Broadway Ventures, LLC
Remote Medical Claims Processor I (Temporary role)
Remote United States · Contract
Sponsorship not specified$20k-$23kDetected 7 days ago
ComplianceExcelCustomer SupportHIPAAICD-10CommunicationCollaborationProblem SolvingCritical ThinkingMentoringMicrosoft OfficeClaims Management
About the role
- This role is Temp thru November with a chance for follow-on work.
- In this role, you will leverage your strong attention to detail and commitment to accuracy in processing complex medical claims.
Responsibilities
- Collaborate with internal departments to proactively resolve discrepancies and issues.
- Use analytical skills to identify root causes and implement solutions.
- Maintain thorough and accurate records of claims processed, denied, or requiring further investigation.
- Assist Team Leads with reporting to contribute to continuous process improvements.
Requirements
- Billing experience doesn't count towards years of experience qualification
- Familiarity with ICD-10, CPT, and HCPCS coding systems.
- Ability to interpret and apply insurance program policies and government regulations effectively.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook).
- Ability to work independently and collaboratively within a team environment.
- Experience with claim denial resolution and the appeals process.
Skills
- Critical Analysis - Adjudicate claims according to program guidelines, applying critical thinking skills to navigate complex scenarios.
Compensation
- Understanding of medical terminology, healthcare services, and insurance procedures (experience with worker's compensation claims is a plus).
Benefits
- Health insurance
- Dental insurance
- Vision insurance
- Life insurance
- Flexible Paid Time Off (PTO)
- Broadway Ventures utilizes the OFCCP-approved Voluntary Self-Identification of Disability Form (CC-305).
- We do not discriminate against applicants or employees on the basis of race, color, religion, sex, national origin, age, disability, protected veteran status, or any other status protected by applicable law.
Equal opportunity
- equal opportunity employer and a VEVRAA federal contractor.
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