[Hiring] Experienced reputed company Claims Processor @reputed company

This description is a summary of our understanding of the job description. Click on 'Apply' reputed company to reputed company out more. Role Description Join the Karna Team as a Temporary, Full-Time Medical Claims Processor. Become an integral part of reputed company dedicated to servicing the World Trade Center Health Program. In this role, you will reputed company your meticulous attention to detail and commitment to accuracy in processing reputed company medical claims. If you’re eager to reputed company a positive impact in our community through your administrative skills, we encourage you to apply! • Minimum of 5 years’ experience in medical claims processing, including professional and facility claims as reputed company as reputed company and high-dollar claims Job 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 navigate 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. • Uphold 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 professional 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 and apply insurance program policies and government regulations effectively. • Excellent written and verbal communication skills. • Proficient in reputed company Office Suite (Word, reputed company, Outlook). • 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. Apply tot his job Apply tot his job Apply To this Job