What are the responsibilities and job description for the Healthcare Claims Processor position at TEKsystems?
*Description*
Job Description
Our client is looking for a Healthcare Claims Processor to join their team. Contract will go through end of 2026.
This person will be providing support to the World Trade Center Program on their NIOSH program.
Seeking a contract position working as a Healthcare Claims Processor. This team handles support calls received via telephone, or email. Claims are logged and tracked using a government claims processing system. We are looking for an eager, experienced, and dedicated team player to provide a broad array of claims processing experience. The individual must be able to work effectively in responding to claims during daily operations. The candidate must possess excellent customer skills.
-Healthcare Claims Processor (must have claims processing experience but will be more on admin side) (ATL)
-Resolving pended healthcare claims, prior approval requests and responding to providers.
-Analyzing claims to determine whether or not the claims should be approved or denied for payment.
-Reviewing and addressing provider inquiries regarding claim adjudication
-Meeting all required metrics for the position (Monthly metrics are monitored monthly not weekly. Will be based on accuracy and production
-Applying knowledge of medical coding and various medical claims forms to the claims process.
-Team meeting each week to go over any necessary announcements and to go over claims that have been flagged by auditor and need an explanation
-Reaching out for reprocessing of claims if it is kicked back by auditor
-Report to Team Lead and Operations Manager
-6-8 weeks of training and 1 additional month of working before they are put at full volume
*Skills*
Healthcare claim, icd-10, icd9, medicare, medicaid, modifiers, claims processing, medical coding
*Top Skills Details*
Healthcare claim,icd-10,icd9,medicare,medicaid,modifiers
*Additional Skills & Qualifications*
HS Diploma required
* 2-5 years of medical claims processing experience
* Experience with medical coding to include, diagnosis coding and terminology
* Ability to multi-task and follow documented claims processes
* Capability to prioritize and organize work assignments to meet deadlines
* Position is centered on meeting quality and production claim adjudication objectives
* Able to work independently and with little supervision
* Ability to work as part of a team
* Proficient with MS Office skills, particularly Excel
* Excellent oral and written communication skills
* Strong attention to detail and the ability to make appropriate decisions based on the information presented
* Previous CDC/NIOSH experience strongly preferred
* Ability to obtain and maintain required clearance
*Experience Level*
Entry Level
*Pay and Benefits*
The pay range for this position is $20.00 - $22.00/hr.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
* Medical, dental & vision
* Critical Illness, Accident, and Hospital
* 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
* Life Insurance (Voluntary Life & AD&D for the employee and dependents)
* Short and long-term disability
* Health Spending Account (HSA)
* Transportation benefits
* Employee Assistance Program
* Time Off/Leave (PTO, Vacation or Sick Leave)
*Workplace Type*
This is a hybrid position in Atlanta,GA.
*Application Deadline*
This position is anticipated to close on Apr 25, 2025.
About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
Job Description
Our client is looking for a Healthcare Claims Processor to join their team. Contract will go through end of 2026.
This person will be providing support to the World Trade Center Program on their NIOSH program.
Seeking a contract position working as a Healthcare Claims Processor. This team handles support calls received via telephone, or email. Claims are logged and tracked using a government claims processing system. We are looking for an eager, experienced, and dedicated team player to provide a broad array of claims processing experience. The individual must be able to work effectively in responding to claims during daily operations. The candidate must possess excellent customer skills.
-Healthcare Claims Processor (must have claims processing experience but will be more on admin side) (ATL)
-Resolving pended healthcare claims, prior approval requests and responding to providers.
-Analyzing claims to determine whether or not the claims should be approved or denied for payment.
-Reviewing and addressing provider inquiries regarding claim adjudication
-Meeting all required metrics for the position (Monthly metrics are monitored monthly not weekly. Will be based on accuracy and production
-Applying knowledge of medical coding and various medical claims forms to the claims process.
-Team meeting each week to go over any necessary announcements and to go over claims that have been flagged by auditor and need an explanation
-Reaching out for reprocessing of claims if it is kicked back by auditor
-Report to Team Lead and Operations Manager
-6-8 weeks of training and 1 additional month of working before they are put at full volume
*Skills*
Healthcare claim, icd-10, icd9, medicare, medicaid, modifiers, claims processing, medical coding
*Top Skills Details*
Healthcare claim,icd-10,icd9,medicare,medicaid,modifiers
*Additional Skills & Qualifications*
HS Diploma required
* 2-5 years of medical claims processing experience
* Experience with medical coding to include, diagnosis coding and terminology
* Ability to multi-task and follow documented claims processes
* Capability to prioritize and organize work assignments to meet deadlines
* Position is centered on meeting quality and production claim adjudication objectives
* Able to work independently and with little supervision
* Ability to work as part of a team
* Proficient with MS Office skills, particularly Excel
* Excellent oral and written communication skills
* Strong attention to detail and the ability to make appropriate decisions based on the information presented
* Previous CDC/NIOSH experience strongly preferred
* Ability to obtain and maintain required clearance
*Experience Level*
Entry Level
*Pay and Benefits*
The pay range for this position is $20.00 - $22.00/hr.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
* Medical, dental & vision
* Critical Illness, Accident, and Hospital
* 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
* Life Insurance (Voluntary Life & AD&D for the employee and dependents)
* Short and long-term disability
* Health Spending Account (HSA)
* Transportation benefits
* Employee Assistance Program
* Time Off/Leave (PTO, Vacation or Sick Leave)
*Workplace Type*
This is a hybrid position in Atlanta,GA.
*Application Deadline*
This position is anticipated to close on Apr 25, 2025.
About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
Salary : $20 - $22
