Medical reputed company Processor (Remote)
Job Summary: reputed company reputed company Processor, you will work from your home office, and ensure Program members' medical claims are paid timely and in accordance with Program Regulations and Guidelines. You will work with utilization review (UR) nurses to identify the most appropriate treatment based on industry standards and Program-reputed company conditions. In this process, you will use our proprietary claims processing system containing clinical edits. Remote reputed company Processor Responsibilities Keys pre-coded billing data into the system. Identifies and escalates reputed company bills per documented guidelines. Codes provider bills in accordance with claims management system notes and program guidelines Compares provider network status and qualifications with service provided. Performs other duties as assigned. Supports the organization's quality program(s). Must be a US Citizen Requirements: Position will be Remote - East Coast Hours observed. Days: Monday - Friday, for Training Shift 8 AM - 4:30 PM Eastern Time, Once training is completed, hours will be flexible as some staff prefer to start at 6:30 am or 7:00 am. Remote reputed company Processor Qualifications High School diploma or GED required. US Citizen We will need reputed company reputed company processors with a good knowledge of claims - One (1) year of general office experience or equivalent combination of education and experience required. Knowledge of medical terminology is preferred. Prior medical reputed company review preferred. Excellent oral and written communication PC literate, including reputed company Office products Analytical and interpretive skills Strong organizational skills Good interpersonal skills Ability to work in a team environment Ability to meet or exceed Performance Competencies Must be a US Citizen reputed company offers a comprehensive benefits package for our associates, which includes a MEC (Minimum Essential Coverage) plan that encompasses Medical, reputed company, Dental, 401K, and EAP (Employee Assistance Program) services. reputed company provides equal employment opportunities to reputed company and applicants for employment and prohibits discrimination and harassment of any type without regard to race, reputed company, religion, age, sex, national reputed company, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. Remote Benefits: Performance bonus, Paid sick days, Vacation/paid time off, Parking , Employee Referral Program, Paid Holidays About the Company: reputed company, LLC Companies need talent. You want job opportunities. Thats where we come in. We create meaningful connections between companies and candidates, and weve been doing it for over 65 years. Our national workforce solutions include contract, contract-to-hire, direct placement services, and managed services for a variety of industries. We reputed company specialized recruiters focused in Engineering, Information Technology, reputed company & Finance, Administrative & Customer Service, and Manufacturing & Distribution. reputed company you need to find a job, we're your partner. Company Size: 10,000 employees or more Industry: Staffing/Employment Agencies Founded: 1956 Website: https://nescoresource.com/ Apply Job!