Fully Remote Medical Claims Processor

Job title: Claims Processor

Pay Rate:

$16/hr on W2 for PE Claims Processor

$17/hr W2 for SPE Claims Processor

Position type: W2 Contract

Location: Remote

Responsibilities

Working on multiple screens, hand-on with claims processing

Review and scrutinize claims and process claims into the computer system as per the provided DLPs /guidelines

Determine accurate claims payment or denial, identify, and elevate dubious claims or system issues to process the claim accurately.

Process claims in a timely manner, as per the required TAT

Correct errors or omissions on claim and investigate questionable data

To maintain Quality as per the SLA

To maintain Productivity as per the SLA

Continuously meet and exceed the assigned Targets

Performance should be maintained in accordance with the process performance parameters

To maintain confidentiality of work done

To follow all regulatory requirements and procedures as per the company policy

Display high levels of professionalism in the work delivered and overall conduct

Requirements

Claims Adjudication / Adjustment

Knows how to review HCFA 1500 and UB04 processing (not mandatory).

Facets experience is a plus (not mandatory)

Thanks & Regards,

Harry

Recruiter

Reqroute, Inc

Recruiting solutions for the digital world

ReqRoute, Inc is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, disability, military status, national origin or any other characteristic protected under federal, state, or applicable local law. ( )