Medical Claims Processor

Industry

Call Center and Customer Service

Advert ID

USA_511628

Location

Durham

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 Phone : 855-591-7454

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 Durham!



Job Description:



Handles all claim and non-claim documents with a commitment of quality and timeliness. Prepares and processes incoming mail for further handling and manages basic data entry processes. Data enters claims and applications for adjudication.



Responsibilities:



* Prepares documents by departmental processes in order to allow for coordination of benefits

* 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 returned claims and data enters all claim types into OCR or key from paper work-flow

* Processes individual enrollment applications including processing of credit card payments

* 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

* Develops expertise in areas of specialized complicated claims in order to perform Coordination of Benefits for all lines of business.

* Actively identifies system issues.



Job Requirements:

MUST HAVE previous claims experience

Must have analytic skills & communication skills

Cannot take time off during 4 week training.

Must be available, flexible and reliable.

Training is 4 weeks long

Training hours: 9-4:30

Shift after training: 8 am to 5 pm, with occasional approved OT to include possibly Saturday OT