Claims Processor

Job Description

Job Title: Medical Claims Processor

Pay: $16.00-$17.50/hour (based upon experience)

Duration: 2-month contract with Extension

Schedule: Monday – Friday // 40hrs/week (8am-5pm)

Location: ONSITE - MASON, OH

As the Medical Claims Processor, you will be responsible for the timely and accurate completion of key tasks supporting the successful implementation of new Small Business Clients with and/or on behalf of a team of Implementation Specialists.

Responsibilities:

Execute preliminary steps to build a new client structure for implementation requests routed through the shared Salesforce queue, adhering to standard client set-up guidelines and processes.

Initiate and accurately track all completed tasks using our proprietary Salesforce Implementation Tracker Project Management tool.

Validate benefit set-up in the core Facets system and communicate any discrepancies with expected outcomes to implementation owners.

Execute new client online portal access set-up, including sending appropriate communication email templates, tracking status, and reporting any identified issues.

Monitor the team's shared Outlook mailbox for incoming membership documents sent from clients, brokers, or Third-Party Administrators (TPAs).

Review incoming membership documents (Microsoft Excel and Word) to confirm accuracy in formatting and data validity; communicate updates needed for successful membership enrollment and/or submission for processing.

Qualifications:

High School Diploma required.

Ability to learn and adopt new processes quickly and with ease.

Accustomed to working in a high-paced, high-volume environment.

Strong attention to detail.

Medium to advanced level of expertise with Microsoft Excel.

Proficient with Outlook.

Familiarity with Cloud-based applications (e.g., OneDrive).

Ability to multitask and perform duties using multiple sources or systems;

Data Entry experience preferred.

Ability to clearly articulate findings, issues, or concerns requiring resolution.

ABOUT US:

Russell Tobin is a leading minority-owned professional and technical recruitment and staffing advisory organization.

We are comprised of specialized practices focusing on a variety of skill sets and industries. Having a depth and breadth of industry expertise, our subject matter experts are able to provide tailored and swift sourcing solutions to fulfill client hiring needs. In other words, we connect top talent with companies.

As a certified minority-owned business, Pride Global and its affiliates - including Russell Tobin, Pride Health, and Pride Now - are committed to creating a diverse environment and are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, disability, age, veteran status, or other characteristics.

Russell Tobin offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), a 401(k)-retirement savings, life & disability insurance, an employee assistance program, identity theft protection, legal support, auto and home insurance, pet insurance, and employee discounts with some preferred vendors.Company Description

Russell Tobin is an equal opportunity employer and values diversity in the workplace. We do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.