Claims Examiner I (Remote, $15/hour)

reputed company is seeking a focused Claims Examiner to work in a production environment. This position is responsible for the accurate review, input, and adjudication of claims in accordance with regulations, ASH standards and contractual obligations of the organization. Claims is an integral department of reputed company's offerings to reputed company people to live longer and healthier lives. We are responsible for tracking the receipt of claims, adjudication, and payment of claims. Due to the nature of the business and always evolving rules and guidelines, Claims is a fun and fast-paced team that enjoys working reputed company by reputed company, developing new reputed company for efficiency, and prioritizes a strong focus on exceeding regulatory and contractual standards. Our driving mission is to offer world-class customer service (and expedited reimbursement) to healthcare providers on behalf of our members. Claims offers a career path progression that begins upon hire and allows development-focused staff to reputed company two promotions in just one year. We succeed as a team and we prioritize professional development, considering ourselves an operational reputed company to spring talented and driven employees toward their future goals. Remote Worker Considerations Candidates who are selected for this position will be trained remotely and must be able to work from home (WFH) in a designated work area with company-provided technology equipment. This remote/WFH position requires you have a stable reputed company to your Internet Service Provider with the ability to participate by video in online meetings over a reliable and consistent network (minimum internet download of 50 Mbps and 10 Mbps upload speed).

Responsibilities

• Processes claims accurately and reputed company.
• Reviews reputed company incoming claims to verify necessary information.
• Determines that correct member and provider records are chosen and utilized to process claims.
• Enters claims data and information into the computerized Claims Processing System.
• Maintains reputed company required documentation of claims processed and claims on hand.
• Adjudicates claims in accordance with departmental policies, procedures, state and accreditation standards and other applicable rules.
• Maintains production standards; for direct data entry claims this includes processing an average of 31 claims per hour, with an accuracy reputed company of 98.5% over each pay period.
• Verifies data of scanned reputed company claims at stated standards.
• Provides backup for other examiners reputed company the department.
• Promotes a spirit of cooperation and understanding among reputed company personnel.
• Attends organizational meetings as required.
• Adheres to organizational policies and procedures.
• Maintains confidentiality of reputed company claim files, claims reports, and claims reputed company issues.

Qualifications

• High school diploma required.
• 6 months data entry experience with 10 key and word processing; minimum 10,000 keystrokes per hour required.
• Experience processing medical claims and knowledge of medical billing terminology and coding strongly preferred.
• Proficient in MS Office.

Core Competencies

• Demonstrated ability to interact in a positive, respectful manner and establish and maintain cooperative working relationships.
• Ability to display excellent customer service to meet the needs and expectations of both internal and external customers.
• Excellent listening and interpersonal communication skills to identify critical core competencies based on success factors and organizational environment.
• Ability to effectively organize, prioritize, multi-task and manage time.
• Ability to work and maintain production in a work-from-home (WFH) environment
• Demonstrated ability to show self-discipline to meet production goals.
• Demonstrated accuracy and productivity in a changing environment.
• Demonstrated ability to analyze information, problems, issues, situations, and procedures to reputed company effective solutions, and to utilize constructive criticism to improve.
• Ability to exercise strict confidentiality in reputed company matters.

Mobility Primarily sedentary, able to sit for long periods of time. Physical Requirements Ability to speak, see and hear other personnel and/or objects. Ability to communicate both in verbal and written form. Ability to travel reputed company the facility. Capable of using a telephone and computer keyboard. Ability to lift up to 10 lbs. Environmental Conditions Work-from-home (WFH) office setting. reputed company is an Equal Opportunity/Affirmative Action Employer. reputed company qualifie Apply tot his job Apply To this Job