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Claims Processor

Phoenix, AZ
Job Title – Claims Processor
Contract Type: W2
Pay Rate: $15/hr on W2
Mode of interview: WebEx/Phone
Location: Phoenix, AZ (Covid – 19 remote)
Primary Responsibilities: 
  • Provide general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims. 
  • Authorize the appropriate payment or refers claims to investigators for further review. 
  • Conduct data entry and re-work; analyzes and identifies trends and provides reports as necessary.
  • Analyze and identify trends and provide reports as necessary 
  • Consistently meet established productivity, schedule adherence, and quality standards
  • Recognize claims by determining claim type - HCFA, Hospital, UB-04, and/or RX
  • Identify more complicated claims and refer them to Senior Claim Processor or Supervisor
  • Calculate other insurance and re-pricing benefits 
  • Work claims files to ensure the appropriate eligibility and provider records are matched to the claim
  • Updates and maintains claims tracking database 
  • Proficient in Microsoft Excel and Microsoft Word
  • Proficient in 10-key numeric pad

Required Qualifications: 
  • Medicare experience
  • High School Diploma or GED 
  • Experience in an office setting environment with computer as the primary instrument to perform job duties
  • Basic proficiency with computer and Windows PC applications

Thanks & Regards,
Harry
Technical Recruiter
Reqroute, Inc
Recruiting solutions for the digital world
 
Companies across U.S. have engaged ReqRoute, Inc to deliver skilled, dedicated IT professionals. Recruiting is our passion and we support Fortune 1000 companies with their hiring needs. We always seek to deliver competitive and sought-after career opportunities to our potential consultants and employees. We invite you to review the position requirements and apply today if your skills match our needs.  
 
ReqRoute, Inc is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, disability, military status, national origin or any other characteristic protected under federal, state, or applicable local law. (www.reqroute.com)

 

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