Claims Examiner Remote

About the position

Processing of Professional claim forms files by provider Reviewing the policies and benefits Work independently to research, review and act on the claims Ensure claims are adjudicated as per clients defined workflows, guidelines

Responsibilities
• Processing of Professional claim forms files by provider
• Reviewing the policies and benefits
• Work independently to research, review and act on the claims
• Ensure claims are adjudicated as per clients defined workflows, guidelines

Requirements
• 3 year(s) hands-on experience in Healthcare 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
• Toggling back and forth between screens/can you navigate multiple systems.
• Working knowledge of MS office products - Outlook, MS Word and MS-Excel.
• Amisys
• Ability to communicate (oral/written) effectively in a professional office setting
• Effective troubleshooting where you can leverage your research, analysis and problem-solving abilities
• Time management with the ability to cope in a complex, changing environment