Processor, Claims I W@H
About the position Responsible for the accurate and timely processing of claims. Location: This position is full-time (40-hours/week) Monday-Friday from 8am-5pm in a typical office environment. This role is W@H What You’ll Do: Research and processes claims according to business regulation, internal standards and processing guidelines. Verifies the coding of procedure and diagnosis codes. Resolves system edits, audits and claims errors through research and use of approved references and investigative sources. Coordinates with internal departments to work edits and deferrals, updating the patient identification, other health insurance, provider identification and other files as necessary. Responsibilities • Research and processes claims according to business regulation, internal standards and processing guidelines. • Verifies the coding of procedure and diagnosis codes. • Resolves system edits, audits and claims errors through research and use of approved references and investigative sources. • Coordinates with internal departments to work edits and deferrals, updating the patient identification, other health insurance, provider identification and other files as necessary. Requirements • High School Diploma or equivalent • Strong analytical, organizational and customer service skills. • Strong oral and written communication skills. • Proficient spelling, punctuation and grammar skills. • Good judgment skills. • Basic business math skills. • Basic office equipment. Nice-to-haves • 1 year-of experience in a healthcare or insurance environment. • Ability to use complex mathematical calculations. • Proficient in word processing and spreadsheet applications. • Proficient in database software. Benefits • Subsidized health plans, dental and vision coverage • 401k retirement savings plan with company match • Life Insurance • Paid Time Off (PTO) • On-site cafeterias and fitness centers in major locations • Education Assistance • Service Recognition • National discounts to movies, theaters, zoos, theme parks and more Apply tot his job