Rady Children's Hospital San Diego Claims Processor I-50551 in San Diego, California
This is a Casual position with an anticipated assignment length through June 30, 2019 and subject to renewal thereafter.
The primary purpose of this position is to examine and process uncomplicated claims from the UB04 and CMS-1500 claim forms into the claims adjudication system for all capitated & shared services accounts. This position is responsible for the accurate review, input and adjudication of claims using reasonable payment policies and methodologies that are consistent with and recognized by Health Plans, nationally recognized medical organizations, federal regulatory bodies, and contractual obligations of the organization.
High school diploma, GED, or Foreign equivalent
One year of experience