2 Claims Processor Jobs in Oklahoma, OK
VUMI Canada, Inc. is Hiring a Claims Processor Near Oklahoma, OK
Essential Duties And ResponsibilitiesThe essential functions include, but are not limited to the following:
- Year-End Processing: Oversee and facilitate the year-end processing activities to ensure timely and accurate closure of claims records.
- Adjustments Management: Process adjustments to claims as needed, ensuring proper documentation and adherence to company policies and procedures.
- Coordination of Benefits: Manage coordination of benefits for claims.
- Subrogation and High-Dollar Claims: Handle subrogation claims and high-dollar claims, applying sound judgment and attention to detail in reviewing and processing these complex cases.
- Process refund requests.
- Medicaid Claims and Complex Appeals: Process Medicaid claims and assist in handling complex appeals, demonstrating a thorough understanding of Medicaid regulations and procedures.
- OGA Coordination: Manage chats with OGA and provide accurate answers to inquiries related to claims processing, demonstrating strong communication skills and a deep understanding of our processes.
- Hospital Audits: Conduct hospital audits to ensure compliance with contractual agreements and regulatory requirements.
- Case Management Reports: Analyze case management reports and make sure they are filed to the correct member.
- Bachelor's degree in business administration, healthcare management, or a related field preferred. Equivalent work experience may be considered.
- Experience: Minimum of 3 years of experience in claims processing or related field.
- Strong understanding of claims processing procedures, including familiarity with medical terminology and insurance policies
- Highly detail-oriented with a focus on accuracy and quality assurance in claims processing
- Strong analytical and problem-solving skills with the ability to identify root causes and develop solutions.
- Experience in handling escalated issues and making sound decisions under pressure.
Job Summary
Full Time
$56k-68k (estimate)
06/04/2024
07/19/2024
The job skills required for Claims Processor include Problem Solving, Subrogation, Claim Processing, Attention to Detail, Communication Skills, Coordination, etc. Having related job skills and expertise will give you an advantage when applying to be a Claims Processor. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Claims Processor. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Claims Processor positions, which can be used as a reference in future career path planning. As a Claims Processor, it can be promoted into senior positions as a Claims Clerk III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Claims Processor. You can explore the career advancement for a Claims Processor below and select your interested title to get hiring information.
If you are interested in becoming a Claims Processor, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Claims Processor for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Claims Processor job description and responsibilities
Respond to customer questions, provide guidance on how to file claims and communicate to customers through phone call, email and chat systems.
02/12/2022: Springfield, OR
Claims Processor prepares daily reports for claims management team.
04/30/2022: Fort Myers, FL
Determines whether to return, deny, or pay claims according to organizational policies and procedures.
03/15/2022: Santa Cruz, CA
Claims Processor is responsible for inputting new claims, processing payments, conducting billing research and responding to telephone inquires.
03/06/2022: Helena, MT
For standard claims, a claims processor can calculate the claim amount and pay checks to clients.
04/14/2022: Greenville, MS
Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Claims Processor jobs
The time to send the acknowledgement email for each of the claims case should be set based on the customer type.
04/26/2022: Fresno, CA
An onset date should be recorded on all accident related claims.
02/19/2022: Greensboro, NC
Stop Wasting Time on Manual Administrative Tasks.
02/18/2022: Wilmington, DE
Deliver a Top Notch Client Experience.
03/12/2022: Sarasota, FL
When they’re not verifying and paying claims, processors have several administrative responsibilities.
03/02/2022: Cleveland, OH
Step 3: View the best colleges and universities for Claims Processor.
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