Medical Claims Processor

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General Information

Job Posting ID 8658275 Creation Date Aug 07, 2018
Employer Posting No 33123153 Closing Date Oct 02, 2018
Job Site Address WACO, Texas 76711 Employer Type Private Sector
Openings 1

Job Description

Medical Claims Processor
Overview
Company is seeking a Medical Claims Processor with exceptional customer service skills and medical claims knowledge.
Full Time position Monday through Friday plus two (2) Saturdays per month. Veterans are encouraged to apply.

Responsibilities
Use subject matter knowledge and judgement to complete assignments consisting of numerous steps that vary in nature and sequence.
Select from alternative methods and refer problems not solvable by adapting or interpreting substantive guides, manuals, or procedures.
Assist in a variety of administrative matters.
Maintain a wide variety of medical or other records.
Verify medical claims and vouchers for accuracy and completeness in accordance with VA policy, Medicare regulations, and medical claims coding regulations and guidelines.
Resolve medical claim inquiries and/or complaints via phone and online.

Qualifications
High School Diploma or equivalent
2+ years’ related experience or in medical field, or a field using medical coding standards
Working knowledge of MS Office Suite
Knowledge of CPT, HCPCS, and ICD-10-CM and ICD-10-CM standards
Knowledge of billing and follow-up regulations relating to Medicare
Strong understanding of electronic claims editing and submission capabilities, including Medicare and NEIC online claims processing and query system
Ability to work overtime required on occasion
Ability to sit in an office environment for long periods of time

Company offers full-time employees a comprehensive and competitive benefits package including paid vacation, sick leave, holidays, health insurance, life insurance, military leave, training, tuition reimbursement, a wellness program, short- and long-term disability, 401(k) retirement plan with company matches/immediate vesting, commuter benefits, and more.
Supervisory Experience Required No
Shift Days (First) Duration Regular
Workweek Full Time
Veterans Only No
Federal Contractor Yes
Eagle Ford Shale Job No
Is this job related to Hurricane Harvey Clean-up/Restoration? No

Job Requirements

Occupation Healthcare Support Workers, All Other
Minimum Experience and Education  1 yrs   0 mos and High School Diploma/GED


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Job Title Medical Claims Processor
33123153
State Agency Name PRO SPHERE TEK INC
Job Closing Date Oct 2, 2018
Open Until Filled No

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