Insurance Claims Processor

Global Channel Management

  • Mason, Ohio
  • 12 days ago

    Highlights

    Research insurance claim payments in the AS/400 to identify correct claim based on customer information, date of service and service/material procedure codes and related charges. * Process transactions apply cash, member bills, resubmit invoices, write-offs, etc.

    Numbers & Facts

    LocationMason, Ohio

    Description

    Insurance Claims Processor needs 1+ years experience

    Insurance Claims Processor requires:

    * 2 weeks training onsite

    * Must be able to train onsite when requested

    * Proficient in Microsoft Excel applications.

    * Understand and honor high level of confidentiality. Promote integrity.

    * Working knowledge of mainframe computers and systems in general, ie: AS400

    * Strong work ethic.

    * High school degree required

    * Understands third party benefits and administration

    * 10,000 keystrokes

    Insurance Claims Processor duties:

    * Research and apply insurance payments from clients to the appropriate system invoice.

    * Research insurance claim payments in the AS/400 to identify correct claim based on customer information, date of service and service/material procedure codes and related charges.

    * Continuously improve methods for research and in order to effectively and efficiently process transactions.

    * Process transactions apply cash, member bills, resubmit invoices, write-offs, etc. Follow data processing guidelines to meet established departmental standards.

    * Communicate with supervisor regarding transactions processed in a timely manner.

    * Identify and recommend systems and process modifications necessary to improve the efficiency

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