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24 days old

Claims Analyst

Kelly Services
Rancho Cordova, CA 95670
Ready to get back to work?? Nows the time to join the Kelly Professional & Industrial team!


We are looking for **Claims Analyst** in Rancho Cordova, CA


**Pay- $17.50/hour**


Shift start- Flex 6:30am-8:30am- 8 hours/day, 40 hours/week


Process pended medical claims, verifying and updating information on submitted claims and reviewing work processes to determine reimbursement eligibility. Ensure payments and/or denials are made in accordance with company practices and procedures.


Day to day responsibilities of this the role and a description of the job:


? Apply policy and provider contract provisions to determine if claim is payable, if additional information is needed, or if claim should be denied. Claims processing may be related to physician and hospital services, coordination of benefits (COB), high dollar, special pricing, refunds and/or adjustments on resubmitted claims.


? Research and determine status of medical related claims


? Review charges, access the computer system and use payment or denial codes within established department guidelines and standards


? Clarify health insurance coverage for coordination of benefits to process claims


? Maintain records, files, and documentation as appropriate


? Meet department production and quality standards


Tell me about what their first day looks like:


+ 3 Weeks Training

+ First week System Navigation

+ Second Week How to process Claim

+ Third Week Final 50 of processing Live Claim


If the employee does not past this training/final 50 with passing score, would not move forward with candidate and will require separation.


+ Once training is over, they can report to work with flex time.

+ Will have a senior support analyst and team lead to go to for questions


What previous job titles or background work will in this role?


+ Claim Analyst, Health care background, call center background for health care

+ Microsoft Excel


\#LSIM2021 #TJP2021 #TJP2021_PNI


**Why Kelly** **** **?**


Youre looking to keep your career moving onward and upward, and were here to help you do just that. Our financial staffing experts will connect you with premier companies for opportunities where you can learn, grow, and thrive. Jobs that fit your skills and experience, and most importantly, fit right on your path of where you want to go in in your career. It all adds up.


**About Kelly** ****


At Kelly, were always thinking about whats next and advising job seekers on new ways of working to reach their full potential. In fact, were a leading advocate for temporary/nontraditional workstyles, because we believe they allow flexibility and tremendous growth opportunities that enable a better way to work and live (plus, did we mention we provide a ton of benefits ?). Connecting great people with great companies is what we do best, and our employment opportunities span a wide variety of workstyles, skill levels, and industries around the world.


Kelly is an equal opportunity employer committed to employing a diverse workforce and providing accommodations for people with disabilities in all parts of the hiring process as required under its Employment Accommodation Policy. Kelly will work with applicants to meet accommodation needs that are made known to Kelly in advance.
Posted: 2021-08-30 Expires: 2021-09-30

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Claims Analyst

Kelly Services
Rancho Cordova, CA 95670

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