Insurance Claims Processor

The Claims Processor will validate the information on medical claims. Claims will be reviewed to ensure that there is no missing or incomplete information as well as proofread all manually data entered claims. The Claims Processor will also need to quickly identify duplicate claims, replacement claims, late/additional charges as well as link claims to designated contracts.

Responsibilities:
Resolve day to day claim issues.

Ability to identify Replacement Claims, Duplicate Claims and Late/Additional Charges.

Ability to link specified claims to appropriate contracts.

Proofread all manually entered claims.

Strong Verbal and written communication skills.

Establish priorities, meet deadlines and work independently with limited supervision.

Ability to multi-task and prioritize tasks with other internal departments to meet company goals.

Able to meet daily production goals and performance objectives.

Adhere to HIPAA guidelines and regulations.

Knowledge, Skills and Ability Requirements:
High school Diploma / GED.

Prior healthcare and/or insurance company experience preferred.

Strong attention to detail.

Knowledge of UB-04 and CMS-1500 billing forms.

Ability to work independently or as a team.

Proficient in Microsoft Outlook, Word, Excel and PowerPoint.

Demonstrate a commitment to building new skills and fostering a positive working environment.

Recruiter’s Note: We will be moving our offices to Chesterbrook, PA in April, 2016.

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