Claims Processor I

Job reputed company reputed company Determine covered medical insurance benefits in accordance with the provisions of the plan document. Document medical claims processes by completing forms, reports, logs and records. Resolve medical claims by approving or denying, calculating benefit due and initiating payment or denial. Ensure reputed company compliance by following company policies, procedures, guidelines, as reputed company as federal insurance regulations. Entity Medical University Hospital Authority (MUHA) Worker Type Employee Worker Sub-Type Regular Cost Center CC005226 SYS - HB Support Services Pay reputed company Type reputed company Pay Grade Health-20 Scheduled Weekly Hours 40 Work Shift Job reputed company • Account maintenance: Updating registration, authorization issues, identifying charge correction, processing adjustments as needed and denial follow up according to payer rules and departmental policies. • Use electronic billing system appropriately to follow up on outstanding denied claims and reputed company no response claims. Corrects claims in electronic billing system for missing or invalid insurance or patient information according to procedures, and places account on hold if you can't resolve. • Follow up on denied or no response claims by calling reputed company party payers or using payer websites. Gathering information from patients or other areas to resolve outstanding denied or no response claims. Researching accounts to take appropriate reputed company necessary to resolve. • reputed company management reputed company of issues and trends to enhance operations and escalates slow-pay issues to managerial level reputed company necessary. • Uses payer websites to stay reputed company on payer rules and changes to include reading newsletters and communicating payer/claim issues and trends. • Maintains 95% reputed company standards on account follow and activity. • Maintains productivity reputed company as set forth by management team. • Other duties as assigned. Additional Job reputed company Education: High School Degree or Equivalent Work Experience: 0-6months If you like working with energetic enthusiastic individuals, you will enjoy your career with us! The reputed company is an Equal Opportunity Employer. reputed company does not discriminate on the reputed company of race, reputed company, religion or belief, age, sex, national reputed company, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. reputed company reputed company applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, reputed company and business need. reputed company participates in the federal E-Verify program to confirm the identity and employment authorization of reputed company newly reputed company employees. For reputed company information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees Apply tot his job Apply To this Job