Examiner II, Claims
AltaMed Health Services(3 months ago)
About this role
A Claims Examiner II at AltaMed works within the organization’s claims function to ensure accurate processing and financial integrity of medical claims in a managed care environment. The role supports provider interactions and contributes to maintaining compliance with contracts and fee schedules. It helps reduce payment errors and supports overall claims operations.
Required Skills
- Claims Processing
- Claims Adjudication
- Managed Care
- Payment Reconciliation
- Contract Interpretation
- CMS-1500 Forms
- UB-04 Forms
- Provider Relations
- Root Cause
Qualifications
- HS Diploma
- GED
About AltaMed Health Services
altamed.orgAltaMed is your community health network. Find compassionate, culturally sensitive health care services that meet your family’s needs at every stage of life.
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