Insurance Claims Processor

Global Channel ManagementMason, OH
13dOnsite

About The Position

Insurance Claims Processor needs 1+ years experience Insurance Claims Processor requires: 2 weeks training onsite Must be able to train onsite when requested Proficient in Microsoft Excel applications. Understand and honor high level of confidentiality. Promote integrity. Working knowledge of mainframe computers and systems in general, ie: AS400 Strong work ethic. High school degree required Understands third party benefits and administration 10,000 keystrokes Insurance Claims Processor duties: Research and apply insurance payments from clients to the appropriate system invoice. Research insurance claim payments in the AS/400 to identify correct claim based on customer information, date of service and service/material procedure codes and related charges. Continuously improve methods for research and in order to effectively and efficiently process transactions. Process transactions apply cash, member bills, resubmit invoices, write-offs, etc. Follow data processing guidelines to meet established departmental standards. Communicate with supervisor regarding transactions processed in a timely manner. Identify and recommend systems and process modifications necessary to improve the efficiency

Requirements

  • 1+ years experience
  • 2 weeks training onsite
  • Must be able to train onsite when requested
  • Proficient in Microsoft Excel applications.
  • Understand and honor high level of confidentiality.
  • Promote integrity.
  • Working knowledge of mainframe computers and systems in general, ie: AS400
  • Strong work ethic.
  • High school degree required
  • Understands third party benefits and administration
  • 10,000 keystrokes

Responsibilities

  • Research and apply insurance payments from clients to the appropriate system invoice.
  • Research insurance claim payments in the AS/400 to identify correct claim based on customer information, date of service and service/material procedure codes and related charges.
  • Continuously improve methods for research and in order to effectively and efficiently process transactions.
  • Process transactions apply cash, member bills, resubmit invoices, write-offs, etc.
  • Follow data processing guidelines to meet established departmental standards.
  • Communicate with supervisor regarding transactions processed in a timely manner.
  • Identify and recommend systems and process modifications necessary to improve the efficiency
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