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Claims Technician

Company:
Kelly Services
Location:
Tulsa, Oklahoma, United States
Posted:
February 13, 2018
Description:

Kelly Services is seeking Claims Technicians to work for an established healthcare services company in Tulsa, OK. Temp-to-Hire opportunities on 1st shift with pay starting at $11.77/h!

The Claims Technician, under supervision, is responsible for processing complex claims requiring further investigation, including coordination of benefits, and resolving pended claims.

Job Responsibilities:

- Research and investigation into missing information, make phone calls to providers, access resource materials and support files in order to process and adjudicate claims timely and accurately.

- Resolve complex pended claims, duplicate claims and adjustments.

- Process claims, involving communications with participating plans and/or Service Units. Resolve various issues.

- Research and identify other insurance, Medicare, Medicaid and update patient file as needed.

- Coordinate benefits; request explanation of benefits as needed.

- Maintain a working understanding of medical terminology and CPT, HCPCS, and ICD9 coding.

- Maintain knowledge of pre-existing condition and waiting period requirements as they relate to specific contracts. Resolve error messages as they relate to pre-existing conditions.

- Prepare reports, maintain files and records.

- Learn and maintain knowledge of DOL ERISA and prompt pay legislation.

- Assist with testing system changes and enhancements.

Job Requirements:

-High School diploma or GED.

-Data entry and/or typing experience.

-Clear and concise written and verbal communication skills.

-Experience processing medical claims.

-Strong communication skills.

-Ability to comply with HIPAA and all Compliance Program policies.

-Must maintain confidentiality of business.

-Preferred understanding of medical terminology and CPT, HCPCS, and ICD9 coding.

-Strong multi-tasking skills.

-Strong work ethic (zero attendance policy during training)

Perks:

- Paid training

- 1st shift

- Flexibility in schedule once training is completed

- Opportunity to grow