WFH Claim Adjustment
Job Title: Claim Adjustment Duration: 11+ Months Location: 100% Remote Client laptop BGV must be cleared to start
Job Description
Knows how to review HCFA 1500 and UB04 processing (not mandatory) Facets experience is a plus (not mandatory) Working on multiple screens, hand-on with claims processing Claims Adjudication / Adjustment Knows how to review HCFA 1500 and UB04 processing (not mandatory). Facets experience is a plus (not mandatory) 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 Apply Job!