Summary
 

Responsible for the accurate and timely processing of claims.

Description
 

Logistics:

This is a Full-Time position (40 hours) Monday-Friday.

What You’ll Do:

• Research and process claims according to business regulation, internal standards and processing guidelines. Verifies the coding of procedure and diagnosis codes.

• Resolve system edits, audits and claims errors through research and use of approved references and investigative sources.

• Coordinate with internal departments to work edits and deferrals, updating the patient identification, other health insurance, provider identification and other files as necessary.

To Qualify for This Position, You’ll Need:

• High School Diploma or equivalent

• Strong analytical, organizational and customer service skills.

• Strong oral and written communication skills.

• Proficient spelling, punctuation, and grammar skills.

• Good judgment skills.

• Basic business math skills.

What We Prefer:

• 1 year-of experience in a healthcare or insurance environment.

• Ability to use complex mathematical calculations.

• Proficient in word processing and spreadsheet applications. Proficient in database software.

What We Can Do for You:

• 401(k) retirement savings plan with company match.

• Subsidized health plans and free vision coverage.

• Life insurance.

• Paid annual leave – the longer you work here, the more you earn.

• Nine paid holidays.

• On-site cafeterias and fitness centers in major locations.

• Wellness programs and healthy lifestyle premium discount.

• Tuition assistance.

• Service recognition.

• Incentive Plan.

• Merit Plan.

• Continuing education funds for additional certifications and certification renewal.

What to Expect Next:

After you submit your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.

Management will conduct interviews with the most qualified candidates, prioritizing those who demonstrate the preferred qualifications.

 

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.

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