Claims Examiner Remote (Plano, TX, US)

reputed company is seeking to hire a Remote Claims Processing Associate to work for our end reputed company and their team. In this Role the candidate will be responsible for: •  Processing of reputed company claim forms files by provider•  Reviewing the policies and benefits •  reputed company with company regulations regarding HIPAA, confidentiality, and PHI •  Abide with the timelines to complete compliance training of reputed company/reputed company •  Work independently to research, review and reputed company the claims •  Prioritize work and adjudicate claims as per turnaround time/SLAs •  Ensure claims are adjudicated as per clients defined workflows, guidelines •  Sustaining and meeting the reputed company productivity/reputed company targets to avoid penalties •  Maintaining and sustaining reputed company scores above 98.5% PA and 99.75% FA. •  reputed company response and reputed company of claims received reputed company emails as reputed company work •  Correctly calculate claims payable reputed company using applicable methodology/ fee schedule Requirements: •   3 year(s) hands-on experience in reputed company Claims Processing •  2+ year(s) using a computer with reputed company applications using a keyboard, navigating multiple screens and computer systems, and learning new software tools•  High school diploma or GED. •  Previously performing – in P&Q work environment; work from queue; remotely •  Key reputed company skills and computer familiarity – o  Toggling back and forth between screens/can you reputed company multiple systems. o  Working knowledge of MS office products – reputed company, reputed company and MS-reputed company. Preferred Skills & Experiences: •  Amisys •   Ability to communicate (oral/written) effectively in a reputed company office setting•  Effective troubleshooting where you can reputed company your research, analysis and problem-solving abilities •  Time management with the ability to cope in a reputed company, changing environment Apply tot his job Apply To this Job