Medical Claims Processor

About the Role We are seeking a highly organized and detail-oriented Medical Claims & Patient Intake Specialist to join our busy healthcare team. In this role, you will be the primary point of contact for workers' compensation claims, patient registration, and insurance verification. Working in a fast-paced, high-volume ambulatory clinic environment, you will play a critical role in ensuring that patients, adjusters, and vendors receive accurate information and excellent service. Key Responsibilities Patient Intake & Registration: Register new patients, create and maintain workers' compensation cases, and ensure all required claim data is entered accurately into the system. Claims Adjudication & Follow-Up: Receive and process medical claims and bills for payment or denial. Follow up with insurance carriers, third-party administrators, employers, and claims adjusters to obtain claim details, authorizations, and payment information. Customer Support: Answer a high volume of incoming calls, assisting injured workers, employers, adjusters, and internal staff with workers' compensation-related inquiries. Research & Issue Resolution: Research claims and bills for appropriate supporting documentation. Analyze and adjust data and benefits criteria for payment, and proactively respond to vendor and patient problems or complaints. Required Qualifications Education: High School Diploma or GED required. Experience: Minimum of 2 years of experience in medical claims processing, workers' compensation, patient registration, insurance verification, or a related healthcare administrative role. Technical Skills: Proficiency in Microsoft Office Suite (Outlook, Word, Excel, PowerPoint) and Microsoft Teams. Core Competencies: strong customer service and telephone communication skills. Must be comfortable managing high call volumes, multiple priorities, and strict accuracy requirements in a fast-paced environment. Preferred Qualifications Education: Associate’s or Bachelor’s degree in Healthcare Administration, Business Administration, or a related field. Experience: 3–5 years of experience in a healthcare setting, with direct experience handling workers' compensation cases and claims follow-up. Systems: Experience with Electronic Health Record (EHR) systems (Epic preferred). Familiarity with scheduling systems, document management, and basic reporting tools. Work Environment & Additional Details Setting: This is a 100% onsite role located in a patient access building.

salary: $24.99 - $25 per hour
shift: First
work hours: 8 AM - 5 PM
education: High School

Responsibilities

Patient Intake & Registration: Register new patients, create and maintain workers' compensation cases, and ensure all required claim data is entered accurately into the system.
Claims Adjudication & Follow-Up: Receive and process medical claims and bills for payment or denial. Follow up with insurance carriers, third-party administrators, employers, and claims adjusters to obtain claim details, authorizations, and payment information.
Customer Support: Answer a high volume of incoming calls, assisting injured workers, employers, adjusters, and internal staff with workers' compensation-related inquiries.
Research & Issue Resolution: Research claims and bills for appropriate supporting documentation. Analyze and adjust data and benefits criteria for payment, and proactively respond to vendor and patient problems or complaints.

Skills

• customer service
• telephone communication
• organizational skills

Qualifications

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

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

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 randstadusa.com.

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.