What are the responsibilities and job description for the Claims Processor position at ION PT Network?
Job Summary:
We are seeking a detail-oriented and organized Claims Processor to join our team. As a Claims Processor, you will be responsible for accurately processing and reviewing medical insurance claims. Your role will involve verifying insurance coverage, analyzing medical records, and ensuring compliance with coding and billing regulations. The ideal candidate will have knowledge of medical terminology, insurance verification, and medical billing processes.
Responsibilities:
- Process and review medical insurance claims for accuracy and completeness
- Verify insurance coverage and eligibility for claim submission
- Analyze medical records to ensure proper documentation and coding
- Review claims for compliance with ICD-10, DRG, and workers compensation law
- Collaborate with healthcare providers to obtain necessary information for claim processing
- Resolve any discrepancies or issues related to claims processing
- Maintain accurate records of claims processed and outcomes
Requirements:
- High school diploma or equivalent; associate's degree in healthcare administration or related field preferred
- Previous experience in claims processing or medical billing is highly desirable
- Knowledge of medical terminology, coding systems (ICD-10), and insurance verification processes
- Familiarity with workers compensation law
- Proficient in using computer systems and software for data entry and record keeping
- Strong attention to detail and ability to work with numerical data accurately
- Excellent organizational skills and ability to prioritize tasks effectively
- Strong communication skills, both written and verbal
Note: All positions at our company are paid positions, including internships.
Job Type: Full-time
Pay: From $16.00 per hour
Expected hours: 40 per week
Benefits:
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Work Location: In person
Salary : $16