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Claims Specialist in Irvine CA at Parallon

Date Posted: 12/6/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Irvine CA
  • Job Type:
  • Experience:
    1 to 3 years
  • Date Posted:
    12/6/2018

Job Description

Do you have experience with investigating, researching, and facilitating unpaid claims?  
 
Now is the time to join our team of motivated and nurturing individuals working on verifying information obtained by payers and medical providers regarding insurance coverage.  Ideal candidates will identify root-cause issues to ensure solutions and communicate findings as needed.  You should also share a passion for our purpose, "To serve and enable those who care for and improve human life in their community."
 
Does this sound like you?  If so, APPLY TODAY.  See what makes us a fabulous place to work!    

Parallon is now seeking a Full-Time Claims Specialist
 
You can also Like us on Facebookhttps://www.facebook.com/ParallonRCSJobs.
 
WHAT WE CAN OFFER YOU:

  • We offer you an excellent total compensation package, including competitive salary, excellent benefit package and growth opportunities. We believe deeply in our team and your ability to do excellent work with us.
  • Your benefits package allows you to select the options that best meet the needs of you and your family. Benefits include 401k, paid time off medical, dental, flex spending, life, disability, tuition reimbursement, employee discount program, employee stock purchase program and student loan repayment.


WHAT YOU WILL DO:

  • Verify information obtained from payers and medical providers regarding insurance coverage with insurance companies for accuracy at the time of service
  • Enter appropriate notes and takes appropriate actions in the system to route claims to appropriate departments for processing.
  • Perform aggressive follow-up on unresolved claims and facilitates payment from appropriate payers.
  • Follow-up with clients and insurers to resolve issues and discuss reasons for reduced or unpaid claims.
  • Maintain and update proper account documentation.
  • Meet productivity and quality benchmarks as set by the department.
  • Escalate claim issues to Manager, or department based on the nature of the issue.
  • Respond to incoming inquiries, complaints and appeals and resolves issues for clients.
  • Maintain and protects confidentiality with regard to all aspects of patient care information.
  • Other tasks and projects as assigned


ABOUT US
Parallon believes that organizations that continuously learn and improve will thrive. That’s why after more than a decade we remain dedicated to helping hospitals and hospital systems operate knowledgeably, intelligently, effectively and efficiently in the rapidly evolving healthcare marketplace, today and in the future. As one of the healthcare industry’s leading providers of business and operational services, Parallon is uniquely equipped to provide a broad spectrum of customized revenue cycle services.

Job Requirements

EXPERIENCE AND EDUCATION NEEDED:

  • 1-3 years of experience in claims or health insurance
  • Excellent verbal and written communication skills
  • Critical thinking and strong attention to detail
  • Ability to multi task and prioritize
  • Experience using MS Word and Excel, and Outlook


We are an equal opportunity employer and we value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
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