Claims Analyst II

Immediate need for a talented Claims Analyst II. This is a 06+ months Contract to Hire opportunity with long-term potential and is located in US(Remote -EST). Please review the job description below and contact me ASAP if you are interested.

Job ID: 25-89283

Pay Range: $19 - $20/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:

• Process first time claims
• Apply policy and provider contract provisions to determine if claim is payable  
• Research and determine status of medical related claims
• Maintain records, files, and documentation as appropriate
• Meet and maintain department production and quality standards    
• Successfully complete additional progressive claims training programs as required   
• Performs other duties as assigned.
• Complies with all policies and standards.

Key Requirements and Technology Experience: 

• Key Skills; Claims Processing
• Medical Terminology
• Health Insurance Knowledge
• Required: High School Diploma
• High school diploma or equivalent.  
• 1 year of health insurance industry, claims processing, physician’s office or other office services experience.
• Proficiency and experience using computers with Microsoft Office (Word, Excel, etc.).
• Ability to perform basic math functions.
• Working knowledge of ICD-9/10, CPT, HCPCs, revenue codes, and medical terminology preferred.
• Experience with Medicaid or Medicare claims preferred.
• Also would like for the resource to have experience with VLookup and pivot tables

Our client is a leading Healthcare 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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