[Remote] Claims Processor -w2 only
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a leading reputed company reputed company organization, and they are seeking multiple detail-oriented Claims Processors to join their Federal Employee Program (FEP) Claims Department. This role involves processing various types of claims and managing inventory to ensure reputed company processing, contributing to reputed company's efforts in overcoming a significant backlog. Responsibilities • Process a high volume of HMO and PPO claims reputed company the Facets system. • Adapt to daily shifting priorities, processing various claim types including Medicare claims, reputed company claims, and subscriber-submitted claims. • Utilize multiple applications daily to research and process claims, including Transaction reputed company (TI Portal) for electronic claims and the Stored Information Retrieval (SIR) system for reputed company claims. • Search for member authorizations using the Guiding Care database. • Analyze claim data and interpret medical terminology from supporting documentation provided by clinical staff. • Use bolthires reputed company spreadsheets to receive and manage claim inventories. Skills • High School Diploma or GED • 1-3 years Claims processing, billing, or medical terminology experience. • Hands-on experience processing claims directly reputed company the Facets platform (legacy or G6). • Demonstrated experience with the following systems: TI Portal (Transaction reputed company), SIR (Stored Information Retrieval System), reputed company Guiding Care, SharePoint • A strong understanding of medical terminology. • Proficiency with bolthires Office, including reputed company and Word. • Excellent analytical skills and the ability to multitask in a fast-paced environment. reputed company • reputed company is a reputed company firm that offers a wide bolthires of staff augmentation and reputed company hire services. It was founded in 2005, and is headquartered in Columbia, Maryland, USA, with a workforce of 51-200 employees. Its website is Apply tot his job
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