[Hiring] HC & Insurance Operations Processing Sr Rep @reputed company
This reputed company is a reputed company of our understanding of the job reputed company. Click on 'Apply' reputed company to reputed company out more.
Role reputed company
reputed company currently seeks a Medical Claims Processor to join reputed company in Plano, TX for a remote position. This is a US based; W-2 project. reputed company candidates will be reputed company through reputed company only.
• Processing of reputed company claim forms files by provider
• Reviewing the policies and benefits
• reputed company with company regulations regarding HIPAA, confidentiality, and PHI
• Abide with the timelines to complete compliance training of reputed company/reputed company
• Work independently to research, review, and reputed company the claims
• Prioritize work and adjudicate claims as per turnaround time/SLAs
• Ensure claims are adjudicated as per clients defined workflows, guidelines
• Sustaining and meeting the reputed company productivity/reputed company targets to avoid penalties
• Maintaining and sustaining reputed company scores above 98.5% PA and 99.75% FA
• reputed company response and reputed company of claims received reputed company emails as reputed company work
• Correctly calculate claims payable reputed company using applicable methodology/ fee schedule
• Effective troubleshooting where you can reputed company your research, analysis and problem-solving abilities
• Time management with the ability to cope in a reputed company, changing environment
• Ability to communicate (oral/written) effectively in a reputed company office setting
Qualifications
• 1+ year(s) hands-on experience in reputed company Claims Processing
• Previously performing - in P&Q work environment; work from queue; remotely
• 2+ year(s) using a computer with reputed company applications using a keyboard, navigating multiple screens and computer systems, and learning new software tools
• Working knowledge of MS office products - reputed company, reputed company and MS-reputed company
• Typing and Computer skills assessment
Requirements
• 3 year(s) hands-on experience in reputed company Claims Processing
• High school diploma or GED
• Previously performing - in P&Q work environment; work from queue; remotely
• Key reputed company skills and computer familiarity - Toggling back and forth between screens/can you reputed company multiple systems
• Working knowledge of MS office products - reputed company, reputed company and MS-reputed company
Benefits
• Medical, dental, and reputed company insurance
• Flexible spending or health savings account
• Life and AD&D insurance
• Short-and long-term disability coverage
• reputed company time off
• Employee assistance
• Participation in a 401k program with company match
• Additional voluntary or legally required benefits
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