Position Summary
Position is remote, but work schedule will be based off AZ time zone.
Our Claims team is looking for experienced Claims Processors to join our fast-paced Claims Department. As a Claims Processor, you will be responsible for accurate and efficient adjudication of paper claims from electronic images in a production environment.
Primary Responsibilities of the Claims Processor include:
-Outbound calls to Members and/or Providers for verification of information
-Processing and adjudicating paper claims.
-Maintaining integrity of claims receipts in accordance with standard claims operating and adjudication procedures.
-Accurately resolving pending claims using state and federal regulations and specific health plan criteria.
-Working within turnaround times to meet client performance guarantees for claims processing.
-Meeting productivity and accuracy standards
Required Qualifications
-At least 1 year of work experience that shows a progressive trend in responsibility and accountability preferably in a Healthcare setting
-Excellent verbal and written communication skills
-In-depth experience working with Microsoft Office Suite products
Preferred Qualifications
– Call center type experience
– Previous PBM Experience
– Strong typing skills with speed and accuracy
– Team-oriented while also able to pursue personal and departmental production goals daily
– Ability to stay organized in a multi-demand and multi-priority environment
– Ability to work overtime as necessary
Education
Verifiable High School Diploma or GED required
Pay Range
The typical pay range for this role is:
$17.00 – $27.90
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