Claims Processor

Overland Park, KS

Post Date: 04/16/2018 Job ID: EB-2010476700A Industry: Administrative Pay Rate: $19.00

Process incoming claims and become a subject-matter-expert for clients regarding healthcare services. Strong customer service skills, accuracy and reliability are the most important characteristics.



Primary Responsibilities
  • Review claims, research insured/claimant’ s records to identify any third-party liability and approve/deny payment when appropriate
  • Adjudicate claims using Company guidelines
  • Work with providers/claimants and organization to verify information or request additional information
  • Document all notes in detail in the database
  • Provide top-notch customer service to all parties (insureds, providers, claimants, etc.)



Qualifications
  • 1+ years of medical claim processing experience is a MUST
  • High School diploma or its equivalent
  • College degree preferred or comparable work experience
  • Strong customer services skills
  • Proactive, self-driven individual
  • Team player
  • Insurance knowledge and understanding of basic terminology



MH123

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