MedPOINT Management
Claims Examiner
Full Time • Fully Remote - US
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Vision insurance
- Wellness resources
- Company parties
- Employee discounts
- Free food & snacks
- Opportunity for advancement
- Paid time off
- Parental leave
- Savings bank
- Training & development
About the Role:
MedPOINT Management in Sherman Oaks, CA is looking for a detail-oriented Claims Examiner to join our growing team. This is a great opportunity to play a key role in the healthcare management space, ensuring accurate and timely processing of medical claims. If you thrive in a fast-paced environment and have a passion for precision, we want to hear from you!
Responsibilities:
- Review, analyze, and process medical claims in accordance with plan benefits and company guidelines
- Verify member eligibility, provider information, and coverage details prior to claims adjudication
- Identify and resolve claims discrepancies, duplicates, and billing errors
- Apply ICD-10, CPT, and HCPCS coding knowledge to ensure accurate claims processing
- Coordinate with providers, members, and internal departments to resolve claims inquiries
- Maintain accurate records and documentation in claims management systems
- Ensure compliance with state and federal healthcare regulations, including HIPAA
Requirements:
- 2+ years of experience in medical claims processing or claims examination
- Proficiency in ICD-10, CPT, and HCPCS coding
- Familiarity with HMO, PPO, and managed care plan structures
- Strong knowledge of EOB (Explanation of Benefits) and claims adjudication processes
- Experience with claims management software and healthcare information systems
- Excellent attention to detail and strong analytical skills
- Effective written and verbal communication skills
- Knowledge of HIPAA regulations and healthcare compliance standards
About Us:
MedPOINT Management is a leading Independent Physician Association (IPA) management company based in Sherman Oaks, CA, dedicated to delivering high-quality healthcare administrative services. Our clients trust us to manage their operations with integrity, efficiency, and a patient-first mindset. We foster a collaborative and supportive work environment where employees are empowered to grow and make a meaningful impact in the healthcare industry.
This is a remote position.
Compensation: $20.00 - $25.00 per hour
(if you already have a resume on Indeed)