Claims Processor

Job not on LinkedIn

🔥 1 hour ago

🏄 California – Remote

🏄 California – Remote

💵 $19 - $21 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

📋 Claims Specialist

🚫👨‍🎓 No degree required

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MedPOINT Management

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1988

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

MedPOINT Management is a California-based healthcare management services organization that supports independent practice associations (IPAs), provider networks, hospitals and contracted health plans with clinical quality, care management, administrative operations and technology solutions. For more than 32 years MPM has provided services including provider network operations, case management, utilization management, claims operations, credentialing, HEDIS/STARs quality measurement and analytics (via Cozeva), call center and financial management, and digital provider portals and resource libraries. The company emphasizes data security and compliance (SOC 2 and HITRUST e1 certifications for its EZ-CAP and Provider Web Portals) and focuses on enabling value-based care, quality improvement, and operational support for providers and payers.

📋 Description

• Review and process insurance claims with accuracy and efficiency. • Ensure compliance with company policies and regulatory requirements. • Communicate with clients and insurance companies to resolve claims discrepancies. • Maintain detailed records of claims processing activities. • Analyze claims data to identify trends and areas for improvement. • Assist in training new team members on claims processing procedures. • Participate in team meetings to discuss workflow and process enhancements. • Stay updated on industry changes and best practices related to claims processing.

🎯 Requirements

• High school diploma or equivalent; associate degree preferred. • Minimum of 2 years experience in claims processing or related field. • Strong attention to detail and excellent organizational skills. • Proficient in claims management software and Microsoft Office Suite. • Ability to work independently and collaboratively in a team environment. • Effective communication skills, both written and verbal. • Knowledge of medical terminology and insurance policies is a plus. • Strong problem-solving skills and ability to handle challenging situations.

🏖️ Benefits

• 401(k) • 401(k) matching • Company parties • Dental insurance • Employee discounts • Health insurance • Opportunity for advancement • Paid time off • Parental leave • Savings bank • Training & development • Vision insurance • Wellness resources