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Healthcare Claims Processor – Monterey Park, CA

Kelly Services, a global leader in staffing solutions, is seeking Healthcare Claims Processors with an industry-leading health insurance client in the Monterey Park, CA area! Contract opportunity starting in January 2020 through March 2020, with a potential to extend and go full-time.

Pay Rate: Up to $23.00 per hour

Job Description:

Responsible for triaging provider disputes. Must differentiate provider disputes from claims correspondence. Claims correspondence must be sent to Claims Department immediately, create courtesy letter. Writes resolution letter and ensure that resolution language accurately represents the final outcome. Communicates provider issues to PDR management and appropriate team members, that may include members of other departments (as necessary).

Provider Claims experience required
PDR Coordinator

Responsible for receiving and reviewing appeals that have been submitted

Claims background

At least 1 year Or at least have worked in a hospital, medical group or doctors office
Hippa and UB experience
Be able read an appeal and research further
Claims experience

Provider dispute resolution -PDR processing will work as well
Claims examiners
Day to day

Reviewing provider appeals that come into the department
Determine if it is timely
Review contracts to see if additional payment is due
Submit to nurse if additional payment is due

Education/ Minimum Requirements:

High School Diploma or GED required
Entry level knowledge of MS Office Skills required
Provider dispute review experience is a plus on the provider side , not the member side
MUST HAVE 2 years of healthcare claims experience
Healthcare experience

2+ years

Claims processing and Provider Dispute Resolution experience

1 year

Software skills

Planview
Facets a plus

Hours:

Training 8:30 am -5:00 pm

2 week-classroom

Schedule

Day shift 8:30-5 (flexible) Monday through Friday

Overtime is offered but not required
Extend or go full time

Apply Today!

Important information: This position is recruited for by a remote Kelly office, not your local Kelly branch. Please submit your resume to be considered for this position. If you have questions about the opening, you may contact the recruiter for this position at matthsy@kellyservices.com .

Why Kelly?
As a Kelly Services candidate you will have access to numerous perks, including:
• Exposure to a variety of career opportunities as a result of our expansive network of client companies
• Career guides, information and tools to help you successfully position yourself throughout every stage of your career
• Access to more than 3,000 online training courses through our Kelly Learning Center
• Group-rate insurance options available immediately upon hire (Available for purchase and administered by a designated third-party vendor)
• Weekly pay and service bonus plans

We invite you to bookmark our Web site and encourage you to review it regularly for new opportunities worldwide: www.kellyservices.com .

Kelly Services® is a U.S.-based Fortune 1000 company. With our global network of branch locations, we are uniquely positioned to provide our customers with international staffing support and our employees with diverse assignments around the world. Kelly Services is an Equal Opportunity Employer.

Why Kelly ® ? As a worker today, it’s up to you to take charge of your career and look for opportunities to learn, grow, and achieve your potential. Helping you find what’s next is what we’re all about. We know what’s going on in the evolving world of work—just ask the nearly 500,000 people we employ each year. Connecting with us means getting the support, guidance, and opportunities needed to take your career where you may have never imagined. About Kelly ® At Kelly, we’re always thinking about what’s next and advising job seekers on new ways of working to reach their full potential. In fact, we’re a leading advocate for temporary/nontraditional workstyles, because we believe they allow flexibility and tremendous growth opportunities that enable a better way to work and live. Connecting great people with great companies is what we do best, and our employment opportunities span a wide variety of workstyles, skill levels, and industries around the world. Kelly is an equal opportunity employer committed to employing a diverse workforce, including, but not limited to, minorities, females, individuals with disabilities, protected veterans, sexual orientation, gender identity. Equal Employment Opportunity is The Law.

Read the full job description and apply online on the recuiter's web-site

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