salary: $23 - $26 per hour
shift: First
work hours: 8 AM - 5 PM
education: High School
Responsibilities
- Under indirect supervision, processes insurance claims, reports and billing for compensation of patients and members for medical disability benefits; processes applications from medical/life insurance, supplemental benefits and assigned accounts; obtains background information; makes arrangements to obtain monies owing; performs other collection responsibilities as needed; abides by state collection and credit regulations; interprets and complies with state/federal regulations, laws and guidelines in reference to third party payers; processes VRs for billing; maintains current knowledge of the company Health Plan benefits and policies; acts as Patient representative.
- Major Responsibilities: Receives, reviews, and controls requests for medical information, visit records, nurse/doctor notes and other pertinent documents;
- Verifies completeness and accuracy; ensures efficiency in processing of claims; obtains medical charts and other data pertaining to request.
- Audits, abstracts, and summarizes pertinent data from patient medical records, nurse/doctor notes and other documents; processes insurance claims and reports in compliance with state/federal regulations, laws, guidelines and Kaiser Health Plan policies; obtains physician signature and/or signs as provider representative; prepares service charge letters and invoices referring to fee schedule.
- Performs follow-up with insurance companies, agencies, and/or patients; researches and takes action as required.
Skills
Qualifications
Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).
This posting is open for thirty (30) days.
