Claims Specialist - Ontario California

Company: VirtualVocations
Location: Ontario, California
Posted On: 01/30/2025

A company is looking for a Claims Specialist to manage and negotiate medical claims balances.



Key Responsibilities

Handle member calls and cases for claims fee negotiation
Negotiate consumer/member medical claims with healthcare providers
Track settlements and report results to management


Required Qualifications

Claims or call center experience preferred
Bachelor's degree or applicable work experience
Basic computer skills and ability to search for resources online
Familiarity with various types of health insurance coverage and coordination of benefits
Ability to interpret Explanation of Benefits (EOBs) More...

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