Claims Processor

Remote: New York, New York, US

Salary: $20.00 Per Hour

Job Code: 352077

End Date: 2024-08-26

Job Status: Expired

This Job is no longer accepting applications
Position Details:                            
Client                                Healthcare                  
Job Title                           Claims Processor II 
Work Location                  New York, NY  
Duration                           6 Months  
 
 
 
Job Description:
  • Meets or exceeds claims standard of 95% or greater in the accuracy of claims processing, along with meeting or exceeding overpayment and underpayment standard of 98% or greater.
  • Meet or exceed the department standard of the production quota set by type of claim. (30) Thirty claims per hour.
  • Adjudicate, and process PCP claims and apply all claims policies, contracts, practices, and keep in compliance with industry regulations and guidelines.
  • Must be able to work and make claims resolution with limited supervision.
  • Confirm eligibility for claim billed and date of service.
  • Comply with claims timeliness guidelines for PCP providers, no greater than a 90 day (TAT) Turn-around-time
  • Complies with all Company and Department Policies and Procedures
Must Have Skills:
  • Has knowledge of CPT and ICD-9 codes, and medical terminology.
  • High school diploma or equivalent.
  • Excellent verbal and written communication skills.
  • Excellent organizational skills and interpersonal skills.
Day to Day Responsibilities:
  • Ability to resolve claims issues on identified processing errors and make recommendations for improvements to avoid error.
  • Process and adjudicate claims in date received order. (First in, first out)
  • Resolve any grievances and complaints received through Claims Customer Service Call Center.
  • Prompt and accurate response to claims related questions from Supervisors, and Mgmt.
  • Identify any overpayments or underpayments in a review and or history search. Follow department protocol for reporting any overpayments or underpayments and follow-up.
  • Must be able to sit for lengthy periods of time, up to (3) three hours at a time.
  • Must be able to lift a maximum of 10 pounds.
  • Perform as required any task or assignment by the Claims Supervisory Team and Upper Mgmt
  • Required Years of Experience: 3-5
  • Required Licensure / Education: N/A
 
Job Requirement
  • claims processing
  • codes
  • ICD-9
  • CPT
  • process payments
Reach Out to a Recruiter
  • Recruiter
  • Email
  • Phone
  • Srividhya M
  • srividhya.m@collabera.com
This Job is no longer accepting applications
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Collabera is a leading global digital talent solutions firm. For over 25 years, we have provided digital and IT talent services, direct placement and career advisement, global remote talent and learning solutions to transform and diversify workforces for the Fortune 1000 globally.

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Collabera is a leading global digital talent solutions firm. For over 25 years, we have provided digital and IT talent services, direct placement and career advisement, global remote talent and learning solutions to transform and diversify workforces for the Fortune 1000 globally.

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