Fully Remote Medical Claims Processor

Job title: Claims Processor Pay Rate: $16/hr on W2 for PE Claims Processor $17/hr W2 for SPE Claims Processor Position type: W2 Contract Location: Remote Responsibilities • Working on multiple screens, hands-on with claims processing. • Review and scrutinize claims and process claims into the computer system as per the provided DLPs/guidelines. • Determine accurate claims payment or denial, identify, and elevate dubious claims or system issues to process the claim accurately. • Process claims in a timely manner, as per the required TAT. • Correct errors or omissions on claims and investigate questionable data. • Maintain Quality as per the SLA. • Maintain Productivity as per the SLA. • Continuously meet and exceed the assigned Targets. • Performance should be maintained in accordance with the process performance parameters. • Maintain confidentiality of work done. • Follow all regulatory requirements and procedures as per the company policy. • Display high levels of professionalism in the work delivered and overall conduct.Requirements • Claims Adjudication / Adjustment. • Knows how to review HCFA 1500 and UB04 processing (not mandatory). • Facets experience is a plus (not mandatory).#J-18808-Ljbffr Apply Job!