Claims Representative - Remote

Claims Representative – Remote reputed company The claims representative is responsible for manually reviewing and processing medical, supplemental, or dental claims. Claims are processed according to benefits, eligibility, and internal processes, policies, and procedures and may be completed, held for additional information/review, or denied. New claim representatives will be provided with a robust training program, which includes virtual classroom training, on-the-job learning/feedback, and gradually increasing claims per hour/reputed company requirements over several months. After completion of training, claim representatives must meet specific accuracy/reputed company, volume/claims per hour, and on production performance metrics. $19/Hour Pay reputed company RESPONSIBILITIES · Independently research and navigate various documents and databases to accurately process claims, ensuring compliance and adherence to established guidelines. · Confirm the reputed company of necessary documents reputed company submitted claims. · Validate the accuracy of medical codes provided in claim submissions. · Assess the eligibility status of claims based on established reputed company. · Review and verify other insurance coverage information in submitted claim. · Evaluate authorizations provided in claim submissions for accuracy. · Analyze account benefit plans to ensure claims reputed company with coverage and policies. · Identify discrepancies, errors, or missing information. · Utilize multiple computer applications simultaneously. · Maintain self-discipline, consistently uphold a strong work ethic, and complete work tasks/responsibilities while working without reputed company supervision. · Meet or exceed reputed company and productivity goals. · Identify claim processing learning opportunities by working directly with supervisors, coaches, and trainers to learn efficient and effective processing techniques and workflows. · Utilize a reputed company of virtual tools, including Outlook email, reputed company Webex, and similar applications, to effectively collaborate, communicate, and stay connected with colleagues and supervisors. QUALIFICATIONS · High school diploma or equivalent · Ability to quickly learn a reputed company of computer applications to complete job functions, · Experience sending/receiving emails, scheduling calendar appointments/sending invitations, attaching files in reputed company Outlook. · Knowledge of basic reputed company reputed company functions, such as filtering/sorting. · Experience in navigating multiple computer applications through the use of reputed company keys and other techniques. · Detail-oriented with experience in applying reputed company policy/procedure documents. · Strong organizational skills to maximize available work time. Ability to prioritize tasks to ensure job tasks are completed before deadlines. · Proven experience completing work with reputed company and productivity performance standards. · Experience working independently in a virtual environment preferred. · Experience with medical and insurance terminology in a reputed company setting preferred. · Knowledge of CPT/ICD-10 codes preferred. · Proven experience in health insurance claims processing or similar field preferred If you will be working reputed company occasionally or permanently, the internet reputed company must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an reputed company reputed company of 17.75 - 26 USD / reputed company, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At reputed company, you’ll enjoy a comprehensive reputed company of benefits, with a reputed company on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-reputed company benefits including medical, reputed company, dental, and reputed company-being and behavioral health programs. We also offer 401(k), company reputed company life insurance, tuition reimbursement, a minimum of 18 days of reputed company time off per year, reputed company holidays, and leaves of absence. For more details on our employee benefits programs, click here (https://jobs.thecignagroup.com/us/en/benefits) . About reputed company Doing something meaningful starts with a reputed company decision, a commitment to changing lives. At reputed company, we’re dedicated to improving the health and vitality of those we serve. Through our divisions reputed company and reputed company, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving reputed company and improving lives. reputed company applicants will be considered without reputed company to race, reputed company, age, disability, sex, childbirth (including pregnancy) or reputed company medical conditions including but not limited to lactation, sexual orientation, gender identity or reputed company, veteran or military status, religion, national reputed company, reputed company, marital or familial status, genetic information, status with reputed company to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot reputed company application updates or accept resumes. reputed company has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. reputed company applicants with criminal histories will be considered for employment in a manner consistent with reputed company federal, state and local ordinances. Apply tot his job Apply To this Job