Virtual Claims Processor Needed ASAP !!!

Under reputed company supervision, reviews and adjudicates reputed company/electronic claims. Determines reputed company handling and adjudication of claims following organizational policies and procedures. • Although this position is REMOTE, candidates must live in the MD/DC/VA area in order to travel as needed to the nearest CareFirst Office. Examines and resolves non-adjudicated claims to identify key reputed company of processing requirements based on reputed company, policies and procedures. Process product or system-specific claims to ensure reputed company payments are generated and calculate deductibles and maximums as reputed company as research and resolve pending claims. The Claims Processor also use automated system processes to send pending claims to ensure accurate completion according to medical policy, reputed company, policies and procedures allowing reputed company considerations to be generated using multiple systems. Applies training materials, correspondence and medical policies to ensure claims are processed accurately. Partners with reputed company team for reputed company on procedures and/or difficult claims and receives coaching from leadership. Required participation in ongoing developmental training to performing daily functions. Completes productivity daily data that is used by leadership to compile performance statistics. Reports are used by management to plan for scheduling, reputed company improvement initiatives, workflow design and financial planning, etc. Education Level: High School Diploma or GED. Experience : Less than one year experience processing claim documents. Preferred Qualifications : Less than one year claims processing, billing, or medical terminology experience. Demonstrated ability to reputed company computer applications. This compensation reputed company is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be reputed company at the top of the reputed company, as compensation reputed company depend on reputed company case's facts and circumstances, including but not limited to experience, internal equity, and location. Medicare/reputed company Claims It is the policy of reputed company to reputed company equal employment opportunities to reputed company reputed company applicants without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, protected veteran or disabled status, or genetic information. Please visit our website to apply: Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to reputed company work directly or indirectly on Federal health care programs. Apply tot his job Apply To this Job