Job Details

ID #20229030
State Florida
City Tampa bay area
Job type Contract
Salary USD $18 hr 18 hr
Source NTT DATA Services
Showed 2021-09-25
Date 2021-09-24
Deadline 2021-11-22
Category Et cetera
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Remote Claims Adjudicator - Temp

Florida, Tampa bay area, 33634 Tampa bay area USA

Vacancy expired!

In this Role you will be Responsible for :" Reviewing and researching insurance claims to determine possible payment accuracy." Validating Member, Provider and other Claims information." Determining accurate payment criteria for clearing pending claims based on defined Policy and Procedure." Coordinating Claim Benefits based on the Policy & Procedure." Maintaining productivity goals, quality standards and aging timeframes." Scrutinizing Medical Claim Documents and settlements.Requirements for this role include :" 2 + years of Claims Adjudication experience that required you to review claims rules and workflows." 2 years of prior experience with Xcelys software system" MUST HAVE hands-on experience in Insurance medical claims adjudication including managing Data, Auth, COB and corrected holds" Experience processing claims that required a working knowledge of HCPCS, ICD and CPT codes" Experience that required a knowledge of healthcare insurance policy concepts including In Network, Out of Network providers, Deductible, Coinsurance, Co-pay, Out of Pocket, Maximum inside limits and Exclusions, State Variations." Regular working hours from 8:00 am to 5:00 pm (EST) unless an until we have exceptional approval from Management for the extension.This position is 100% remote

Vacancy expired!

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