Health Claims Specialists
Health Claims Specialists
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Job Description
What you will be doing as a Claims Examiner:
- Work independently processing claims via data entry for 90% of your day.
- Be responsible for effectively adjudicating claims to meet production quality and other metrics in accordance with policy/procedures and regulatory guidelines
- Follow up on claims needing additional information
- Refer problem claims to a Lead and/or auditor for additional review
- Make sure that the integrity of the information is accurate and kept private according to HIPPA guidelines
- Work with specific software
- May be assigned special projects
When you join us youll enjoy:
- Pay rate of $13.50/hour with the opportunity to bonus an additional $1500 a month.
- Medical dental and vision plans.
- Paid training and PTO (be sure to ask about our Global Flexible Vacation Policy).
- Company-provided equipment.
- Advancement opportunities 80% of our frontline leaders have been promoted from within.
- Monthly rewards & recognition programs.
- Employee Discounts.
- EAP and Health and Wellness programs including a personal trainer dedicated to Sutherland.
- Weekday schedule Monday Friday 8:30 AM 5:00 PM EST.
Qualifications :
Skills
- Data entry
- Time management
- Attention to detail
- Analytical
Required Qualifications
- High School Diploma or equivalent
- Excellent Internet Connectivity:
- Internet access speed of 2 Mbps upload and 10 Mbps download the faster the better.
- house network and a hard-wired internet connection capable of continuously supporting outstanding call quality and high-speed response rates. (Wireless and/or satellite Internet Service Providers are not compatible with our systems)
- A quiet and distraction-free secure place to work
- Effective verbal and written communication skills
- Strong typing and analytical abilities
- Multi-tasking skills with a strong attention to detail
- Computer knowledge
- Minimum 40 words per minute on typing test
- Must have and maintain a clean and paper free work environment to meet our company policies.
- Medical Billing and Coding degree/certification.
- Previous experience in a medical office type setting including some knowledge of insurance claims billing or coding with an understanding of the different types of insurance (Medicare/Medicaid and/or Child Plus).
- Knowledge of Medical terminology
Additional Information :
All your information will be kept confidential according to EEO guidelines.
EEOC and Veteran Documentation
During employment employees are treated without regard to race color religion sex national origin age marital or veteran status medical condition or handicap or any other legally protected status.
At times government agencies require periodic reports from employers on the sex ethnicity handicap veteran and other protected status of employees. The purpose of this Administrative EEO Record is for statistical analysis only and is used to comply with government record keeping reporting and other legal requirements. Periodic reports are made to the government on the following information. The completion of the Administrative EEO record is optional. If you choose to volunteer the requested information please note that all
Administrative EEO Records are kept in a Confidential File and are not part of your Application for Employment or Personnel file.
Please note: YOUR COOPERATION IS VOLUNTARY. INCLUSION OR EXCLUSION OF ANY DATA WILL NOT AFFECT ANY EMPLOYMENT DECISION.
Remote Work :
Yes
Employment Type :
Full-time
Employment Type
Remote
