Special Claims Processor -Corporate GIANT!

Corporate GIANT in Baton Rouge seeks

8 Special Claims Processors!!

Position Purpose:

Researches and verifies complex claims information to ensure the accurate and timely processing of claims. Enters all information needed to process a claim. Identifies inconsistencies and makes necessary corrections. Accountable for complying with all laws and regulations associated with duties and responsibilities

Accountabilities: Enters coded information, Checks claim for completeness and accuracy of information prior to final entry, Identifies and resolves inconsistencies, and appropriately returns claims requesting missing information in accordance with established quantity, quality, and timeliness guidelines in order to insure contract benefits are applied correctly, ultimately providing a high degree of customer satisfaction. Consistently researches procedural questions using the edit manuals, identifies incomplete adjudication instructions found within the manual, offers suggestions for correct adjudication procedures, identifies training issues, and appropriately checks with manager/lead when necessary, to provide excellent quality in claim adjudication. Maintains and records information necessary for the Work Management Module, number of edits processed and hours worked, on a daily basis, in order to retain historical data needed to continually refine and define the special claims processor position as needed to insure high customer satisfaction.

Experience:

High school degree or equivalent. One year of related clerical or data entry required. Claims processing experience is preferred. A medical office or medical coding diploma can be used in lieu of the one year experience. Must be able to enter data at 4000 keystrokes per hour. Working knowledge of relevant PC software.

Type Of Position:

Temp to Hire

 

Salary:

$10.68

 

Contact:

Please submit your resume TODAY as a Microsoft Word attachment to info@frazeerecruit.com !! Be sure to specify which position you are interested in!