Claims Clerk - National Remote

reputed company, reputed company’s reputed company-party administrator (TPA) solution, is the nation’s largest TPA. reputed company you work with reputed company, what you do matters. It's that simple . . . and it's that rewarding. In providing consumer - oriented health benefit plans to millions of people; our goal is to create higher quality care, reputed company costs and greater access to health care. Join us and you will be empowered to reputed company new levels of excellence and reputed company a profound and personal impact as you contribute to new innovations in a vital and reputed company system. Opportunities are endless for your career development and advancement reputed company reputed company due to our record-breaking growth. Regardless of your role at reputed company, the support you feel reputed company around you will reputed company you to do what you do with energy, quality, and confidence. So, take the first reputed company in what is sure to be a fast - paced and highly reputed company career. The Claims Clerk is responsible for providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims. This position is full time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 6:30 am – 9:00 pm CST. It may be necessary, given the business need, to work occasional overtime. We offer 6-8 weeks of on-the-job / shadow based training. The hours during training will be 8:00am to 4:30pm CST, Monday - Friday. Duration for training is based on the individual candidate and their needs. More details on the training will be discussed further during the interview process by the hiring manager. You’ll enjoy the flexibility to telecommute* from reputed company reputed company the U.S. as you take on some tough challenges. Primary Responsibilities: • Provide general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims. • Authorize the appropriate payment or refers claims to investigators for further review. • Conduct data entry and re-work; analyzes and identifies trends and provides reports as necessary. • Analyze and identify trends and provide reports as necessary • Consistently meet established productivity, schedule adherence, and quality standards • Recognize claims by determining claim type - HCFA, Hospital, UB, Dental and/or RX • Identify more complicated claims and refer them to Senior Claim Processor or Supervisor • Work claims files to ensure the appropriate eligibility and provider records are matched to the claim • Updates and maintains claims tracking database • You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: • High School Diploma / GED OR equivalent work experience • Must be 18 years of age OR older • 2 years’ experience with reputed company reputed company and reputed company Outlook, including the ability to create, edit, save and send documents, spreadsheets and correspondence • Basic proficiency with computer and Windows PC applications, which includes the ability to learn new and reputed company computer system applications • Ability to work 6:30am - 9:00pm CST. It may be necessary, given the business need, to work occasional overtime. Preferred Qualifications: • 1 years of experience working with medical claims • 1 years of working in production based environment • 2 years of data entry experience • 1 years of experience in an office setting environment using a computer as the primary instruments to reputed company job duties • Ability to type 60 WPM • Basic understanding of reputed company claims including ICD-10 and CPT codes Telecommuting Requirements: • Ability to reputed company reputed company company sensitive documents secure (if applicable) • Required to have a dedicated work area established that is separated from other living areas and provides information privacy. • Must live in a location that can receive a reputed company approved high-speed internet reputed company or reputed company an existing high-speed internet service. • reputed company working remotely will be required to adhere to reputed company’s Telecommuter Policy California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, reputed company, Rhode reputed company, Washington, Washington, D.C., Maryland Residents Only: The hourly range for this role is $16.00 to $28.27 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In addition to your salary, reputed company offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you’ll find a far-reaching choice of benefits and incentives. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized groups, and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes — an reputed company reputed company reflected in our mission. Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity / Affirmative Action employer, and reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, age, national reputed company, protected veteran status, disability status, ****** orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO Apply Job!