Claims Processor - Intermediate
Redwood City , California
February 08, 2017
Adecco is currently assisting a local client in their search to fill a Claims Processor job in Redwood City, CA. This is a long term opportunity for the right person. If you would like to pursue a great opportunity and enjoy working for a fast paced company, then Apply Now if you meet the qualifications listed below!


Manually key claims into the Claims Payment System
Examine claims to ensure accurate adjudication and claims payment
Interpret fee for service and capitated provider contracts
Route claim issues to outside departments through separate applications (UM reviews, Configuration issues, Eligibility, etc.)
Work held reports and daily claims insert reports
Analyze professional claims for accurate claims processing/payment review provider contracts as needed

1. Verify Insurance information
2. Notify insurance of hospital admissions
3. Run estimates
4. Collect payments/ set up payment plans
5. Review coverage with patients
6. Financial Advisor or Insurance Verifier


1-3 years professional claims processing
Working knowledge of Medical Terminology, ICD9/ICD10, CMS 1500 claim forms
Microsoft Outlook, Excel, Word
Exceptional data entry skills


3 or more years of combined experience in healthcare administration, medical coding, data entry, and customer service
Experience with Medical Terminology, ICD9/ICD10, CMS 1500 claim forms


The work is mostly non-confined sitting (employee is free to move about).
Work is conducted on the telephone and computer terminal.
Visual as well as mental concentration requiring the ability to handle situations under stress is applied.

Adecco provides one of the most comprehensive benefits packages in the industry to contract employees.

Candidates interested in this Opportunity should apply IMMEDIATELY. DO NOT DELAY. Please click on the "Apply Now" button to fill out your application. If you have any questions, you can contact Kristin Kaiser at

***Applicants must be currently authorized to work in the United States on a full-time basis***

This position is being recruited for by Adecco's Service Delivery Center, not your local Adecco Branch Office. To be considered for this position, you must use the "apply now" button to submit your resume. If you have questions about the position, you may contact the recruiter recruiting for this position listed above, however your resume must be received via the "apply now" button included within to be considered.

The Adecco Group is a global leader in HR services. Our group connects over 700,000 associates with our business clients each day through our 6,600 offices in over 70 countries and territories around the world. We offer employment opportunities at any stage in your professional career. Contact us today to discuss available contract and direct hire positions. Adecco Group offers benefits including Holiday, 401(k), Insurance Benefit Plans and Service/Anniversary Bonus opportunities.

Equal Opportunity Employer Minorities/Women/Veterans/Disabled

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