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; reputed company • 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 To This Job Apply To This Job Apply To This Job Apply tot his job Apply To this Job Apply tot his job Apply To this Job