Description
Responsible for the processing of all medical, hospital, vision, chiropractor and ancillary claims, which includes coordination of benefit and third-party liability claims in accordance with department policies and procedures.
Skills / Knowledge Requirements
- Type 45 WPM
- 10 Key by Touch
- Computer literate in Word and Excel and other Microsoft applications
- Good organization skills and able to handle multi tasks
- Good analytical skills
- Self-starter and quick learner
- Knowledge of ICD-9, ICD-10, CPT, HCPCS, FORM 1500, and UB04 forms, Medical and Revenue Coding, and Medical Terminology a plus
- Minimum of (2) year work experience or equivalent (combination of education and work)
Duties
- Process Medical claims
- Process Hospital and Ancillary Claims
- Process Vision and Chiropractic Claims
- Send referrals to Managed Care Department
- Send claims to contract negotiator for individual negotiations
- Correct and submit error tickets
- Process Claim Adjustments
- Assist Customer Service Department with customer inquiries
- Assist Department Lead and/or Supervisor with other departmental or Health and Welfare duties
- Be able to maintain error rate and production quotas
Other Duties
· As needed by the department supervisor'
'
Work Location:
Work Remotely
Job Type: Full-time
Pay: $19.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- Day shift
- Monday to Friday
Work setting:
Shift availability:
Work Location: In person