What are the responsibilities and job description for the Claim Processor position at Pyramid Consulting, Inc?
Immediate need for a talented Claim Processor. This is a 03 months contract opportunity with long-term potential and is located in Tampa, FL (Hybrid). Please review the job description below and contact me ASAP if you are interested.
Job ID: 25-55254
Pay Range: $18 - $19/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
Key Responsibilities:
- Understanding and interpreting health plan benefits and determining patient eligibility
- Maintaining patient confidentiality in accordance with Health Insurance Portability and Accountability Act (HIPAA) guideline
- Handle taking new claims and provide basic claim customer service
- Processes enrolment and eligibility changes from members and/or internal reports
- Professionally handle requests from client and ensure that issues are resolved both promptly and thoroughly
- Setting up claims and updating pertinent claims data into various claims systems
- Providing assistance with the completion of various claims related projects
Key Requirements and Technology Experience:
- Key skills; Claims Adjustment , MEDICAL CLAIMS , MEDICAL TERMINOLOGY-ICD-10 AND CPT CODES , Customer Service.
- High School Diploma or equivalent required
- 1 year of previous insurance claims processing
- Understanding of health claims processing/adjudication
- Ability to perform basic to intermediate mathematical computation routines
- Medical terminology strongly preferred with understanding of ICD-9 & ICD-10
- Basic MS office computer skills
- Time management skills
- Written and verbal communication skills
- Attention to detail
- Must be able to demonstrate sound decision-making skills
- HCFA 1500 & UB Form experience is very helpful
- Claim adjudication experience is very helpful
- Claim Life Cycle: Review-financial-adjudication familiarity is important
Our client is a leading IT Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
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Salary : $18 - $19
