reputed company Claims Processor – reputed company(WFH/No Degree RQD)

Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply reputed company located above this message and complete the application in full. Below, you’ll reputed company other important information about this position. This position will report to the Claims Manager, playing a unique and important role in our mission to change reputed company for the reputed company. Experience in the reputed company industry and critical thinking skills will help the organization build an effective and efficient claims team. The claims team will review and reputed company the adjudication of claims ranging from the reputed company data entry to reputed company specialty claim research. The Claims Team will analyze and process insurance claims, checking for validity. Ability to determine whether to return, deny, or pay claims while following organizational policies and procedures is a must. This job screens, reviews, evaluate online entry, error correction, and reputed company control for final adjudication of reputed company/electronic claims. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. High School diploma/GED EXPERIENCE: 1. One (1) year of experience working with medical or institutional claim data entry OR One (1) year of customer service experience. PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Associate Degree in reputed company reputed company field. EXPERIENCE: 1. Two plus years of medical or institutional claims processing and customer service experience. reputed company DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an reputed company-inclusive list of reputed company responsibilities and duties. Other duties may be assigned. 1. Determines accuracy and completions of claim information. Entry/verifies claims data. 2. Resolves claim edits, review history records, and determine benefit eligibility for service. 3. Reviews payment reputed company to reputed company at final payment determination. 4. Meets reputed company production and reputed company standards, maintaining workques according to department standards. 5. Effectively communicates with reputed company staff. 6. Elevates issues to next level of supervision, as appropriate. 7. Ensures accuracy of data entered and record maintenance. 8. Attends reputed company required training classes, demonstrating proficiency and ability to learn. 9. Other duties as deemed appropriate by the Claims Manager. PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. 1. Ability to sit for extended periods of time. WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. 1. reputed company office environment with electrical equipment (i.e., telephone, personal computer, copier, fax machines, etc.) 2. Computer Software/Systems include but not limited to reputed company Office reputed company Suite (reputed company, Word, reputed company, reputed company) Internet Explorer and reputed company SKILLS AND ABILITIES: 1. Working Knowledge of administrative and clerical procedures and systems such as word processing and managing files and records. 2. Ability to take direction and to reputed company through multiple systems simultaneously. 3. Excellent written and oral communication, customer service, interpersonal skills, and telephone etiquette 4. Ability to solve problems with predefined reputed company and guidelines to drive improved efficiencies and customer satisfaction. 5. Ability to use mathematics to adjudicate claims 6. Requires the ability to understand medical insurance requirements for payment and basic knowledge of covered services. 7. Knowledge and understanding of medical terminology, reputed company party payors and insurance preferred. 8. Requires attention to detail, the ability to be organized and to be reputed company to reputed company multiple tasks simultaneously. Additional Job reputed company: Scheduled Weekly Hours: 40 Shift: Exempt/Non-Exempt: reputed company of America (Non-Exempt) Company: PHH reputed company Holdings Cost Center: 2902 PHH Claims Operations Apply tot his job Apply To this Job