Medical Claims Processor I

Job Description:

Job Summary

This is an entry-level medical claims processing position.

The Claims Processor I provides internal and external customer service in the Claims department.

Successful candidates will have basic knowledge of medical terminology, billing and coding, and viewing medical claims forms. Experience working in a medical office setting is preferred.

Key Result Areas

Production is minimum 25 claims per hour.
Maintain accuracy of 99% financial, 97% payment and 95% procedures.
Responsible to keep assigned clients at 5-day turnaround time.
Process priority claims, call trackings and return pends.
Complete call logs, Skimmages and pends on a daily basis as assigned.
Assist Claims Team Lead and other Claims Processors as needed.
Perform other duties as assigned or needed.

Required Experience:

Minimum Qualifications

High school degree or equivalent.
Knowledge of medical and dental terminology.
Knowledge of ICD-9, ICD-10, CPT coding preferred.
1-2 years’ prior claims processing or billing experience preferred.
10 key by touch.
Type 65 wpm.
Good problem solving and analytical skills.
Able to demonstrate excellent attendance and punctuality.
Excellent customer service attitude and professionalism.
Demonstrate Accuracy, Customer Service, Timely Turn-Around (ACT).
Exceptional verbal and written communication skills.
Proficiency using Microsoft Office (Word, Excel, Outlook, etc.).
Ability to work efficiently, perform multi-tasking, prioritize tasks, and meet tight deadlines.
Possess a high degree of integrity and discretion, as well as the ability to adhere to both company policies and best practices.
Ensure compliance with security practices and procedures, including HIPAA and HITRUST standards.
Ability to efficiently and effectively perform the Key Result Areas with or without a reasonable accommodation without posing a direct safety threat to others or self.
Protect and enhance the Core Purpose and the Core Values of AmeriBen.

AmeriBen is an Equal Opportunity/Affirmative Action Employer committed to creating an environment of diversity and inclusion for equal employment and advancement opportunities to all employees and applicants for employment. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, national origin, sex, sexual orientation, gender identity and/or expression, genetic information, disability, veteran or military status, or any other category protected by federal, state and/or local law.

If you are unable to use our online application process due to a disability, please contact the Human Resources Department at humanresources@ameriben.com.