Summary
- Analyzes claims to determine the extent of the health plan’s liability and makes benefit determinations on claims in accordance with plan benefits, processing guidelines, and policy provisions.
Qualifications
- High school diploma or general education degree (GED) is required. Certificate from college or technical school; experience in medical claims processing at a health insurance company or third-party administrator; or an equivalent combination of education and experience is preferred.
- Basic-level proficiency in Microsoft Word and Excel
- Knowledge of medical terminology, CPT, ICD, and HCPCS codes
- Good organizational and decision-making skills
- Able to prioritize and consistently meet deadlines
· Strong data entry skills, 10-key by touch, and attention to detail
- Work independently and in a team environment
- Certified Professional Coder (CPC) certification is preferred
Pay: $37,000.00 - $45,000.00 per year
Benefits:
- 401(k)
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Health savings account
- Paid time off
- Prescription drug insurance
- Referral program
- Vision insurance
Work Location: In person
