What are the responsibilities and job description for the Claims Processor position at CT Pipe Trades Benefit Fund Administration Inc.?
Job Summary
The Claims Processor plays a critical role in the healthcare industry by ensuring that claims are accurately processed and submitted in a timely manner. This position requires a keen attention to detail, strong organizational skills, and a thorough understanding of medical terminology and coding.
Duties
- Review and process insurance claims for accuracy and completeness.
- Utilize coding systems such as ICD-10, HCPCS, and DRG to ensure proper billing.
- Apply knowledge of medical terminology and medical coding to assess claims.
- Maintain organized files and records for all processed claims.
- Communicate with healthcare providers regarding claim status and necessary documentation.
- Collaborate with team members to improve processing efficiency and accuracy.
- Perform clerical tasks related to medical and dental claims processing, including data entry and filing.
Qualifications
- Proficiency in medical coding, including familiarity with ICD-10, HCPCS, and DRG codes.
- Strong understanding of medical terminology relevant to claims processing.
- Experience with financial software used in the healthcare industry is preferred.
- Excellent clerical skills with attention to detail for accurate file management.
- Ability to work independently as well as part of a team in a fast-paced environment.
- Strong communication skills for effective interaction with healthcare providers and insurance representatives.
Job Type: Full-time
Pay: $25.00 - $27.00 per hour
Expected hours: 40 per week
Benefits:
- Dental insurance
- Health insurance
- Paid time off
- Prescription drug insurance
- Retirement plan
- Vision insurance
Schedule:
- Monday to Friday
Ability to Commute:
- Wethersfield, CT 06109 (Preferred)
Work Location: In person
Salary : $25 - $27