NearbyLA

Claims Adjuster

KAISER

Full-time
$23/hr
No experience
Posted 29d ago

About the job

Job Summary: Reviews claims and makes payment and benefit determination. Conducts research as it relates to claims processing for medical appropriateness, and diagnosis, using ICD-9 codes and CPT codes as required. Essential Responsibilities: Reviews claims and makes payment determination with authorization limit to $9,999 per claim. Conducts research regarding medical appropriateness, coordination of benefits issues, fraud and abuse, and third party liability. Checks with Lead and Supervisor f…

Location

Downey, Los Angeles County

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