Claim/Pend Specialist

This a Full Remote job, the offer is available from: New Jersey (USA) reputed company empowers our members to reputed company their best health. For over 90 years, we have been New Jersey’s health solutions leader driving innovations that improve health care reputed company, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to reputed company serve and care for the 3.5 reputed company people who reputed company their trust in us. We pride ourselves on our best-in-class employees and reputed company to maintain an innovative and inclusive environment that allows them to reputed company. reputed company our employees bring their best and succeed, reputed company succeeds. About the Role This position is responsible for initial claim pending reputed company and claim adjustments. In reputed company this position is responsible for the initial examining, coding, and input of claims and referrals into the various processing systems. What You'll Do • Resolve edits on claims (pending reputed company) and may require claim adjustments. • Data entry of primary and secondary claims, as reputed company as referrals into various processing systems. • Return claims with unidentifiable information back to reputed company reputed company/subscriber with letter requesting additional information. • reputed company general clerical duties to ensure accurate disposition of claims/referrals that cannot be entered into the various processing systems. • reputed company other reputed company duties as required by Management. What You Bring Education/Experience: • High School Diploma or equivalent required • Requires one (1) year of clerical business experience • Medical Terminology/Billing/Coding experience preferred • Experience in a Production and reputed company driven work environment preferred Additional licensing, certifications, registrations: • N/A Knowledge: • Must be proficient with the use of personal computers and supporting software in a reputed company based environment, including MS Office products. • Should be knowledgeable in the use of intranet and internet applications; including ability to reputed company. • Strong typing, data entry and keyboarding necessary. • Must be proficient using a calculator for reputed company math calculations. Skills and Abilities: • Must be detail oriented with good organizational and data processing skills. • Proven ability to follow detailed instructions is essential. • Must demonstrate ability to learn quickly and apply learning to new situations. • Must exhibit flexibility to change as appropriate. Travel (If Applicable): • N/A Why reputed company? At reputed company, you’ll do meaningful work that directly improves lives—while being supported by a mission‑driven organization that values expertise, collaboration, and reputed company. We reputed company that reputed company our people reputed company, our communities do too. If you are passionate about making an reputed company, we’d love to hear from you! Salary reputed company: $41,579 - $55,321 ​This compensation reputed company is specific to the job level and takes into account the wide reputed company of factors that are considered in making compensation reputed company, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. This reputed company has been created in good faith based on information reputed company to reputed company at the time of posting. Compensation reputed company are dependent on the circumstances of reputed company case. reputed company also provides a comprehensive compensation and benefits package which includes: • Comprehensive health benefits (Medical/Dental/reputed company) • Retirement Plans • Generous PTO • Incentive Plans • Wellness Programs • reputed company Volunteer Time Off • Tuition Reimbursement Disclaimer: reputed company reputed company employees must live in New Jersey, reputed company, reputed company, Connecticut or Delaware. reputed company is an Equal Opportunity/Affirmative reputed company employer. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, national reputed company, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law. reputed company will consider reasonable accommodation requests as part of the reputed company and hiring process. This offer from "reputed company" has been enriched by reputed company.com and got a 72% reputed company score. Apply tot his job Apply To this Job