Claim Processor

Immediate need for a talented Claim Processor. This is a 03+ months contract opportunity with long-term potential and is located in Tampa, FL (Hybrid). Please review the job description below and contact me ASAP if you are interested.
 
Job ID: 25-55254
 
Pay Range: $18 - $19/hour.  Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
 
Key Responsibilities: 

• Understanding and interpreting health plan benefits and determining patient eligibility
• Maintaining patient confidentiality in accordance with Health Insurance Portability and Accountability Act (HIPAA) guideline
• Handle taking new claims and provide basic claim customer service
• Processes enrolment and eligibility changes from members and/or internal reports
• Professionally handle requests from client and ensure that issues are resolved both promptly and thoroughly
• Setting up claims and updating pertinent claims data into various claims systems
• Providing assistance with the completion of various claims related projects

 
Key Requirements and Technology Experience: 

• Key skills; Claims Adjustment , MEDICAL CLAIMS , MEDICAL TERMINOLOGY-ICD-10 AND CPT CODES , Customer Service.
• High School Diploma or equivalent required
• 1 year of previous insurance claims processing
• Understanding of health claims processing/adjudication
• Ability to perform basic to intermediate mathematical computation routines
• Medical terminology strongly preferred with understanding of ICD-9 & ICD-10
• Basic MS office computer skills
• Time management skills
• Written and verbal communication skills
• Attention to detail
• Must be able to demonstrate sound decision-making skills
• HCFA 1500 & UB Form experience is very helpful
• Claim adjudication experience is very helpful
• Claim Life Cycle: Review-financial-adjudication familiarity is important

 

Our client is a leading IT Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

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