What are the responsibilities and job description for the Medical Claims Auditor position at American Benefit Corporation?
Job Summary
The Claims Auditor role at American Benefit Corporation is a dynamic opportunity for recent graduates or those transitioning from medical or dental coding. This position involves examining claims and determining benefits in accordance with plan provisions.
Key Responsibilities:
- Examine claims and determine benefits in accordance with plan provisions.
- Follow through on problems or requests resulting from phone inquiries in accordance with policies and procedures.
- Provide claim totals to appropriate parties for bank transfers as needed.
- Maintain up-to-date claim information in group binders.
- File reinsurance claims for stop loss reimbursement.
- Test new groups or new benefits, which have been entered into the claims adjudication system for accuracy.
- Work efficiently and accurately with minimal supervision.
Requirements:
- Knowledge of all Microsoft Office programs.
- Familiarity with medical terminology, including anatomy.
- Ability to multi-task and concentrate in a large office environment.
- Bachelor's Degree in a related field (preferred).
- Ability to occasionally move about inside an office setting and across our ABC Campus.
- Regular operation of a computer and other office productivity machinery.
Work Environment:
- This position rarely requires travel.
- Usual work hours are standard Monday – Friday, 8:30 am to 5:00 pm.
- We celebrate diversity and are committed to creating an inclusive environment for all employees.
- We do not discriminate in employment based on non-merit factors such as race, color, religion, sex, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, parental status, military service, or other non-merit factor.