Medical Claims Processor

Adecco is currently assisting a client in their search to fill a Claims Processor role located in La Palma, CA! If you would like to pursue a great opportunity, then Apply Now if you meet the qualifications listed below.

POSITION: Claims Supervisor
LOCATION: La Palma, CA
DURATION: ***CONTRACT-TO-HIRE FOR THE RIGHT FIT***
PAY RATE: $22.00 p/hr
HOURS: 7:30AM – 4:30PM

Specific Duties:

To batch and prioritize claims processing utilizing the Company’s in-house claims processing system.
To verify patient’s accounts for eligibility and benefits.
To accurately process complex claims that have been accepted for payment.
To request and follow-up on additional information as needed for incomplete claims.
To complete all steps above within designated timeframes (production quotas) and notify management if claims cannot be processed within the designated time frame.
To assemble denial letter background information and generate denial letters.
To read, interpret and summarize medical contracts/division of responsibility.
To identify claims that is not our financial risk and forward to appropriate entity for payment.
To review claims that is pending and follows through for payment in a timely manner.
To treat peers, superiors, subordinates clients and vendors with fairness, courtesy and professionalism and contribute to the overall positive work environment of the department.
To complete other production projects as assigned.


Must have qualifications/experience:

Requires the ability to speak, read, write and understand English and other general educational skills as is generally obtained by completing high school or a GED.
Requires 4+ years claims adjudicating experience preferably in a managed care setting.





***Applicants must be currently authorized to work in the United States on a full-time basis. We’re unable sponsor applicants with the following work visas: H1B, H2B, E3, TN1***

How to Apply: Click on “Apply Now” to be considered for this position or any other opportunities with Adecco.

Once candidates have applied, resumes will be screened for review. I will reach out to you if are chosen for the next step in the application process. If you have any questions please feel free to reach out to:

Recruiter: Symone Fields
Email: symone.fields@adeccona.com

IMPORTANT: This position is being recruited for by Adecco’s National Recruitment Center, not your local Adecco Branch Office. To be considered for this position, you must use the “apply now” button to submit your resume for review. For other opportunities available at Adecco go to www.adeccousa.com.

The Adecco Group is a global leader in HR services. Our group connects over 700,000 associates with our business clients each day through our 6,600 offices in over 70 countries and territories around the world. We offer employment opportunities at any stage in your professional career. Contact us today to discuss available contract and direct hire positions. Adecco Group provides one of the most comprehensive benefits packages in the industry to contract workers to include Holiday, 401(k), Insurance Benefit Plans and Service/Anniversary Bonus opportunities.

Equal Opportunity Employer Minorities/Women/Veterans/Disabled


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Reference number US_EN_2_022862_407784