.Investigation/communication in order to obtain necessary information to complete claim.Review and interpretation of contract benefits and edit/audit resolution.Knowledgeable and have the ability to access all relevant mainframe systems and screens in order to process claims accurately.Ensure security and confidentiality of records and information to prevent substantial harm, embarrassment, inconvenience, or unfairness to any individual on whom information is maintained. Ability to extract claims authorization and historical data from the claims system. We are an equal employment opportunity employer.df-hm
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Experience/Skills
min of 3-5 years processing experience of PPO medical claims.Current mastery of CMS-1500 and UB04's.Must be able to meet high production and quality assurance standards.
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This job has expired.
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