We are currently looking for a Medical Claims and Correspondence Processing Agent to join our team.
MUST HAVE RELIABLE TRANSPORTATION
Required Job Skills:
- Identify, research, process, resolve and respond to written or electronically submitted correspondence.
- Research and process claims/system editing according to business regulation, internal standards and processing guidelines.
- Verify all pertinent information such as coding of procedure and diagnosis codes.
- Consult and coordinate with various medical insurance departments, to obtain information and ensure resolution of customer inquiries.
- Maintain documentation and stay familiar with current procedural policies for appropriate computer system and coding guidelines.
- Provide claims and/or correspondence updates as requested.
- Demonstrate and maintain current working knowledge of the required medical insurance systems, procedures, forms and manuals.
- Experience with multitasking and prioritizing.
- Provide inbound and outbound customer service phone support as requested.
- Interpret and translate policies, procedures, programs and guidelines.
- Capable of investigative and analytical research
- Navigate, gather, input and maintain data records in multiple systems applications
- Follow and accept instruction and direction.
- Establish and maintain working relationships in a collaborative team environment.