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, hands-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 claims and investigate questionable data. Maintain Quality as per the SLA. Maintain Productivity as per the SLA. Continuously meet and exceed the assigned Targets. Performance should be maintained in accordance with the process performance parameters. Maintain confidentiality of work done. 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).#J-18808-Ljbffr Apply Job!