Medical Claims Processor (Onsite)

We are actively seeking an experienced Medical Claims Processor to join a top-tier healthcare network in Bakersfield, CA. In this essential onsite role, you will be the backbone of the billing department, ensuring that medical claims are accurately reviewed, researched, and processed in a timely manner. Located directly within a patient access building, this role offers a supportive work environment, convenient amenities (including free parking), and the exciting potential for long-term assignment extensions or permanent opportunities.

Job Type: Contract (4 Months to start, with potential to extend or transition to perm)

Schedule: Monday – Friday | 8:00 AM – 5:00 PM

Work Location: 100% Onsite | 3501 Stockdale Hwy, Bakersfield, CA 93309

Compensation: Depends on Experience (DOE)

Dress Code: Business Casual or Scrubs

Parking: Free Onsite Parking

Core Responsibilities

• Claims Adjudication: Receive and adjudicate medical claims and bills to determine appropriate payment or denial status.
• Documentation Research: Research incoming claims to ensure all necessary supporting documents and documentation are present, complete, and accurate.
• Benefit Application: Analyze claim data and apply benefit criteria to accurately calculate and adjust payments.
• Inquiry & Problem Resolution: Respond to inquiries and actively research solutions for vendor and member problems, questions, and complaints.
• (Note: Medical coding is not required for this role.)

Requirements & Qualifications

• Education: High School Diploma or equivalent required.
• Experience: 2 to 3 years of related experience in medical claims processing, medical billing, or a similar healthcare administrative capacity.
• Work Setting: Must be comfortable working 100% onsite in a patient access facility.
• Health & Safety: Because this position is strictly onsite in a clinical setting, proof of up-to-date vaccinations is required prior to starting the role.