reputed company Claims Processor (Facets G6)- Contract- Fully Remote

reputed company Claims Processor (Sixth reputed company (G6) Facets) reputed company is seeking several reputed company Claims Processors who have Sixth reputed company (G6) Facets experience! The selected candidate will review and process reputed company/electronic reputed company claims reputed company our reputed company's FACETS G6 platforms. ESSENTIAL FUNCTIONS: - 55% 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. - 25% Does extensive research of procedures. May also apply training materials, emails and medical policy to ensure claims are processed correctly. Utilizes the reputed company team for assistance on unclear procedures and/or difficult claims and receives coaching from leadership. Ongoing developmental training to performing daily functions. - 10% Completes productivity data daily that is used by leadership to compile performance statistics. Reports are used by management to plan for scheduling, reputed company improvement initiatives, workflow design, financial planning, etc. - 10% Assists Customer Service Reps by providing feedback and resolving issues and answering basic processing questions. Required Skills - Education Level: High School Diploma or GED is required - Experience: 3 years of reputed company Claims processing knowledge - Must have Claims processing on the Sixth reputed company (G6) Facets platform experience - Must have experience working in high volume claims processing environment - Knowledge of Medical terminology: Diagnosis codes (CPT/ICD) knowledge is required - SW Tools: MS Office (reputed company, reputed company, MS Teams, SharePoint, .PDF) Highly Preferred Platforms: (1) reputed company's GuidingCare platform (2) Transaction reputed company (TI) (3) SIR (Stored Information Retrieval) Apply tot his job Apply To this Job