Top 7 Claims processor Jobs in Georgia

Experienced Healthcare Claims Processor
Karna, LLC —Raleigh, GA
- $20 - $25 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- 5 years
Senior Payroll Tax Processor
Intuit —Atlanta, GA
- Customer service
- Research
- Mid-level
Claims Processor
ILA EWF —Savannah, GA
- $33,000 - $40,000 a year
- Full-time
- Background check
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
1d
Real Estate & Title Processor
RE Global —Tucker, GA
- $18 - $22 an hour
- Full-time
- Mid-level
- Analysis skills
- Continuous improvement
- Health insurance
- Dental insurance
Quick Apply
2d
Return Processor - Warehouse - AM Shift
Living Spaces —Buford, GA
- $16.25 - $21.10 an hour
- Weekends as needed
- Computer literacy
- Research
- High school diploma or GED
- Paid holidays
- Employee assistance program
Quick Apply
2d
Mortgage Loan Servicing Specialist
Voya Financial —Atlanta, GA
- $65,000 - $72,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Office
- Paid holidays
- Health insurance

Discover related jobs

Based on your search for claims processor jobs.

CALL CENTER CLAIMS REPRESENTATIVE (Full-Time & Part-Time)
MCI Careers —Savannah, GA
Utilize knowledge base and training to accurately answer customer questions. Utilize knowledge base and training to accurately answer customer questions.
$15 an hour
Medical Billing Generalist
Heart and Vascular Care —Alpharetta, GA
Manage Billing Phone Queue (Inbound & Outbound), answer patient questions and resolve patient concerns. Manage correspondence between staff members and patients…
Quick Apply

I want to receive the latest job alert for claims processor in georgia

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

claims processor jobs near georgia

Experienced Healthcare Claims Processor

Karna, LLC -
Raleigh, GA

Apply Now

Job Details

Full-time
$20 - $25 an hour

Qualifications

Appeals
Microsoft Excel
Microsoft Outlook
Insurance dispute resolution
Health insurance policy knowledge
Regulatory compliance in claims processing
Word embeddings
Medical coding guidelines
High school diploma or GED
Insurance regulation
Medical insurance appeals management
Medical billing regulations compliance
Insurance claims appeal handling
Healthcare coding investigations
Medical terminology
Customer service problem-solving

Full Job Description

Description:

Join the new Bakinaw-Karna Joint Venture Team as a Temporary, Full-Time Medical Claims Processor. Become an integral part of a team dedicated to servicing the World Trade Center Health Program. In this role, you will leverage your meticulous attention to detail and commitment to accuracy in processing complex medical claims. If you’re eager to make a positive impact in our community through your administrative skills, we encourage you to apply!

*Minimum of 5 years’ experience in medical claims processing, including professional and facility claims as well as complex and high-dollar claims* Candidates must be located in one of the following states: FL, GA MD, MI, TX

Job Responsibilities:

Claims Review and Processing: Analyze and process a variety of complex medical claims in accordance with program policies and procedures, ensuring accuracy and compliance.
Critical Analysis: Analyze claims and adjudicate them according to program guidelines, employing critical thinking to navigate complex scenarios.
Timely Processing: Ensure claims are processed promptly to meet client standards and regulatory requirements, employing effective problem-solving skills to address any barriers.
Issue Resolution: Proactively resolve claim discrepancies and issues by collaborating with other departments, utilizing analytical skills to identify root causes and implement solutions.
Confidentiality Maintenance: Uphold the confidentiality of patient records and company information as per HIPAA regulations.
Detailed Record Keeping: Maintain thorough records of claims processed, denied, or requiring further investigation, ensuring transparency and traceability.
Trend Monitoring: Analyze and report on trends in claim issues or irregularities to management, contributing to process improvement initiatives; Assists Team Leads with reporting.
Audit Participation: Engage in audits and compliance reviews to ensure adherence to internal and external regulations, using critical thinking to evaluate processes.
Mentoring: Mentors and trains new claims processors as needed.

Requirements:

High school diploma or equivalent.
Minimum of 5 years’ experience in processing medical professional and facility claims as well as complex and high-dollar claims.
Familiarity with ICD-10, CPT, and HCPCS coding systems.
Must have experience working with modifiers and bill types.
Understanding of medical terminology, healthcare services, and insurance procedures (worker’s compensation experience is a plus).
Strong attention to detail and accuracy.
Ability to interpret and apply insurance program policies and government regulations effectively.
Excellent written and verbal communication skills.
Proficient in Microsoft Office Suite (Word, Excel, Outlook).
Capacity to work independently as well as collaboratively within a team.
Commitment to ongoing education and training in industry standards and technology advancements.
Experience with claim denial resolution and the appeals process.
Ability to efficiently manage a high volume of claims.
Customer service-oriented with strong problem-solving capabilities.
Must be flexible and have the ability to adjust to the needs of the client and changes in the program.

PM18

#remote

Apply Now

Refine Your Search

claims processor jobs in georgia

Experienced Healthcare Claims Processor

Senior Payroll Tax Processor

Claims Processor

Real Estate & Title Processor

Return Processor - Warehouse - AM Shift

Mortgage Loan Servicing Specialist

Discover related jobs

I want to receive the latest job alert for claims processor in georgia

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected