Medical Claims Examiner

Motion Picture Industry Pension & Health Plans (MPI) has an opening for a Medical Claims Examiner on our Production team. The Examiner is responsible for the timely and accurate processing of PPO medical claims for the Plan’s Participants.

Please note this position works onsite in our office in Studio City, CA. Qualified candidates only, please submit letter of interest with resume and salary requirements for consideration.

MPI offers free employee health, dental, vision and life insurance ($50/month for family coverage), retirement and pension, and generous paid time off. 

Essential Duties and Responsibilities:

• Process medical claims and all associated tasks in accordance with Plan guidelines.
• Actively execute appropriate claims activities to ensure consistent quality / configuration of claims processing.
• Meet production and quality assurance goals/standards.
• Perform other duties as assigned.

Qualifications:

• Minimum high school diploma or GED required.
• Two years of current claims processing experience preferred.
• Understanding of claims procedures, rules & guidelines, and all aspects of claims adjudication (e.g. Coordination of Benefits rules, multiple surgeries, lab/radiology, etc.) required.
• Basic understanding of health plan operations, including Medicare.
• Knowledge of Medical Terminology.
• Knowledge of Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS).
• Knowledge of International Classification of Diseases (ICD-10).
• Intermediate computer skills, including Windows, and Microsoft Office products.
• Strong organizational skills, and attention to detail.
• Excellent time management skills.
• Ability to thrive in a fast-paced production-oriented environment.
• Ability to maintain and safeguard confidential information according to HIPAA guidelines.
• Effective oral and written communication skills.
• Ability to work with individuals at all levels of the organization.
• Excellent attendance and reliability, with the ability to work extended hours as required.
• Ability to accept direction and developmental guidance from supervisor.

Submissions will be reviewed; only candidates most closely matching the requirements of the position will be contacted.

Please note, this is an onsite position at our offices in Studio City, CA. MPI requires employees to be vaccinated against Covid-19 with exceptions as required by law. 

This is a Class 3a Union-affiliated position.

About MPI:

Located in Studio City, CA, the Motion Picture Industry Pension and Health Plans (MPI) are multi-employer trust funds established by collective bargaining agreements between various employers and over 30 Unions and Guilds representing employees in the motion picture industry.

Recognized as an Employer of Choice for its employee-focused work environment, competitive compensation and benefits, MPI is a recipient of the World at Work Seal of Distinction and is Great Place to Work Certified!