Company Overview: Our Managed Care Facility is a reputable healthcare services provider committed to delivering excellence in patient care. We are currently seeking a detail-oriented and experienced Medical Claims Processor to join our team. If you have a strong background in healthcare claims processing and enjoy working in a dynamic environment, we invite you to apply for this exciting opportunity.
Location: Remote
Job Type: Full-Time
Responsibilities
Claims Verification:
Review and verify medical claims for accuracy and completeness.
Ensure that all necessary documentation is attached to support the claims.
Data Entry:
Accurately input claim information into the designated database or claims processing system.
Update and maintain electronic records of claims.
Adjudication:
Evaluate claims against established policies and procedures.
Determine the eligibility of claims for payment and process accordingly.
Communication:
Communicate with healthcare providers and insurance companies to gather additional information when needed.
Address inquiries and resolve issues related to claims.
Coding:
Assign appropriate medical codes to claims for billing purposes.
Ensure compliance with coding standards and guidelines.
Quality Assurance:
Conduct quality checks on processed claims to minimize errors and discrepancies.
Collaborate with the quality assurance team to enhance process efficiency.
Qualifications
Previous experience as a Medical Claims Processor or in a similar role.
Experience with Medicare/Medicaid
Knowledge of medical coding, billing, and claims processing procedures.
Proficiency in using claims processing software and databases.
Detail-oriented with strong analytical and problem-solving skills.
Excellent communication and interpersonal abilities.
Preference to candidates in El Paso, TX or surrounding areas
Benefits
Competitive salary.
Comprehensive health and wellness benefits.
Opportunities for professional development and advancement.
Collaborative and inclusive work environment.
Salary: $20-$23+
Seniority level
Entry level
Employment type
Full-time
Job function
Health Care Provider
Industries
Staffing and Recruiting
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