Top 513 Processor i claim Jobs

Claims Processor I (Remote)
CareFirst BlueCross BlueShield —Baltimore, MD
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Claims Processor I
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Intuit —Atlanta, GA
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Safran Defense & Space Inc. —Bedford, NH
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GreenState Credit Union —North Liberty, IA
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Certified Claims Processor I
AllCare Health —Grants Pass, OR
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Coastal RV Center —Ravenel, SC
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Louis Dreyfus Company —Claypool, IN
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Dovenmuehle Mortgage, Inc. —Lake Zurich, IL
- $18 - $19 an hour
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Consumer Priority Service —Brooklyn, NY
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Purchasing Manager
AG Growth International Inc. —Clay Center, KS
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Claims Processor I (Remote)

CareFirst BlueCross BlueShield -
Baltimore, MD

Quick Apply

Job Details

Full-time
$33,408 - $61,248 a year
15 hours ago

Benefits

401(k)

Qualifications

Computer operation
Customer communication
High school diploma or GED
Internal employee customer service
Desktop applications
Computer skills

Full Job Description

Resp & Qualifications

PURPOSE:
Under direct supervision, reviews and adjudicates paper/electronic claims. Determines proper handling and adjudication of claims following organizational policies and procedures.

ESSENTIAL FUNCTIONS:

Examines and resolves non-adjudicated claims to identify key elements of processing requirements based on contracts, policies and procedures. Process product or system-specific claims to ensure timely payments are generated and calculate deductibles and maximums as well as research and resolve pending claims. The Claims Processor also use automated system processes to send pending claims to ensure accurate completion according to medical policy, contracts, policies and procedures allowing timely considerations to be generated using multiple systems.
Completes research of procedures. Applies training materials, correspondence and medical policies to ensure claims are processed accurately. Partners with Quality team for clarity on procedures and/or difficult claims and receives coaching from leadership. Required participation in ongoing developmental training to performing daily functions.
Completes productivity daily data that is used by leadership to compile performance statistics. Reports are used by management to plan for scheduling, quality improvement initiatives, workflow design and financial planning, etc.
Collaborates with multiple departments providing feedback and resolving issues and answering basic processing questions.

QUALIFICATIONS:

Education Level: High School Diploma or GED.

Experience: Less than one year experience processing claim documents.

Preferred Qualifications:

Less than one year claims processing, billing, or medical terminology experience.

Knowledge, Skills and Abilities (KSAs)

Demonstrated analytical skills.
Demonstrated reading comprehension and ability to follow directions provided.
Basic written/oral communication skills.
Demonstrated ability to navigate computer applications.

Salary Range: $33,408 - $61,248

Salary Range Disclaimer

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Federal Disc/Physical Demand

Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

PHYSICAL DEMANDS:

The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.

Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship

#LI-LY1

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