What are the responsibilities and job description for the Paper Claims Processor I -- Remote position at Get.It Recruit - Administrative?
Join our team and contribute to a mission that puts heart into health. Our ethos is to enhance human-centric healthcare in a rapidly evolving landscape, ensuring that our delivery is as significant as the services we offer. We strive to make healthcare more personal, convenient, and affordable through innovative solutions. By embracing our Heart At Work Behaviors™, every team member is empowered to play a vital role in transforming our culture and driving our success.
Job Summary
As a Claims Processor, you will handle crucial backend operations that ensure the smooth processing of medical claims. Your role involves detailed claim documentation reviews, policy verification, validity assessments, and direct communications with healthcare providers and policyholders. This position requires keen attention to detail, comprehensive knowledge of medical coding and billing, and a commitment to providing exceptional service.
Responsibilities
Review and verify the completeness and accuracy of claims forms and supporting documentation.
Input patient information, provider details, procedure codes, and diagnosis codes into our advanced claims processing system.
Determine claim eligibility, coverage, and benefits, assessing the medical necessity and validity of the services provided.
Calculate payments based on approved rates and contractual agreements with providers.
Communicate effectively with stakeholders, providing updates and resolving any information discrepancies swiftly.
Collaborate with internal teams to investigate and resolve claim-related inquiries and ensure accurate claims resolution.
Provide stellar customer service, addressing and resolving issues pertaining to claims processing.
Maintain meticulous records of claims processing activities and ensure all data is accurately entered into our system databases.
Required Qualifications
Minimum of 6 months work experience.
Strong problem-solving and decision-making skills.
Preferred Qualifications
Certification as a Billing and Coding Specialist (CBCS) is highly desirable.
Education
High School Diploma or equivalent GED required.
Compensation And Benefits
The salary range for this position is $17.00 to $28.45 per hour. Additionally, this role is eligible for performance bonuses and incentives. Our comprehensive benefits package includes:
Health, Dental, and Vision Insurance
Life and Disability Insurance
401(k) Retirement Savings Plan with Company Match
Employee Stock Purchase Plan
Education Assistance and Free Development Courses
Company Discounts at CVS stores and with various partners
Generous Paid Time Off, Holidays, and Sick Leave as per state law and company policy.
Join Us
At our company, we not only invest in your health but also in your growth and well-being. If you're ready to bring your heart to every aspect of your work, we warmly invite you to apply and join a team that values transformative healthcare and its people.
How to Apply
Please create an account or log in to submit your application. For more information on our benefits, visit our careers page.
Employment Type: Full-Time
Job Summary
As a Claims Processor, you will handle crucial backend operations that ensure the smooth processing of medical claims. Your role involves detailed claim documentation reviews, policy verification, validity assessments, and direct communications with healthcare providers and policyholders. This position requires keen attention to detail, comprehensive knowledge of medical coding and billing, and a commitment to providing exceptional service.
Responsibilities
Review and verify the completeness and accuracy of claims forms and supporting documentation.
Input patient information, provider details, procedure codes, and diagnosis codes into our advanced claims processing system.
Determine claim eligibility, coverage, and benefits, assessing the medical necessity and validity of the services provided.
Calculate payments based on approved rates and contractual agreements with providers.
Communicate effectively with stakeholders, providing updates and resolving any information discrepancies swiftly.
Collaborate with internal teams to investigate and resolve claim-related inquiries and ensure accurate claims resolution.
Provide stellar customer service, addressing and resolving issues pertaining to claims processing.
Maintain meticulous records of claims processing activities and ensure all data is accurately entered into our system databases.
Required Qualifications
Minimum of 6 months work experience.
Strong problem-solving and decision-making skills.
Preferred Qualifications
Certification as a Billing and Coding Specialist (CBCS) is highly desirable.
Education
High School Diploma or equivalent GED required.
Compensation And Benefits
The salary range for this position is $17.00 to $28.45 per hour. Additionally, this role is eligible for performance bonuses and incentives. Our comprehensive benefits package includes:
Health, Dental, and Vision Insurance
Life and Disability Insurance
401(k) Retirement Savings Plan with Company Match
Employee Stock Purchase Plan
Education Assistance and Free Development Courses
Company Discounts at CVS stores and with various partners
Generous Paid Time Off, Holidays, and Sick Leave as per state law and company policy.
Join Us
At our company, we not only invest in your health but also in your growth and well-being. If you're ready to bring your heart to every aspect of your work, we warmly invite you to apply and join a team that values transformative healthcare and its people.
How to Apply
Please create an account or log in to submit your application. For more information on our benefits, visit our careers page.
Employment Type: Full-Time
Salary : $17 - $28
Claims Processor – Medical Review Nurse
TALENT Software Services -
Phoenix, AZ
Claims Processor - Free Healthcare Benefit for Entire Family!
Redirect Health Inc -
Phoenix, AZ
RN Claims Review- REMOTE
TEEMA -
Litchfield, AZ