Demo

Sr. Medical Claims Processor - $23 to $25 Per Hour

J. Morrissey
Glastonbury, CT Full Time
POSTED ON 1/13/2025
AVAILABLE BEFORE 3/31/2025

Senior Medical Claims Processor - Healthcare

Our client, a large 3rd party Administrator that processes accurate insurance payments for thousands of individuals, is seeking a senior level candidate to process medical claims.

Monday through Friday 40 hours per week : 11 : 30am - 8 : 00pm

Pay : $23.00 to $25.00 Per Hour

Easy to get too, Rural town, Free Onsite Parking, Café in Building!

Job Responsibilities :

This is a fast paced / high volume department that answer phones and respond to client inquiries related to payments made on their behalf to insurers or medical providers.

  • Lead the claim team through managing, training and promoting team work.
  • Ensure service contract guarantees are met.
  • Act as a resource and point person to the team for any escalated issues, questions, concerns etc.
  • Update policies and procedures.
  • Recommend process and workflow improvements.
  • As needed make outgoing calls to clients, medical providers, insurance companies to resolve coding, payment, billing, and documentation clarification.
  • Assist in identifying, researching and resolving client issues.
  • Uses knowledge of Medicare, Medicaid and commercial insurance along with primary and secondary insurance claims

Required Skills :

  • Experience with Medical Insurance including- Insurance follow up / Medical billing and payment / Billing resolution / Insurance Claims
  • Understanding of Medicare, Medicaid, commercial insurance and secondary insurance
  • Ability to read and understand missing Clinical Documentation, Clinical coding Enrollment; and Payment Terms related to insurance premiums and out of pocket expenses; Benefits Coordination with other insurance coverage.
  • STRONG COMMUNICATION SKILLS-This is a highly interactive role . The chosen candidate will have experience with customer service / call center experience from an Insurance, billing or medical processing payment environment.
  • Technology and Computer Skills : Proficiency with all MS Office applications (Excel, Word, Outlook, etc.) Billing and Insurance Software
  • Ability to speak Spanish preferred
  • Work for a highly rated Recruiting & Staffing Firm by Google and Forbes!

    INDH

    Salary : $23 - $25

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