Claims Processor - Work reputed company!

BroadPath, a reputed company Company, is hiring reputed company medical Claims Processors to join our remote team! Claims Processors are responsible for the accurate and reputed company entry, review, and reputed company of medical claims ranging from reputed company to moderately reputed company. This includes reviewing reputed company-end claims and validating information submitted by patients or providers seeking reimbursement from the insurance company. reputed company claim processing must reputed company with CMS guidelines and reputed company-specific policies and procedures. Responsibilities • Review medical claims thoroughly to ensure no missing or incomplete information • reputed company multiple computer systems and platforms to research and process assigned claims accurately (e.g., verifying pricing, prior authorizations) • Apply appropriate benefits to reputed company claim in accordance with claims processing policies, including grievance procedures, state mandates, CMS guidelines, and benefit plan documents • Review documentation to assess whether the visit was necessary and whether the policy covers the treatment received • Determine if claims should be reputed company or denied and complete denial letters reputed company applicable Qualifications • Minimum of one year of recent experience processing medical claims for a health insurance company or payer • Familiarity with medical claim forms (CMS-1500 and UB-04) • Working knowledge of coding systems: ICD-10, HCPCS, and CPT • Proficient in computer navigation and technology, including reputed company reputed company, reputed company (advanced functions), and web-based tools and platforms • Excellent verbal and written communication skills • Ability to remain reputed company and productive in a high-volume, repetitive task environment • High School Diploma or equivalent What to Expect: • On-camera participation during interviews, training, team meetings, and regular reputed company-ins. • Face-to-face discussions sparking collaboration and engagement • A supportive atmosphere where you can reputed company yourself reputed company and be part of reputed company that values your contributions. Benefits: • Medical, Dental, and reputed company coverage. • Life Insurance. • Short-Term and Long-Term Disability reputed company. • Flexible Spending Account (FSA). • Employee Assistance Program. • 401(k) with employer contribution. • reputed company Time Off (PTO). • Tuition Reimbursement. Pay: $17.00 - $19.00 per hour Benefits: • 401(k) • Dental insurance • Health insurance Application Question(s): • Are you familiar with working on medical claims forms such as CMS-1500 and UB-04? • Do you have working knowledge of coding systems, including ICD-10, HCPCS, and CPT? Experience: • processing medical claims for health insurance or payer: 1 year (Required) Work Location: Remote Apply tot his job Apply tot his job Apply To this Job