Medical Claims Processor

Industry

Insurance

Advert ID

USA_537957

Location

Winston Salem

Job Type

Contract

Hours

Full-Time

Salary Range

Based on Experience

No. of Openings

1

Branch Information

Raleigh - Durham NC Area - (USA) 430 Davis Drive Suite 100 NC Morrisville , NC 27560

ContactNumber

855-591-7454

Job Description

Do you have Medical Claims Processing Experience?!?!

If so, Manpower is looking for you to join our client in Winston Salem!



Requirements:

MUST HAVE PREVIOUS Claims Processing Experience



Job Description:



Handles all claim and non-claim documents and prepares and processes incoming mail for further handling and manages basic data entry processes. Enters data and claims and applications for adjudication. Forwards imaged work to appropriate areas, working re-scan report and maintaining/balancing tracking logs. Scans and identifies documents quickly and in priority to manage daily work flow and provide timely responses. Processes individual enrollment applications including the processing of credit card payments and all claim types into OCR or key from the paper work flow. Prepares claims and makes informed decisions for priority claim processing in order to report daily information for data tracking. Corrects claims that error out of the adjudication system. Processes returned claims and data.



Job Requirements:



Minimum of one-year claims environment preferred

Experience with MS windows, medical terminology, and scanner preferred.

Must have analytical skills, communication skills,

Cannot take time off during 4-week training.

Must be available, flexible, and reliable.

Training is 4 weeks

Shift after training: 8 am to 5 pm, with occasional approved OT to include possibly Saturday OT* Prior experience working in MS Windows and/or MS Office applications (i.e. MS Word, Excel, Access, etc.)

* Basic keyboarding skills

* Ability to operate a telephone, printer, photocopy machine and fax machine

* Excellent time management and organizational skills

* Ability to work in a high pressure environment and deal effectively with all customers

* Ability to work in a team setting

* Effective written and verbal communication skills



Remote due to covid, but must reside local to Winston Salem

hours Mon-Fri 8am-5pm