Fully Remote Medical Claims Processor
Posted 2025-03-14Job title:
Claims Processor
Pay Rate:
$16/hr on W2 for PE Claims Processor
$17/hr W2 for SPE Claims Processor
Position type: W2 Contract
Location:
Remote
Responsibilities
? Working on multiple screens, hands-on with claims processing.
? Review and scrutinize claims and process claims into the computer system as per the provided DLPs/guidelines.
? Determine accurate claims payment or denial, identify, and elevate dubious claims or system issues to process the claim accurately.
? Process claims in a timely manner, as per the required TAT.
? Correct errors or omissions on claims and investigate questionable data.
? Maintain Quality as per the SLA.
? Maintain Productivity as per the SLA.
? Continuously meet and exceed the assigned Targets.
? Performance should be maintained in accordance with the process performance parameters.
? Maintain confidentiality of work done.
? Follow all regulatory requirements and procedures as per the company policy.
? Display high levels of professionalism in the work delivered and overall conduct.Requirements
? Claims Adjudication / Adjustment.
? Knows how to review HCFA 1500 and UB04 processing (not mandatory).
? Facets experience is a plus (not mandatory).#J-18808-Ljbffr
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