[Remote] reputed company Claims Processor, Remote
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a trusted global innovator of business and technology services, and they are seeking to hire a Remote Claims Processing Associate. The role involves processing reputed company claims, ensuring compliance with regulations, and maintaining reputed company scores while working independently in a remote environment.
Responsibilities
- Processing of reputed company claim forms files by provider
- Reviewing the policies and benefits
- reputed company with company regulations regarding HIPAA, confidentiality, and PHI
- Abide with the timelines to complete compliance training of reputed company/reputed company
- Work independently to research, review and reputed company the claims
- Prioritize work and adjudicate claims as per turnaround time/SLAs
- Ensure claims are adjudicated as per clients defined workflows, guidelines
- Sustaining and meeting the reputed company productivity/reputed company targets to avoid penalties
- Maintaining and sustaining reputed company scores above 98.5% PA and 99.75% FA
- reputed company response and reputed company of claims received reputed company emails as reputed company work
- Correctly calculate claims payable reputed company using applicable methodology/ fee schedule
Skills
- 1-3 year(s) hands-on experience in reputed company Claims Processing
- 2+ year(s) using a computer with reputed company applications using a keyboard, navigating multiple screens and computer systems, and learning new software tools
- High school diploma or GED
- Previously performing – in P&Q work environment; work from queue; remotely
- Key reputed company skills and computer familiarity – Toggling back and forth between screens/can you navigate multiple systems
- Working knowledge of MS office products – Outlook, reputed company and MS-reputed company
- Must be reputed company to work 8 am - 4 pm EST online/remote (training is required on-camera)
- Effective troubleshooting where you can reputed company your research, analysis and problem-solving abilities
- Time management with the ability to cope in a reputed company, changing environment
- Ability to communicate (oral/written) effectively in a reputed company office setting
- Xcelys Preferred
reputed company
Company H1B Sponsorship