What are the responsibilities and job description for the Remote - Claims Processor position at Collabera?
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Remote - Claims Processor
Contract : Fairfax, Virginia, US
Salary Range : 20.00 - 23.00 | Per Hour
Job Code : 359264
End Date : 2025-03-27
Days Left : 20 days, 2 hours left
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About the Role :
We are seeking a detail-oriented Claims Processor to join our team in a full-time remote role.
The Claims Processor will be responsible for reviewing and adjudicating paper and electronic claims while ensuring compliance with organizational policies and procedures.
Responsibilities :
Review and resolve non-adjudicated claims, identifying key processing requirements based on contracts, policies, and procedures.
Process product- or system-specific claims, ensuring timely payments, calculating deductibles and maximums, and researching and resolving pending claims.
Utilize automated system processes to complete pending claims accurately and in accordance with medical policies, contracts, and procedures.
Conduct claims research, applying training materials, correspondence, and medical policies to ensure accuracy in processing.
Collaborate with multiple departments, providing feedback, resolving issues, and addressing basic processing inquiries.
Education :
High School Diploma or GED required.
Experience :
Required : Less than one year of experience processing claim documents.
Preferred : 1-3 years of experience in claims processing, billing, or medical terminology.
Skills & Abilities :
Strong analytical skills with attention to detail.
Ability to read, comprehend, and follow directions accurately.
Proficiency in basic written and verbal communication.
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