CareMore Health ยท 13 hours ago
Claims Support Specialist I
Cerritos, CA
Full-time
Onsite
Entry Level
$17.10/hr - $29.70/hr
2+ years expCareMore Health is seeking a Claims Support Specialist I to manage claims adjustments and recoveries. The role involves auditing claims for overpayments, coordinating with other departments, and ensuring customer satisfaction through effective recovery processes.
Health CareMedicalPersonal HealthService Industry
Responsibilities
Audits paid claims for overpayments using various techniques including systems based queries, specialized reporting, or other research
Responsible for more complex issues such as coordination of benefits, Medicare, and medical policies
Works closely with staff from other departments on a regular basis to ensure customer satisfaction
Works closely with contract managers to identify and correct contractual issues when applicable
May perform collection activities to ensure the recovery of overpayments and maintenance of unprocessed cash and accounts receivable processes and all other cash applications as required
Researches voluntary refunds for accuracy
Requires accurate balancing of all accounts
Qualification
Required
Requires a H.S. diploma
2-4 years of claims processing and/or customer service experience
Any combination of education and experience, which would provide an equivalent background
Preferred
Associate degree or higher level degree preferred
Company
CareMore Health
CareMore Health provides healthcare delivery system.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Paul Mikulecky, MD, MBA, CPE
VP & Chief Medical Officer
Lauren F Burns
Clinical Education Partner
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