Claims Representative - Remote
About the position
Responsibilities
• Independently research and navigate various documents and databases to accurately process claims, ensuring compliance and adherence to established guidelines.
• Confirm the presence of necessary documents within submitted claims.
• Validate the accuracy of medical codes provided in claim submissions.
• Assess the eligibility status of claims based on established criteria.
• Review and verify other insurance coverage information in submitted claims.
• Evaluate authorizations provided in claim submissions for accuracy.
• Analyze account benefit plans to ensure claims align with coverage and policies.
• Identify discrepancies, errors, or missing information.
• Utilize multiple computer applications simultaneously.
• Maintain self-discipline, consistently uphold a strong work ethic, and complete work tasks/responsibilities while working without close supervision.
• Meet or exceed quality and productivity goals.
• Identify claim processing learning opportunities by working directly with supervisors, coaches, and trainers to learn efficient and effective processing techniques and workflows.
• Utilize a variety of virtual tools, including Outlook email, Cisco Webex, and similar applications, to effectively collaborate, communicate, and stay connected with colleagues and supervisors.
Requirements
• High school diploma or equivalent.
• Ability to quickly learn a variety of computer applications to complete job functions.
• Experience sending/receiving emails, scheduling calendar appointments/sending invitations, attaching files in Microsoft Outlook.
• Knowledge of basic Microsoft Excel functions, such as filtering/sorting.
• Experience in navigating multiple computer applications through the use of shortcut keys and other techniques.
• Detail-oriented with experience in applying complex policy/procedure documents.
• Strong organizational skills to maximize available work time and prioritize tasks to ensure job tasks are completed before deadlines.
• Proven experience completing work with quality and productivity performance standards.
• Experience working independently in a virtual environment preferred.
• Experience with medical and insurance terminology in a professional setting preferred.
• Knowledge of CPT/ICD-10 codes preferred.
• Proven experience in health insurance claims processing or similar field preferred.
Nice-to-haves
• Experience working independently in a virtual environment preferred.
• Experience with medical and insurance terminology in a professional setting preferred.
• Knowledge of CPT/ICD-10 codes preferred.
• Proven experience in health insurance claims processing or similar field preferred.
Benefits
• $19/Hour Pay Rate
Apply Now
Apply Now
Responsibilities
• Independently research and navigate various documents and databases to accurately process claims, ensuring compliance and adherence to established guidelines.
• Confirm the presence of necessary documents within submitted claims.
• Validate the accuracy of medical codes provided in claim submissions.
• Assess the eligibility status of claims based on established criteria.
• Review and verify other insurance coverage information in submitted claims.
• Evaluate authorizations provided in claim submissions for accuracy.
• Analyze account benefit plans to ensure claims align with coverage and policies.
• Identify discrepancies, errors, or missing information.
• Utilize multiple computer applications simultaneously.
• Maintain self-discipline, consistently uphold a strong work ethic, and complete work tasks/responsibilities while working without close supervision.
• Meet or exceed quality and productivity goals.
• Identify claim processing learning opportunities by working directly with supervisors, coaches, and trainers to learn efficient and effective processing techniques and workflows.
• Utilize a variety of virtual tools, including Outlook email, Cisco Webex, and similar applications, to effectively collaborate, communicate, and stay connected with colleagues and supervisors.
Requirements
• High school diploma or equivalent.
• Ability to quickly learn a variety of computer applications to complete job functions.
• Experience sending/receiving emails, scheduling calendar appointments/sending invitations, attaching files in Microsoft Outlook.
• Knowledge of basic Microsoft Excel functions, such as filtering/sorting.
• Experience in navigating multiple computer applications through the use of shortcut keys and other techniques.
• Detail-oriented with experience in applying complex policy/procedure documents.
• Strong organizational skills to maximize available work time and prioritize tasks to ensure job tasks are completed before deadlines.
• Proven experience completing work with quality and productivity performance standards.
• Experience working independently in a virtual environment preferred.
• Experience with medical and insurance terminology in a professional setting preferred.
• Knowledge of CPT/ICD-10 codes preferred.
• Proven experience in health insurance claims processing or similar field preferred.
Nice-to-haves
• Experience working independently in a virtual environment preferred.
• Experience with medical and insurance terminology in a professional setting preferred.
• Knowledge of CPT/ICD-10 codes preferred.
• Proven experience in health insurance claims processing or similar field preferred.
Benefits
• $19/Hour Pay Rate
Apply Now
Apply Now