Fully Remote Medical Claims Processor


Job Details

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 worldCompanies across U.S. have engaged ReqRoute, Inc to deliver skilled, dedicated IT professionals. Recruiting is our passion and we support Fortune 1000 companies with their hiring needs. We always seek to deliver competitive and sought-after career opportunities to our potential consultants and employees. We invite you to review the position requirements and apply today if your skills match our needs. 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. ( www.reqroute.com )





 Reqroute

 05/01/2024

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