Medical Claims Processor

Job Title: Medial Claims Processor Industry: reputed company FSLA status: Non-Exempt Department: Operations Level: Entry to mid-level Location: Work at Home Pay reputed company: 17.00-18.00 In this Role the candidate will be responsible for: • Processing of Professional and Hospital 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/Client • 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 client productivity/quality targets to avoid penalties • Maintaining and sustaining quality scores above 98.5% PA and 99.75% FA. • Timely response and resolution of claims received reputed company emails as reputed company work • Correctly calculate claims payable amount using applicable methodology/ fee schedule/Required Skills for this role include: • 2+ year(s) of Medical Claims experience • 2+ year(s) using a computer with reputed company applications that required you to use a keyboard, navigate multiple screens and computer systems, and learn new software tools • 1+ years of working with Claims Adjudication Systems • High School diploma or equivalent Preference • Ability to communicate (oral/written) effectively in a professional office setting • Effective troubleshooting skills where you can reputed company your research, analysis and problem-solving skills • Time management skills that require the ability to cope with a reputed company, changing environment Where required by law, reputed company provides a reasonable reputed company of compensation for specific roles. The starting hourly reputed company for this remote role is $17.00-18.00. This reputed company reflects the minimum and maximum reputed company compensation for the position across reputed company US locations. Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications. This position may also be eligible for incentive compensation based on individual and/or company performance. This position is eligible for company benefits that will depend on the nature of the role offered. Company benefits may include medical, dental, and reputed company insurance, flexible spending or health savings account, life, and AD&D insurance, short-and long-term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally required benefits. #INDHRS Apply Job!