Medical claims processor

We are actively seeking an experienced Medical Claims Processor to join a top-tier healthcare network in Bakersfield, CA. In this essential onsite role, you will be the backbone of the billing department, ensuring that medical claims are accurately reviewed and processed in a timely manner. This position offers a supportive work environment with free parking, a comfortable dress code (business casual or scrubs), and the exciting opportunity to potentially extend your assignment long-term! The ideal candidate brings 2 to 3 years of related experience and a high school diploma. You will be working directly in a patient access building, making a tangible difference every day in the efficiency of healthcare administration. Please note that because this role is strictly onsite in a clinical setting, up-to-date vaccinations are required before starting. Core Responsibilities: Receive and adjudicate medical claims and bills to determine appropriate payment or denial status. Research incoming claims to ensure all necessary support documents and documentation are present and accurate. Analyze data and apply benefit criteria to accurately adjust payments. Respond to inquiries and actively research solutions for vendor and member problems, questions, and complaints. (Note: Medical coding is not required for this role.) Requirements & Qualifications: High School Diploma or equivalent required. 2 to 3 years of related experience in medical claims processing, medical billing, or a similar capacity. Must be comfortable working onsite in a patient access facility for more than 50% of the time. Proof of vaccination is required prior to starting the role.

salary: $30.99 - $31 per hour
shift: First
work hours: 8 AM - 4 PM
education: High School

Responsibilities

Receive and adjudicate medical claims and bills to determine appropriate payment or denial status.
Research incoming claims to ensure all necessary support documents and documentation are present and accurate.
Analyze data and apply benefit criteria to accurately adjust payments.
Respond to inquiries and actively research solutions for vendor and member problems, questions, and complaints.

Skills

• medical claims
• bills for payment
• documentation

Qualifications

• Years of experience: 2 years
• Experience level: Experienced

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At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact View email address on click.appcast.io.

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).

This posting is open for thirty (30) days.

Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance.


Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.


We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.