Healthcare Claims Processor in South Side or Downtown, Pittsburgh

Job Description

HEALTHCARE CLAIMS PROCESSOR JOB SUMMARY: CDS Administrators is looking for an experienced Healthcare Claims Processor to join our growing team! CDS specializes in benefit administration and prioritizes exceptional customer service. We are looking for people who want to further their career and find a place to call home. This position requires attention to detail, analytical thinking / problem solving and great organizational skills.

This is a full time, direct hire in office role. Working hours are Mon-Fri 8:00am - 4:30pm(est) in our South Side office or 8:30am to 5:00pm in our Downtown office.

QUALIFICATIONS

High School Diploma Required

Must have at least 1-year previous experience processing claims – medical claims experience preferred

Must have the ability to manage their own time throughout the day while actively addressing client and team requests

Must have strong problem-solving skills

Proficiency in core MS Office applications including Word, Excel, PowerPoint, and Outlook.

Proficiency in role specific software / Ability to learn new software quickly

Previous experience with, data entry and data analytics preferred.

Must be willing to submit to a background investigation; any offer of employment is conditional upon the successful completion of a background investigation.

HEALTHCARE CLAIMS PROCESSOR PAY & PERKS:

Hourly Rate Starting At $20.00 per hour

Monday to Friday schedule

Professional development and coaching

Health, Dental, and Vision insurance

401(k)

Life insurance

Paid time off

HEALTHCARE CLAIMS PROCESSOR DUTIES & RESPONSIBILITIES:

As a Healthcare Claims Processor, you will be responsible for analyzing, reviewing, and adjudicating medical, dental, and vision claims while maintaining exceptional customer service, including providing information to providers as well as participants regarding eligibility, benefits, and claim status.

Answer/resolve incoming participant and provider calls

Conduct outbound calls to follow up on participant concerns

Process medical, dental and vision claims

Data entry for claims processing

Able to read, analyze, and understand Explanation of Benefits

Understand and effectively communicate covered/non-covered benefits, deductibles, maximum amounts, limitations, and exclusions

Able to read, analyze, and understand Plan Documents and Summary Plan Descriptions

ABOUT US: CDS Administrators, Inc. (CDS) is a locally owned and operated employee benefit services firm in the greater Pittsburgh area. We are seeking candidates interested in working in a fast-paced environment in a growing organization. We promote from within, and are invested in training and development.

Full-time