In this role, you will be the voice of support for members who are often navigating difficult health challenges, requiring a friendly, empathetic, and compassionate tone. If you thrive in a collaborative environment and are ready to grow with a team that has more than doubled in size recently, we want to hear from you!
salary: $30.99 - $31 per hour
shift: First
work hours: 8 AM - 5 PM
education: High School
Responsibilities
As a Medical Claims Processor, you will play a critical role in clinical front-office operations by adjudicating medical claims and ensuring members receive accurate benefits. This is an on-site position in Bakersfield, CA, offering a professional environment with a casual business or medical scrub dress code.
Your Impactful Daily Tasks
- Claim Adjudication: Receive and process medical claims/bills for payment or denial based on benefit criteria
- Analytical Research: Investigate claims for proper documentation and analyze data for adjustments.
- Insurance Liaison: Contact insurance carriers and employers to obtain claim numbers and discuss patient work status.
- Clinical Support: Answer phones, schedule patient appointments, and manage daily work queues.
- System Management: Utilize HealthConnect (Epic) to create workers' compensation accounts and manage workflows.
- Language: Professional fluency in Spanish and English is required.
- Education: High School Diploma or equivalent.
- Experience: 3+ years of related medical claims or clinical administrative experience preferred.
- Technical Skills: Proficiency in Epic (HealthConnect) or similar complex medical software.
- Schedule: Ability to work Monday through Friday, 9:00 AM – 3:00 PM.
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.
Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.
