Claims - Processor, Claims I

Essential functions

• Examines and resolves non-adjudicated claims to identify key elements of processing requirements based on contracts, policies and procedures.
• Process product or system-specific claims to ensure timely payments are generated and calculate deductibles and maximums as well as research and resolve pending claims.
• The Claims Processor also uses automated system processes to send pending claims to ensure accurate completion according to medical policy, contracts, policies and procedures allowing timely considerations to be generated using multiple systems.

Qualifications

• Demonstrated analytical skills, Proficient.
• Demonstrated reading comprehension and ability to follow directions provided, Proficient.
• Basic written/oral communication skills, Proficient.
• Demonstrated ability to navigate computer applications, Proficient.
• Education: Level: High School Diploma or GED.
• Experience: Less than one year’s experience processing claim documents.
• Preferred Qualifications: 1-3 years Claims processing, billing, or medical terminology experience.

Pay

TBD

Schedule

Remote

Benefits

N/A