IEHP - Temporary Claims Processor

This position is Fully Remote

This is a temporary role facilitated through one of our contracted agencies and is not direct employment opportunity with IEHP. The contracted agency offers an assignment length of up to six months, during which the candidate will provide support for IEHP.

What you can expect.

Find joy in serving others with IEHP. We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience.

Under the direction of the Claims Production Manager and Supervisor, the Claims Processor Level II will be processing outpatient professional and institutional claims. This includes but is not limited to; lab, radiology, ambulance, behavior health, outpatient COB, dialysis, oncology/chemo, hospital exclusions etc., in an accurate and expedient manner.

Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.

Education & Requirements
Minimum of two (2) years of experience adjudicating outpatient professional and/or institutional claims preferably in an HMO or Managed Care setting
Processing of Medicare, Medi-Cal, or Commercial claims required
Proficient in rate applications for Medi-Cal and/or Medicare pricers
High school diploma or GED required

Key Qualifications
ICD-9 and CPT coding and general practices of claims processing
Prefer knowledge of capitated managed care environment
Microcomputer skills, proficiency in Windows applications preferred
Excellent communication and interpersonal skills, strong organizational skills
Professional demeanor
Must be computer literate, maintain good attendance, and have the right attitude and discipline to work from home
Data entry involving computer keyboard and screens, filing, and copying of records and/or correspondence
Position is eligible for telecommuting/remote work location upon completing the necessary steps and receiving HR approval. All IEHP positions approved for telecommute or hybrid work locations may periodically be required to report to IEHP's main campus for mandatory in-person meetings or for other business needs as determined by IEHP leadership

Join our dedicated team as a Claims Processor where your expertise will contribute significantly to our mission of providing exceptional service in the healthcare industry.

Job Types: Full-time, Temporary

Pay: $23.98 per hour

Expected hours: 40 per week

Benefits:
On-site gym
Schedule:
8 hour shift
Day shift
Monday to Friday

Education:
High school or equivalent (Required)

Experience:
adjudicating inpatient/outpatient claims: 2 years (Required)
processing Medi-Cal and Medicare Claims: 2 years (Required)

Work Location: Hybrid remote in Rancho Cucamonga, CA 91730