What are the responsibilities and job description for the Claims Processor (Remote) position at System One Holdings, LLC?
ALTA IT Services is staffing a contract to hire opportunity for a Healthcare Claims Processor to support a leading health insurance customer. The individual will review and adjudicate paper / electronic claims, also use automated system processes to send pending claims to ensure accurate completion according to medical policy, contracts, policies, and procedures allowing timely considerations to be generated using multiple systems.
Pay rate $23 / HR
100% Remote
Contract to hire
ESSENTIAL FUNCTIONS
- Performs claims adjudication for complex medical claims.
- Performs regular auditing.
- Schedules regular meetings with key provider groups to provide reporting and work through claim resolution issues.
- Handles provider phone calls and emails regarding claims.
- Generates weekly Claims Resolution reports for management in accordance with schedule set by supervisor.
Requirements :
Salary : $23
