Job Title – Claims Processor
Contract Type: W2
Pay Rate: $15/hr on W2
Mode of interview: WebEx/Phone
Location: Phoenix, AZ (Covid – 19 remote)
- 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
- 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,
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