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HealthCare Claims Clerk (On-site) at Shield California Health

Santa Clarita, California, United States -

Full Time

Start Date

Immediate

Expiry Date

25 Jun, 26

Salary

19.0

Posted On

27 Mar, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Research, Resolution, Appeals, Phone Contact, Problem Solving, Detail Orientation, Analytical Skills, Organizational Skills, Verbal Communication, Written Communication

Industry

Medical Equipment Manufacturing

Description

Since 1957, Shield Healthcare has provided high-quality healthcare services while focusing on customer satisfaction and employee achievement. We are dedicated to fulfilling the medical supply needs of consumers and the caregiving community while maintaining a 99% overall customer satisfaction rating. Over the years, Shield HealthCare has expanded nationally with current service locations in California, Colorado, Illinois, Ohio, Texas and Washington. Shield HealthCare is looking for a Healthcare Claims Clerk to research claim denials and underpayments. The position has a set schedule, Monday through Friday, no nights or weekends. This is an on-site position in Valencia, CA. JOB RESPONSIBILITIES: * Research and resolution of claim denials and underpayments * Prepare and submit reviews and appeals to third party carriers * Phone contact with third party carriers, customers and company staff to resolve billing issues. * Research and identify rebills, write offs and refunds, as necessary QUALIFICATIONS: * Ability to handle high volume with deadline pressure * Ability to multi-task * Demonstrated problem solving ability, detail orientation, analytical, and organizational skills * Excellent verbal and written communication skills PAY & BENEFITS: * $17-19/hour * Medical, Dental, and Vision ( Available first day of employment) * 401(k) with Company Match * Sick and Vacation Days * Flexible Spending Account * Life & Disability Insurance * Education Assistance Career-minded individuals will find our business challenging and our reputation for excellence just one of the rewards we have to offer. To further enhance this tradition of excellence, our employees participate in continuous training and development programs in a variety of disciplines.

Responsibilities

The primary duties involve researching and resolving claim denials and underpayments, which includes preparing and submitting reviews and appeals to third-party carriers. This role also requires phone contact with carriers, customers, and staff to resolve billing issues and identifying necessary rebills, write-offs, or refunds.