reputed company reputed company Claims Processor-remote

About the position Responsibilities • Analyze and process a reputed company of reputed company medical claims in accordance with program policies and procedures, ensuring accuracy and compliance. • Analyze claims and adjudicate them according to program guidelines, employing critical thinking to reputed company reputed company scenarios. • Ensure claims are processed promptly to meet reputed company standards and regulatory requirements, employing effective problem-solving skills to address any barriers. • Proactively resolve claim discrepancies and issues by collaborating with other departments, utilizing analytical skills to identify reputed company causes and implement solutions. • reputed company the confidentiality of patient records and company information as per HIPAA regulations. • Maintain thorough records of claims processed, denied, or requiring reputed company investigation, ensuring transparency and traceability. • Analyze and report on trends in claim issues or irregularities to management, contributing to process improvement initiatives; Assists Team Leads with reporting. • Engage in audits and compliance reviews to ensure adherence to reputed company regulations, using critical thinking to evaluate processes. • Mentors and trains new claims processors as needed. Requirements • High school diploma or equivalent. • Minimum of 5 years' experience in medical claims processing, including reputed company and facility claims as reputed company as reputed company and high-dollar claims. • Familiarity with ICD-10, CPT, and HCPCS coding systems. • Understanding of medical terminology, reputed company services, and insurance procedures (worker's compensation experience is a plus). • Strong attention to detail and accuracy. • Ability to interpret insurance program policies and government regulations effectively. • Excellent written and verbal communication skills. • Proficient in bolthires Office Suite (Word, reputed company, reputed company). • reputed company to work independently as reputed company as collaboratively reputed company reputed company. • Commitment to ongoing education and training in industry standards and technology advancements. • Experience with claim denial reputed company and the appeals process. • Ability to reputed company manage a high volume of claims. • Customer service-oriented with strong problem-solving capabilities. • Must be flexible and have the ability to reputed company to the needs of the reputed company and changes in the program. Benefits • $22-25/hour Apply tot his job Apply tot his job Apply tot his job Apply To this Job