Fully Remote Medical Claims Processor
This range is provided by Reqroute, Inc. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range
$17.00/hr - $17.00/hr
Fully
Remote Claims Processor
Duration: 5-6 Month Project
Pay: $17.00/hr on W2
Hours: 7:00am – 4:00pm PST
Start Date: Targeting for December 15th
Role
Each associate is responsible for validating members’ Out-of-Pocket Maximum (OOPM) bolthires shares based on the audit years provided in the Accumulator Overages Report. The process involves reviewing the members’ responsibilities according to their plan benefits and ensuring that OOPM limits and any overages are accurate, following the preset criteria established by Centene.
If a member has exceeded their OOPM limit, the excess amount will be reimbursed directly through medical claims and pharmacy reimbursements. Qualifications
• 1-3 years of experience in claims processing
• Good logical thinking ability
• Knowledge of US Healthcare Industry
• Exposure to MS Office
Responsibility
• Adjudication/Adjustments of claims with zero errors
• Completion of claims in queue within specified time frame
Seniority level
• Executive
Employment type
• Contract
Job function
• Customer Service
• Business Consulting and Services
Referrals increase your chances of interviewing at Reqroute, Inc by 2x
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$17.00/hr - $17.00/hr
Fully
Remote Claims Processor
Duration: 5-6 Month Project
Pay: $17.00/hr on W2
Hours: 7:00am – 4:00pm PST
Start Date: Targeting for December 15th
Role
Each associate is responsible for validating members’ Out-of-Pocket Maximum (OOPM) bolthires shares based on the audit years provided in the Accumulator Overages Report. The process involves reviewing the members’ responsibilities according to their plan benefits and ensuring that OOPM limits and any overages are accurate, following the preset criteria established by Centene.
If a member has exceeded their OOPM limit, the excess amount will be reimbursed directly through medical claims and pharmacy reimbursements. Qualifications
• 1-3 years of experience in claims processing
• Good logical thinking ability
• Knowledge of US Healthcare Industry
• Exposure to MS Office
Responsibility
• Adjudication/Adjustments of claims with zero errors
• Completion of claims in queue within specified time frame
Seniority level
• Executive
Employment type
• Contract
Job function
• Customer Service
• Business Consulting and Services
Referrals increase your chances of interviewing at Reqroute, Inc by 2x
Get notified about new Medical Claims Processor jobs in United States.Apply Now
Apply Now