Fully Remote Medical Claims Processor

Job title:

Claims Processor

Pay Rate:

$16/hr on W2 for PE Claims Processor

$17/hr W2 for SPE Claims Processor

Position type: W2 Contract

Location:
Remote
Responsibilities
• Working on multiple screens, hands-on with claims processing.
• Review and scrutinize claims and process claims into the computer system as per the provided DLPs/guidelines.
• Determine accurate claims payment or denial, identify, and elevate dubious claims or system issues to process the claim accurately.
• Process claims in a timely manner, as per the required TAT.
• Correct errors or omissions on claims and investigate questionable data.
• Maintain Quality as per the SLA.
• Maintain Productivity as per the SLA.
• Continuously meet and exceed the assigned Targets.
• Performance should be maintained in accordance with the process performance parameters.
• Maintain confidentiality of work done.
• Follow all regulatory requirements and procedures as per the company policy.
• Display high levels of professionalism in the work delivered and overall conduct.Requirements
• Claims Adjudication / Adjustment.
• Knows how to review HCFA 1500 and UB04 processing (not mandatory).
• Facets experience is a plus (not mandatory).#J-18808-Ljbffr

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