Job Description: ALL candidates MUST be available, willing and able to work an 8 hour shift between MON-FRI between 8AM-10PM with the possibility of Saturday and Sunday shifts. Shifts will be determined and handed out after training!!! 2-3 weeks training will be provided. Training hours will be M-F 8-5 Accuracy in data entry****** CS Claims Processers are responsible for investigating, recovering and resolving all types of claims. The claim processor will be working with several different types of health plans. The claim processor will process and validate claim overpayment adjustments which will include coordination of benefits, duplicate payment, incorrect contract rates, etc. Claim Processor will be required to ensure adherence to state and federal compliance policies, reimbursement policies and contract guidelines. Candidate will be seeing confidential information Requirements: • Demonstrates solid listening, written, and oral communication skills. • Takes the initiative to help others through sharing knowledge and experience. • Proactively addresses problems/needs leading to effective solutions. • Microsoft Office skills and computer proficiency • Ability to manage multiple tasks simultaneously with minimal supervision • Ability to meet time deadlines • Understand internal processes and tools • Problem solving skills • Accuracy in data entry • Time management skills • Ability to multi-task Preferred Experience: • Prior experience with health insurance and claim processing Job Experience: Education and Experience Required: • High school education or equivalent. • Up to 6 months of prior general experience, or equivalent college level education required. Minimum Education Required: High School Years of Experience Required: Entry Level Expected Travel Time: None Keywords: Customer Support
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