Medical Insurance Claim Processor
Code: 698440
Charleston Mancan is assisting a local Charleston company seeking a Medical Claims Processer / Customer Service Representative position. This is a four month long, fulltime position with a pay rate of $17.75 hourly.
POSITION SUMMARY:
Under the direction of the Manager of Claims, the reviewer performs initial review of claims, including HCFA 1500 and UB 04 claims. Reviewer must meet or exceed production and quality standards and follow documented policies and procedures.
QUALIFICATIONS REQUIRED: (Education, Experience, Skills)
1. High diploma or equivalent.
2. Ability to follow written directions and work independently.
3. Familiarity with medical terminology, CPT and ICD-10 coding is required.
4. Computer and typing experience is required.
QUALIFICATIONS DESIRED: (Education, Experience, Skills)
1. Previous claims processing
2. Experience in billing or physician office experience is preferred.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:
1. Performs initial review of all claim edits as directed. Completes or routes all reviews in accordance with time parameters established
2. Reviews each claim flag in sequence, totally completing one at a time in accordance with established criteria/payment guidelines
3. Reports patterns of incorrect billing and utilization to manager or claims coordinator
4. Advises management of items that are unclear or that are not addressed in the established criteria/payment guidelines
5. Maintain a quality rating of 98%.
6. Processes 15-20 claims per hour
7. Consistently displays a positive attitude and acceptable attendance
8. Participate in external and/or internal trainings as requested
To apply for this job come to Mancan 313 5th Ave, South Charleston WV 25303
Mancan temporary employment staffing agency offers our employees full benefits such as paid vacation, holidays, 401K, as well as vision/dental/medical, referral bonus, direct deposit and weekly pay. Some of the best companies in the area use Mancan temporary staffing including Fortune 500 companies. It is a great opportunity for you to get your foot in the door with some of the area’s top companies. If you have any questions or if interested in the position please do not hesitate to call us at (304) 744.9675.
Mancan temporary employment Staffing agency accepts applications Monday through Friday from 8am-3pm. We are located at 313 5th Ave South Charleston WV. Please bring 2 forms of unexpired government identification and a resume is also helpful.
PLEASE FAX YOUR RESUME WITH SALARY REQUIREMENTS TO 304-744-9100 or Call your LOCAL MANCAN TEMPORARY STAFFING AGENCY @ 304-744-9675 and a Knowledgeable Helpful Staffing Specialist with help you!!!
And remember…If anyone can …MANCAN
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