Insurance Claims Processor

Job Description: Determines accuracy and completions of claim information. Entry/verifies claims data. Resolves claim edits, review history records, and determine benefit eligibility for service. Reviews payment levels to arrive at final payment determination. Meets all production and quality standards, maintaining workques according to department standards. Effectively communicates with internal and external staff. Elevates issues to next level of supervision, as appropriate. Ensures accuracy of data entered and record maintenance. Attends all required training classes, demonstrating proficiency and ability to learn. Requirements: High School diploma/GED One (1) year of experience working with medical or institutional claim data entry OR One (1) year of customer service experience. Associate Degree in related healthcare field preferred. Two plus years of medical or institutional claims processing and customer service experience preferred. Working Knowledge of administrative and clerical procedures and systems such as word processing and managing files and records. Ability to take direction and to navigate through multiple systems simultaneously. Knowledge and understanding of medical terminology, third party payors and insurance preferred. Requires attention to detail, the ability to be organized and to be able to perform multiple tasks simultaneously. Benefits: Standard office environment with electrical equipment (i.e., telephone, personal computer, copier, fax machines, etc.) Microsoft Office Professional Suite (Outlook, Word, Excel, Access) Internet Explorer and EPIC Apply To this Job Company : Peak Health Salary : Work from home .