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.
· 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.