Medical Claims

Robert Half Healthcare are seeking a Medical Claims Specialist. This position starts immediately and it is located here in San Francisco. This a great opportunity to expand your knowledge of the healthcare industry and grow within one of the leaders in this industry.

Duties:

· Input and validate medical claims data into the PCM application.

· Analyze rejected claims data

· Review documentation authorizing benefits payments. Determine appropriate amount due to recipient and process all necessary payment transactions.

· Analyze and audit any overpayments of claims.

· Record and issue letters informing debtors of obligations.

· Respond to written and oral vendor inquiries; follow up as needed.

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