Claims Examiner - Hire Up Staffing Services

Hire UP Staffing is seeking an experienced Medical Claims Examiner  for well established client in Fresno, CA. This position is temp to hire with the hours being Mon-Fri 7:00am-4:00pm, with the pay ranging from $19-$22 an hour.

JOB QUALIFICATIONS:
High School Diploma/GED equivalent required.Minimum 3 years of experience processing medical claims in a computerized environment.

ESSENTIAL FUNCTIONS:
- Maintain multiple groups
- Process CMS-1500 claims
- Process UB-04 claims
- Process high-dollar claims
- Process JAA/BlueCard claims
- Interpret group SPD’s and apply benefits
- Zero dollar adjustments
- Maintain various reports
- Review/create/process FOGBUGZ cases
- Access Anthem Blue Cross website for inquiries
- Batch/Scan correspondence
- Access email for department communication
- Track and work spreadsheets for special projects
- Maintain confidentiality

INDHP