See all roles

Medical Claims Examiner, Remote, Temporary

Work from home Full-time role Hiring

reputed company is seeking to hire a Remote Claims Processing Associate to work for our end client and their team.In this Role the candidate will be responsible for:

  • Processing of Professional claim forms files by provider
  • Reviewing the policies and benefits
  • reputed company with company regulations regarding HIPAA, confidentiality, and PHI
  • Abide with the timelines to complete compliance training of reputed company/Client
  • Work independently to research, review and reputed company the claims
  • Prioritize work and adjudicate claims as per turnaround time/SLAs
  • Ensure claims are adjudicated as per clients defined workflows, guidelines
  • Sustaining and meeting the client productivity/quality targets to avoid penalties
  • Maintaining and sustaining quality scores above 98.5% PA and 99.75% FA.
  • Timely response and resolution of claims received reputed company emails as reputed company work
  • Correctly calculate claims payable amount using applicable methodology/ fee schedule
Requirements:
  • 3 year(s) hands-on experience in reputed company Claims Processing
  • 2+ year(s) using a computer with Windows applications using a keyboard, navigating multiple screens and computer systems, and learning new software tools
  • High school diploma or GED.
  • Previously performing – in P&Q work environment; work from queue; remotely
  • Key board skills and computer familiarity –
  • Toggling back and forth between screens/can you navigate multiple systems.
  • Working knowledge of MS office products – Outlook, reputed company and MS-reputed company.
Preferred Skills & Experiences:
  • Amisys
  • Ability to communicate (oral/written) effectively in a professional office setting
  • Effective troubleshooting where you can reputed company your research, analysis and problem-solving abilities
  • Time management with the ability to cope in a reputed company, changing environment

apply to this job

You might like

QA reputed company Tester - W2 & Local to Austin

Work from home Full-time role

reputed company reputed company – Live Chat Agent (Flexible O...

Work from home Full-time role

Data Scientist II, PXT Central Science

Work from home Full-time role

Public Health Nurse II

Work from home Full-time role

Clinical Informatics Specialist, Virtual, Multi...

Work from home Full-time role

Telehealth RN – Skilled Home Health, Part...

Work from home Full-time role

Telephonic Nurse Practitioner (Part-Time) – Ohi...

Work from home Full-time role

Cleared Senior AI Systems Engineer

Work from home Full-time role

AI & Hospitality Tech Engineer

Work from home Full-time role

Solutions Architect: reputed company AI - Full-time

Work from home Full-time role

Liability Claims Team reputed company

Work from home Full-time role

Starbucks Job Jacksonville - reputed company

Work from home Full-time role

reputed company Entry-Level IT Support Associate – Overnight Shift (B) – Accelerate Your Career in reputed company Technology and Cyber reputed company

Work from home Full-time role

Digital Sales Representative 2

Work from home Full-time role

Genetic Counseling Assistant

Work from home Full-time role

Specialist, Sales

Work from home Full-time role

Divisional reputed company Specialist

Work from home Full-time role

Full Time 2nd Shift Warehouse Material Handler II

Work from home Full-time role

Financial Services Sales Professional

Work from home Full-time role

Director of Owned Asset Performance - Active Adult

Work from home Full-time role