Top 2 Coding supervisor Jobs in Bakersfield, Ca

Medical Claims Examiner
All's Well Health Care Services —Bakersfield, CA
- $22 - $23 an hour
- Temporary
- Hybrid work
- Mid-level
- High school diploma or GED
- Data entry
- Health savings account
- Health insurance
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10d
Certified Coder - 34th Street CHC
Clinica Sierra Vista —Bakersfield, CA
- $23.00 - $28.50 an hour
- Full-time
- 18 years or older
- HIPAA
- Research
- 403(b) matching
- Health insurance
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As required by listed licensure and/or certification requirement. Conducts billing and coding audits to ensure accuracy and identify missed opportunities.

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Medical Claims Examiner

All's Well Health Care Services -
Bakersfield, CA

Quick Apply

Job Details

Temporary
$22 - $23 an hour
10 days ago

Benefits

Health savings account
Health insurance
Dental insurance
401(k)
Paid time off
Parental leave
Employee assistance program
Vision insurance
401(k) matching
Professional development assistance
Life insurance

Qualifications

High school diploma or GED
ICD-9
ICD-10
Data entry
Organizational skills
Medical terminology

Full Job Description

About the role

Under management direction, responsible for reviewing and processing all types of medical and

facility claims from contracting and non-contracting providers and from subscribers and

enrollees for payment in an accurate and timely manner. Responsible for applying correct

contract benefits, policies and procedures.

This position is responsible for claims auditing and payment functions for a Knox-Keene

licensed health maintenance organization (HMO).

Essential Duties and Responsibilities

Resolve system suspended claims for:

PCPs

Labs

Radiology

Less complicated specialists

Physical Therapy

Deny inappropriate claims following policy guidelines.
Prepare claims that must be routed to other departments for further review.
Review difficult claims with guidance from Claims Supervisor.
Responsible for identifying billing errors and possible fraudulent claims submissions.
Obtain eligibility verification and other health insurance coverage by Internet or POS.
Responsible for correct manual calculation of benefits when applicable.
Responsible for identifying possible CCS eligible claims for further investigation.
Report overpayment refund requests on SharePoint log
Maintain productivity and quality in accordance with established guidelines.
Perform other job-related duties as required.
Regular Predictable attendance.
Adheres to all company policies and procedures relative to employment and job

responsibilities.

Employment Standards:

High School Diploma from an accredited school or equivalent.

Up to (1-2) years of medical claim payment or medical billing processing experience

Experience investigating COB.

Ability to calculate usual and prevailing fees.

Health maintenance organization (HMO) claims payment-processing experience is highly

desirable.

Education and experience:

Computerized on-line data entry systems; organizational structure of medical claims processing;

methods and procedures utilized in medical claims processing; medical terminology; CPT &

ICD-9 coding; COB & subrogation investigation.

Adapt to a rapidly evolving work environment; work independently; communicate with a variety

of personnel and providers.

Knowledge of:

Computerized on-line data entry systems; organizational structure of medical claims processing; medical terminology; HCPCS, CPT & ICD-10 coding, UB04 and CMS1500 forms.

Pay: $22.00 - $23.00 per hour

Benefits:

401(k)
401(k) matching
Dental insurance
Employee assistance program
Health insurance
Health savings account
Life insurance
Paid time off
Parental leave
Professional development assistance
Vision insurance

Work Location: Hybrid remote in Bakersfield, CA 93308

Quick Apply

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coding supervisor jobs in bakersfield, ca

Medical Claims Examiner

Certified Coder - 34th Street CHC

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