Full Risk Claims Specialist - 26-13

Hill Physicians Medical Group(14 days ago)

San Ramon, CAOnsiteFull TimeMedior$56,000 - $66,560Claims Processing

About this role

Hill Physicians Care Solutions seeks a Full Risk Claims Analyst to process and adjudicate Medicare Advantage claims accurately and efficiently. The role involves resolving complex claim issues, ensuring compliance with regulations, and maintaining high standards for claims processing. The position offers an opportunity to work within a reputable healthcare organization dedicated to quality care and diversity.

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Required Skills

Claims Processing
Medicare Advantage
CMS Rules
MS DRG
ICD-10
Optum Systems
Claim Adjudication
Healthcare Regulations
Hospital Claims
Customer Service

About Hill Physicians Medical Group

hillphysicians.com

We deliver top-tier healthcare across the San Francisco Bay, Sacramento, and Central Valley regions. Hill Physicians is supported by PriMed Management Consulting Services, offering comprehensive management and support to ensure exceptional care for our members."

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