Foundation for Medical Care of Kern and Santa Barbara Counties

Employment Opportunities

Medical Claims Processor

Foundation for Medical Care of Kern County and HealthEdge Administrators is currently recruiting an experienced medical Claims Processor in Bakersfield, CA.  We are looking for the right candidate to join our team!  The ideal candidate has extensive professional medical claims processing, billing and/or coding experience, insurance and benefits plan knowledge, is familiar with Medicare guidelines and is detail-oriented with a production focus.

Job Summary
Processes medical claims and claims related duties accurately and with reasonable speed.  Conducts research, analyzes claims information and evaluates benefit plans and fee schedules to accurately process claims.  Follows Company, client and regulatory guidelines to meet and exceed departmental production goals as established by the Claims Manager.

Knowledge, Skills and Abilities Required

  • Must possess extensive knowledge of medical terminology and benefits, CPT, HCPCS, Revenue and ICD10 codes
  • Must possess extensive knowledge of professional medical claims, including modifiers and medical procedures
  • Must be familiar with Medicare guidelines
  • Detail-oriented, self-starter with desire to learn
  • Thoroughly researches and analyzes information, thinks critically
  • Proficient in data based systems and related technical software programs
  • Proficient in Microsoft Office applications including Word, Outlook and Excel
  • Must possess the ability to perform mathematic equations
  • Must have high level attendance in accordance with FMC Attendance Policy
Qualifications
  • High school diploma or equivalent required
  • Two years’ professional medical office experience, medical billing, claims or appeals processing required
  • Certified Coder preferred
  • Familiarity with Medicare guidelines preferred
  • Current typing certificate, minimum 35 wpm

 
Full-Time position. Excellent health benefits, 401(k), employee culture, development and rewards programs.  Salary DOE & Qualifications.

Please complete and sign our Employment Application. Then e-mail your application and resume to HR@kernfmc.com or fax to (661) 327-5129.  Your submitted resumes will be kept on file for a minimum of six months and will be considered for any future openings for which you potentially qualify.  You may resubmit your resume and application as needed, or for a specific job posting when applicable.


Foundation for Medical Care of Kern & Santa Barbara Counties and HealthEdge Administrators is an Equal Opportunity Employer.
 

 
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