Top 2 claims processor Jobs in concord nc

Accounts Payable Claims Processor
Lutheran Services Carolinas —Salisbury, NC
- Full-time
- Bachelor of Science
- Research
- High school diploma or GED

Check out these similar jobs

Based on your search for claims processor jobs.

Accounts Payable Claims Processor
Lutheran Services Carolinas —Salisbury, NC
Prepares the draft for payment and verifies that payment has been made. Rejects or accepts authorization documentation, determines benefit due, and starts the…

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Warranty Processor/Data Admin
Mobile Repair Solutions LLC —Powell, OH
Our operation includes both traveling technician teams and local field teams, requiring strong coordination, accuracy, and speed to keep projects moving and…
$22 - $23 an hour
Quick Apply
Contract Processing Specialist
APCO Holdings —Westerville, OH
Associate degree in Business, Finance, or a related field. Build strong relationships with internal teams, agents, and dealership personnel.
Quick Apply
9d

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

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 concord nc

Insurance Specialist jobs in Nashville, Tn

Life Insurance Agent jobs in Michigan

Insurance Specialist jobs in Los Banos, Ca

Insurance Specialist jobs in Waco, Tx

Insurance Specialist jobs in Omaha, Ne

Safety Specialist jobs in Phoenix, Az

Insurance Specialist jobs in Remote

Accounts Payable Claims Processor

Lutheran Services Carolinas -
Salisbury, NC

Apply Now

Job Details

Full-time

Qualifications

High school diploma or GED

Full Job Description

The Accounts Payable - Claims Processor will ensure that claims (both paper and electronic) received from providers are processed and adjudicated correctly based on organizational policies and processes. This position will ensure accurate Medicare and contract payment billing rates with providers. This process will include frequent communication with providers to resolve any issues. Once the claims submission has been adjudicated, the claim will be processed through the accounts payable system.

Essential Functions:
1. Follow procedures to pay, return, or deny claims. Prepares the draft for payment and verifies that payment has been made.
2. Reviews and resolves discrepancies in a timely manner.
3. Establishes a working relationship with billing providers, members, and internal staff.
4. Rejects or accepts authorization documentation, determines benefit due, and starts the denial or payment process to resolve medical claims.
5. Contacts billing providers and IDT (interdisciplinary) teams to correct claim authorizations so that claim billings can be properly processed.
6. Researches and processes claims according to business regulations, internal standards and processing guidelines. Verifies the coding of procedure and diagnosis codes.
7. Resolves system edits, audits, and claims errors through research and use of approved references and investigative sources.
8. Coordinates with internal departments to work edits and deferrals, updating the patient identification, health insurance, provider identification, and other files as necessary.
9. Pays all properly adjudicated claims.
10. Maintains claims files.
11. Records 1099 form at each calendar year.
12. Other duties as assigned.

Education: High School Graduate (Required). BA/BS degree (Preferred).

Experience: Experience in accounts payables and/or claims processing (Preferred)

Specific skills/abilities:

Excellent computer skills and experience in the Microsoft Office Suite
Excellent organizational and time management
Strong communication skills and the ability to work with various internal and external

parties to process claims and billing issues.

Detail oriented
Interpersonal skills
Data entry skills
Capability to manage confidential and proprietary information.

Apply Now

Refine Your Search

claims processor jobs in concord nc

Accounts Payable Claims Processor

Check out these similar jobs

Explore jobs in cities nearby

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

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected