Medical Claims Processor

Job Summary:

The Claims Processor is responsible for researching, resolving, and processing claims timely and accurately within the standard metrics.

Supervisory Responsibilities:

This position has no direct supervisory responsibilities.

Duties/Responsibilites:

• Process transactions assigned as per the defined standard operating procedure.
• Meet or exceed the production & quality accuracy target/goals assigned.
• Plans, prioritizes, organizes, and completes work to meet established objective.
• Ensure the compliance of the company’s policies to cooperate with standards and procedures.
• Answer questions and resolve issues for consumers and clients timely and accurately.
• Perform other related duties as assigned.

Required Skills/Abilities:

• Typing skills and accuracy in keying data required.
• Should have strong analysis skills, including the ability to catch data that represents inaccurate/incomplete from the actuals.
• Should be good in logical reasoning and connect to the process to catch errors.
• Extensive knowledge of medical terminology with the ability to correctly read and assess medical documents.
• Basic cognitive skills that include language, math, and reasoning ability.
• Solid interpersonal skills with the ability to work with people with diverse backgrounds (both non-technical and highly technical users). Demonstrated ability to build and maintain business relationships internally and externally.
• Decision-Making Skills - Capable of arriving at the appropriate decisions after weighing the pros and cons of all the options.
• Excellent verbal and written communication skills in addition to be a good listener to give value to the opinion and suggestion of others. This includes ability to communicate with the customers if needed.
• Exceptional problem solving and solution driven skills with the ability to review problem, troubleshoot root cause issues and determine path to resolution.
• Strong attention to detail to handle the complex claims.
• Able to work effectively in a changing environment and be able to contribute innovative ideas.
• Excellent time management and organizational skills balancing multiple priorities.
• Self-starter, able to independently drive work.

Education and Experience:

• 1 year of experience in processing healthcare claims
• High school diploma or equivalent

Physical Requirements:

• Prolonged periods of sitting at a desk and working on a computer.

Job Type: Full-time

Pay: From $20.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Experience:

• medical claims or healthcare billing: 3 years (Required)
• Revenue cycle management: 1 year (Required)

Shift availability:

• Day Shift (Required)

Ability to Commute:

• Addison, TX 75001 (Required)

Work Location: In person

Salary : $20