Claims Processor I – Part Time

Role Overview

• Research and processes claim according to business regulation, internal standards and processing guidelines
• Verifies the coding of procedure and diagnosis codes
• Resolves system edits, audits and claims errors through research and use of approved references and investigative sources
• Coordinates with internal departments to work edits and deferrals, updating the patient identification, other health insurance, provider identification and other files as necessary

Requirements

• High School Diploma or equivalent
• Strong analytical, organizational and customer service skills
• Strong oral and written communication skills
• Proficient spelling, punctuation, and grammar skills
• Good judgment skills
• Basic business math skills
• 1 year of experience in a healthcare or insurance environment (preferred)
• Strong data entry accuracy and fast typing speed (e.g., 60+ WPM preferred)
• Proficient in high-volume data entry with strong speed and accuracy
• Efficient keyboarding skills with a focus on accuracy and timeliness
• Ability to use complex mathematical calculations (preferred)

Benefits

• Subsidized health plans
• Dental and vision coverage
• 401k retirement savings plan with company match
• Life Insurance
• Paid Time Off (PTO)
• On-site cafeterias and fitness centers in major locations
• Education Assistance
• Service Recognition
• National discounts to movies, theaters, zoos, theme parks and more