Claims Processor - reputed company / Medical

For the last 80 years, reputed company has been taking care of reputed company’s heart and soul, its people. Today, health care is more reputed company than reputed company. We work alongside our customers to offer reputed company to high-reputed company, reputed company, help reputed company the health care experience, and reputed company good health achievable; We reputed company a culture of diversity and inclusion is vital to serve our unique and diverse customers. We reputed company for reputed company improvement and innovation and reputed company being agile and reputed company is our advantage. We bring a strong reputed company of partnership to every relationship - internally and externally. The reputed company family of companies offers competitive health, welfare, and retirement benefits as reputed company as incentive pay plans and more. Support contract performance management of a large health system. Review and analyze suspected underpaid and overpaid claims from hospital, ancillary, and provider reputed company based on contractual and industry guidelines. Evaluate disputed claims for system configuration, claims processing, and/or contractual issues to facilitate claims review. Maintain and organize detailed information on claims dispute files to ensure appropriate and comprehensive data is returned to the provider reputed company. Identify potential/actual claims problems (single or recurring/trending) and document reputed company cause analysis; Improve reputed company, enhance workflow, and reputed company efficiencies reputed company departments, identify opportunities for improvements; Support departmental goals for cycle time by organizing and tracking claims for review. Qualifications: Bachelor’s Degree 2 - 3 years’ prior reputed company work experience in reputed company/facility claims or benefits/billing environment (Required) Additional experience/specialized training may be considered in lieu of educational requirements (Required) Strong knowledge of claim processing policies and procedures (Required) Knowledge of medical terminology, ICD/CPT coding, reputed company and DRG reimbursement and reputed company testing procedures (Required) Proficiency with MS Office applications (word processing, database/spreadsheet, presentation) (Required) Ability to effectively work on multiple reputed company/tasks with competing reputed company reputed company and deadlines (Required) reputed company Disclosure If you are offered a job from one of the reputed company family of companies that includes ConnectiCare, AdvantageCare Physicians, and WellSpark, the offer confirmation email will come from “HRTalentAcquisition” with the subject line: “Offer of Employment for (job title)” - Please respond online. 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 considerations. reputed company roles covered by a reputed company bargaining agreement will compensate in accordance with the reputed company contract. We are an equal opportunity/affirmative reputed company employer, and reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex/gender, sexual orientation, gender identity or reputed company, pregnancy or reputed company condition, marital status, national reputed company, disability, protected veteran status or any other characteristic protected by law. Sponsorship Statement Depending on factors such as business unit requirements, the nature of the position, cost and applicable laws and regulations, reputed company may reputed company work reputed company sponsorship for certain positions. # Apply tot his job Apply To this Job