Robert Half · 3 weeks ago
Insurance Claims Examiner
Oakland, CA
Full-time
Onsite
Mid Level
$26/hr - $30/hr
3+ years expRobert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. They are seeking an experienced Insurance Claims Examiner to analyze and process medical claims, ensuring accuracy and compliance with healthcare regulations.
ConsultingHuman ResourcesRecruitingSecurity
No H1B
Responsibilities
Review and adjudicate medical claims for accuracy and compliance with Medi-Cal, Medicare, and other healthcare regulations
Research and resolve claim discrepancies, ensuring proper payment and documentation
Utilize coding systems such as ICD-10, CPT, and HCPCS to verify claim accuracy
Maintain confidentiality while handling sensitive participant and family information
Follow organizational policies and procedures to ensure compliance and attention to detail
Exhibit consistent attendance and punctuality while meeting deadlines
Communicate effectively with internal teams and external stakeholders to address claim issues
Input accurate data into various computer systems and software programs
Provide courteous and detail-oriented customer service to all stakeholders
Perform additional duties as assigned to support claims processing activities
Qualification
Required
Comprehensive understanding of medical coding systems, including ICD-10, CPT, and HCPCS
Minimum of 3 years of claims processing experience in a Medicare/Medi-Cal environment
Proficiency in computer applications such as Outlook, Excel, and Word
Ability to work effectively in a multidisciplinary setting
High school diploma required
Strong auditing, billing, and claim administration skills
Familiarity with CMS platforms and 3M systems
Excellent organizational and communication skills, with the ability to prioritize tasks and meet deadlines
Preferred
Bachelor's degree preferred
Benefits
Medical, vision, dental, and life and disability insurance
401(k) plan
Company
Robert Half
🔒 At Robert Half, we prioritize your security—if you believe you've encountered a scam or fraudulent recruiter, please report it immediately to https://www.roberthalf.com/us/en/fraud-alert.
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
unknown1978-01-13IPO
Leadership Team
Keith Waddell
President and CEO
Paul Gentzkow
President and Chief Executive Officer, Talent Solutions
Recent News
EIN Presswire
2025-04-14
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