Claims Examiner - ONSTE
Proof of education; High School Diploma or equivalent (GED) Candidates must have experience with medical claims processing from the payer side, such as with insurance organizations like Aetna, BCBS, Cigna, United Health Irving Corporate Health Plan Administration Office 5101 O'Connor Blvd, Irving, TX 75039
Monday-Friday
Summary: The Claims Examiner is responsible for processing UB and CMS 1500 claims, performing data entry and claim pend issue resolution within the quality and production requirements.
Responsibilities: Adjudicate claims at a rate equal to 150 per normal workday Maintain statistical accuracy of 98%, and financial accuracy of 98% Correct DoD error report as needed, respond timely to all Customer Service, Provider Relations type questions Other duties as assigned by management Collaborate with and maintain open communication with all departments within Health to ensure effective and efficient workflow and facilitate completion of tasks/goals Follow the Guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI) Requirements: High School Diploma Work Schedule: 5 Days - 8 Hours Work Type: Full Time
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