Top 8 Claims processor Jobs in Oregon

Medical Claims Processor I
Moda Health —Milwaukie, OR
- $17.34 - $19.41 an hour
- Overtime
- Medical office experience
- High school diploma or GED
- Typing
- Paid holidays
- Health insurance
Quick Apply
Dental Claims Processor I
Moda Health —Milwaukie, OR
- $17.34 - $18.36 an hour
- Weekends as needed
- Hybrid work
- Office
- High school diploma or GED
- Data entry
- Paid holidays
- Health insurance
Quick Apply
Medical Claims COB Processor I
Moda Health —Milwaukie, OR
- $18.39 - $20.58 an hour
- Weekends as needed
- Word processing
- High school diploma or GED
- Continuous improvement
- Paid holidays
- Health insurance
Quick Apply
Claims Processor
Zenith-American —Tualatin, OR
- Full-time
- Computer literacy
- Writing skills
- Basic math
- AD&D insurance
- Health insurance
10d
Certified Claims Processor I
AllCare Health —Grants Pass, OR
- $20 - $24 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
- Health insurance
- 401(k)
Quick Apply
Certified Call Center Claims Processor I
AllCare Health —Grants Pass, OR
- $20 - $24 an hour
- Full-time
- Bilingual
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- 401(k)
Quick Apply
Senior Incentive Processor
CLEAResult Consulting Inc. —Salem, OR
- $18.55 - $26.00 an hour
- Full-time
- Residential
- Continuous improvement
- US work authorization
- Health insurance
- Dental insurance
Quick Apply
9d

More jobs to discover

Find similar jobs that you might be interested in.

Medical Claims Auditor I
Moda Health —Milwaukie, OR
Audit claims daily statistically valid sampling method, using prescriber audit criteria. Conduct in-depth claims audits on performance groups, as well as focus…
$18.39 - $20.58 an hour
Quick Apply
Dental Claims Processor I
Moda Health —Milwaukie, OR
Ability to listen and communicate clearly and interact professionally, patiently, and courteously with co-workers and supervisor. PTO and Company Paid Holidays.
$17.34 - $18.36 an hour
Quick Apply

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

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 oregon

Medical Claims Processor I

Moda Health -
Milwaukie, OR

Quick Apply

Job Details

Full-time
$17.34 - $19.41 an hour

Benefits

Paid holidays
Health insurance
Dental insurance
Flexible spending account
Paid time off
Employee assistance program
Vision insurance
401(k) matching

Qualifications

High school diploma or GED
Typing
10 key typing

Full Job Description

Let’s do great things, together!

About Moda
Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.

Position Summary
Responsible for utilizing resources efficiently for the accurate and timely entry, review, and resolution of simple to moderately complex medical claims in accordance with policies, procedures, and guidelines as outlined by the company. This is a FT WFH role.

Pay Range
$17.34 - $19.41 hourly, DOE.

Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.

Please fill out an application on our company page, linked below, to be considered for this position.
https://j.brt.mv/jb.do?reqGK=27778986&refresh=true

Benefits:

Medical, Dental, Vision, Pharmacy, Life, & Disability
401K- Matching
FSA
Employee Assistance Program
PTO and Company Paid Holidays

Required Skills, Experience & Education:

High School diploma or equivalent
6-12 months data entry or medical office experience preferred
10-key proficiency of 135 spm
Type a minimum of 35 wpm
Knowledge of medical terminology, CPT codes and ICD-9/10 codes preferred
Demonstrates work habits that include punctuality, organization, and flexibility
Ability to maintain balanced performance in areas of production and quality
Analytical reasoning and flexibility
Professional and effective written and verbal communication skills
Experience with Facets platform a plus
Identify all the duties and responsibilities

Primary Functions:

Enters claims data into system while interpreting coding and understanding medical terminology in relation to diagnosis and procedures.
Review, analyze, and resolve claims through the utilization of available resources for moderately complex claims.
Analyze and apply plan concepts to claims that include deductible, coinsurance, copay, out of pocket, etc.
Examines claims to determine if further investigation is needed from other departments and routes claims appropriately through the system.
Adjudication of claims to achieve quality and production standards applicable to this position.
Release claims by deadline to meet company, state regulations, contractual agreements, and group performance guarantee standards.
Reviews Policies and Procedures (P&P’S) for process instructions to ensure accurate and efficient claims processing as well as providing suggestions for potential process improvements.
Performs all job functions with a high degree of discretion and confidentiality in compliance with federal, state, and departmental confidentiality guidelines.
Flexible schedule that may include working 5 hours of overtime on pre-determined Saturdays to meet business needs. Moda’s standard workweek is a 37.5 hour work week.

Working Conditions & Contact with Others:

Office environment with extensive close PC and keyboard work with constant sitting. Must be able to navigate multiple screens. Flexible schedule that may include working 5 hours of overtime on pre-determined Saturdays to meet business needs. Moda’s standard workweek is a 37.5 hour work week.
Works internally with the customer service, membership accounting, and appeals departments. Works externally to support client needs.

Together, we can be more. We can be better.

Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training.

For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via our [email protected] email.

Quick Apply

Refine Your Search

claims processor jobs in oregon

Medical Claims Processor I

Dental Claims Processor I

Medical Claims COB Processor I

Claims Processor

Certified Claims Processor I

Certified Call Center Claims Processor I

Senior Incentive Processor

More jobs to discover

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

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected