Posting ID: JP-001980275
Review claims to ensure proper information is on the claim to complete processing based on the SOPs Request documentation to finalize claim Identify contract specific situations and manually calculate contract benefits using pricing and out-of-pocket procedures. Process claims in adherence with policies, procedures, and other applicable rules as well as claims quality and production standards
Claim, Claims processing, Insurance, Health insurance, Health care, Medical, Hipaa
Top Skills Details:
2 years Healthcare Experience preferred Education Level: High School Degree or equivalent with two years or more post-secondary preferred 1-2 years Claims Processing Experience preferred (Not claims examining or auditing) Test scores for basic Excel
Additional Skills & Qualifications:
Prior healthcare related experience in a payer or medical office/facility environment Microsoft suite (Word, Outlook, Basic Excel) Demonstrated flexibility to adapt to changes in procedures and job assignments Ability to work independently and seek solutions to problems Prioritization skills in order to schedule work to meet deadlines Well-developed analytical skills to evaluate and determine the appropriate course of action
We know that a company's success starts with its employees. We also know that an individual's success starts with the right career opportunity. As a Best of Staffing® Client and Talent leader, Aerotek's people-focused approach yields competitive advantage for our clients and rewarding careers for our contract employees. Since 1983, Aerotek has grown to become a leader in recruiting and staffing services. With more than 250 non-franchised offices, Aerotek's 8,000 internal employees serve more than 300,000 contract employees and 18,000 clients every year. Aerotek is an Allegis Group company, the global leader in talent solutions. Learn more at Aerotek.com.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
Recruiter: Emma Benusa