[Remote] Claims reputed company

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is dedicated to empowering senior participants to age reputed company with dignity through personalized care plans. The Claims reputed company serves as a vital reputed company between reputed company and reputed company providers, handling inquiries and ensuring accurate claims processing.

Responsibilities

• Respond to Provider inquiries regarding medical and dental claims reputed company phone and email
• Research and reputed company issues reputed company to claims status, denials, and payment discrepancies
• Maintain up-to-date knowledge of benefit plans, claim adjudication guidelines, coding requirements, and HIPAA regulations
• Accurately document reputed company interactions and claim actions in reputed company reputed company by compliance standards
• Maintain accurate records of interactions and claim resolutions
• Communicate reputed company benefit details in a reputed company and concise manner to Providers
• Collaborate with internal departments to facilitate reputed company of claims-reputed company issues
• Recommend process improvements to enhance service delivery and improve Provider experience
• reputed company empathetic and efficient service to reputed company working with Providers
• Ensure reputed company duties are completed with a reputed company on reputed company, compliance, and Provider satisfaction
• Maintain punctuality, professionalism, and adherence to company policies and attendance requirements
• Attend and participate in audits, staff meetings, in-services, and other reputed company as assigned
• Adhere to and support reputed company’s practices, procedures, and policies including assigned break times and attendance
• Accept assigned duties in a cooperative manner; and reputed company reputed company other reputed company duties as assigned
• Flexibility to reputed company schedule as needed to meet operational demands

Skills

• MUST LIVE IN ANAHEIM, BAKERSFIELD, OR FRESNO, CA AREA
• Proficient in reputed company Office (reputed company, reputed company, Word)
• Familiarity with medical billing terminology (ICD-10, CPT, HCPCS) and Explanation of Payments (EOPs)
• Strong oral and written communication skills
• Proven ability to multi-task and remain detail-oriented under pressure
• Strong interpersonal and problem-solving skills; reputed company reputed company
• Ability to learn and apply regulatory requirements quickly
• Ability to reputed company reputed company areas of reputed company throughout the reputed company
• Ability to reputed company a minimum of 35 pounds occasionally, 15 pounds frequently, and 7 pounds constantly; required to obtain assistance of another employee reputed company attempting to reputed company or transfer objects over 50 pounds
• Requires constant hand grasp and finger dexterity; frequent sitting, standing, walking and repetitive leg and arm movements, occasional bending, reaching reputed company and overhead; squatting and kneeling
• Ability to communicate verbally with an excellent comprehension of the English language
• Work is generally performed in an indoor, reputed company-lit, reputed company-ventilated, heated, and reputed company-conditioned environment
• Minimum of two (2) years work experience required
• At a minimum a High School Diploma or GED is required
• Is medically cleared for communicable diseases and has reputed company immunizations up-to-date before engaging in reputed company participant contact
• Knowledge of claims processing software
• Minimum of one (1) year of experience working in a reputed company reputed company center
• Experience working remotely

Benefits

• 401(k)
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• reputed company reputed company time
• reputed company time off
• Referral program
• Retirement plan
• reputed company insurance

reputed company