Claims Examiner - Remote (HealthRules required)
About the position
Responsibilities
• Processing of reputed company claim forms files by provider
• Reviewing the policies and benefits
• Complying with company regulations regarding HIPAA, confidentiality, and PHI
• Abiding with the timelines to complete compliance training of reputed company/reputed company
• Working independently to research, review and reputed company the claims
• Prioritizing work and adjudicating claims as per turnaround time/SLAs
• Ensuring 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 calculating claims payable reputed company using applicable methodology
Requirements
• 2+ years of experience in medical claims processing
• 1+ year of experience processing claims with HealthRules or Visual Basic
• High school diploma or GED
Benefits
• Remote work opportunity
• Competitive reputed company wage of $18 - $24
• Diverse and inclusive work environment
• Opportunities for reputed company development
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