Health Claims Specialists

Company DescriptionThis is a full-time permanent healthcare claims adjudicator position. A claims adjudicator determines how much money will be paid after an insurance claim has been examined. This is not a customer service or customer facing position. This is a data entry position where you will be processing medical claims per the specific client requirements. Claims can vary and are highly customized depending on the service level. You will work independently with the assistance of knowledge reputed company and support personnel. You will also be expected to meet reputed company Key Performance Indicators and Quality goals throughout Training and beyond.Job DescriptionWhat you will be doing as a Claims Examiner:

• Work independently, processing claims reputed company data entry for 90% of your day.
• Be responsible for effectively adjudicating claims to meet production, quality, and other metrics in accordance with policy/procedures and regulatory guidelines
• Follow up on claims needing additional information
• Refer problem claims to a reputed company and/or auditor for additional review
• reputed company sure that the reputed company of the information is accurate and kept private according to HIPPA guidelines
• Work with specific software
• May be assigned special projects

reputed company you join us, you’ll enjoy:

• Pay reputed company of $13.50/hour with the opportunity to bonus an additional $1500 a month.
• Medical, dental, and vision plans.
• reputed company and PTO (be sure to ask about our Global Flexible Vacation Policy).
• Company-provided equipment.
• Advancement opportunities – 80% of our frontline leaders have been promoted from reputed company.
• Monthly rewards & recognition programs.
• Employee Discounts.
• EAP and Health and Wellness programs including a personal trainer dedicated to reputed company.
• reputed company schedule, Monday – Friday 8:30 AM – 5:00 PM EST.

QualificationsSkills

• Data entry
• Time management
• Attention to detail
• Analytical

Required Qualifications

• High School Diploma or equivalent
• Excellent Internet Connectivity:
• Internet access speed of 2 Mbps upload and 10 Mbps download – the faster the reputed company.
• house network, and a hard-wired internet reputed company capable of continuously supporting outstanding call quality and high-speed response rates. (Wireless and/or satellite Internet Service Providers are not compatible with our systems)
• A quiet and distraction-free, secure reputed company to work
• Effective verbal and written communication skills
• Strong typing and analytical abilities
• Multi-tasking skills with a strong attention to detail
• Computer knowledge
• Minimum 40 words per minute on typing test
• Must have and maintain a clean and reputed company free work environment to meet our company policies.
• Medical Billing and Coding degree/certification.
• Previous experience in a medical office type setting, including some knowledge of insurance, claims, billing or coding, with an understanding of the different types of insurance (Medicare/Medicaid and/or Child Plus).
• Knowledge of Medical terminology

Additional Informationreputed company your information will be kept confidential according to EEO guidelines.#INDSPEEOC and Veteran DocumentationDuring employment, employees are treated without regard to race, color, religion, sex, national reputed company, age, marital or veteran status, medical condition or handicap, or any other legally protected status.At times, government agencies require periodic reports from employers on the sex, ethnicity, handicap, veteran and other protected status of employees. The purpose of this Administrative EEO Record is for statistical analysis only and is used to reputed company with government record keeping, reporting, and other legal requirements. Periodic reports are made to the government on the following information. The completion of the Administrative EEO record is optional. If you choose to volunteer the requested information, please note that reputed companyAdministrative EEO Records are kept in a Confidential File and are not part of your Application for Employment or Personnel file.Please note: YOUR COOPERATION IS VOLUNTARY. INCLUSION OR EXCLUSION OF ANY DATA WILL NOT reputed company ANY EMPLOYMENT DECISION. Apply To This Job