AVID Technical Resources is seeking a Claims Review Specialist to support our healthcare client in Los Angeles, CA. The pay is $30- $35/hour DOE.
CORE REQUIREMENTS
- 3+ years previous experience working for a Health Plan, IPA, or other Managed Care Organization.
- 2+ years previous direct experience that included verifying and maintaining provider information and provider contract configuration in a managed care transaction system.
- Working knowledge of one or more of the following managed care transaction systems: EPIC (Tapestry Module), EZ Cap, Facets, QNXT.
- Working knowledge of CPT-4, ICD-9/ICD-10, and HCPCS codes.
- Must have the ability to interpret a variety of instructions furnished in written, oral, diagram and schedule form including provider contracts and contract summaries.
- At least one of these 3 certifications: CPC CPCH CCS
- High school diploma, GED or equivalent required, Two year degree preferred.
About AVID Technical Resources:
AVID (Applications, Voice, Internet, Data) Technical Resources is a contract and permanent IT recruiting company. Headquartered in Boston with 9 offices around the US, AVID specializes in placing information technology professionals with either an Infrastructure Support or Applications Development background.
Since our inception in 2003, AVID has grown to be among the leading IT recruiting firms in the area. This explosive growth has led to a number of awards and recognition. Inc. Magazine listed AVID three times on their exclusive Inc. 500/5000 Fastest Growing Privately-Held Companies in the US. AVID was named one of the Leading IT Staffing Agencies in the Northeast by Forbes Magazine and the Boston Business Journal ranked AVID Technical Resources the 7th Fastest Growing Privately-held Company in Massachusetts. AVID Technical Resources has not only been recognized by local and national business and staffing organizations, but also by its most important critics: our clients and candidates. Check out our reviews on Glassdoor, Indeed, and Google here.
Contact one of our IT recruiters today: www.avidtr.com.