Claims Processor I (Remote)

PURPOSE

Under direct supervision, reviews and adjudicates paper/electronic claims. Determines proper handling and adjudication of claims following organizational policies and procedures.

Essential Functions

• Examines and resolves non-adjudicated claims to identify key elements of processing requirements based on contracts, policies and procedures.
• Processes product or system-specific claims to ensure timely payments are generated and calculates deductibles and maximums as well as researches and resolves pending claims.
• 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.
• Completes research of procedures.
• Applies training materials, correspondence and medical policies to ensure claims are processed accurately.
• Partners with Quality team for clarity on procedures and/or difficult claims and receives coaching from leadership.
• Completes productivity daily data that is used by leadership to compile performance statistics.
• Reports are used by management to plan for scheduling, quality improvement initiatives, workflow design and financial planning, etc.
• Collaborates with multiple departments providing feedback and resolving issues and answering basic processing questions.

Qualifications

• Education Level: High School Diploma or GED.
• Experience: Less than one year experience processing claim documents.
• Preferred Qualifications: Less than one year claims processing, billing, or medical terminology experience.

Knowledge, Skills And Abilities (KSAs)

• Demonstrated analytical skills.
• Demonstrated reading comprehension and ability to follow directions provided.
• Demonstrated basic written/oral communication skills.
• Demonstrated ability to navigate computer applications.
• Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence.
• Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.

Salary Range

The salary range is $33,408 - $61,248. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location.

Equal Employment Opportunity

CareFirst is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Federal Disc/Physical Demand Note

The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs. Physical Demands: The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.

Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship.