Medical Claims Processor Position Available In Capitol Planning Region, Connecticut

Medical Claims Processor J. Morrissey – 4.1 Glastonbury, CT Job Details Temp-to-hire $22 – $24 an hour 21 hours ago Benefits Free parking Qualifications Medicare Mid-level Medical billing Documentation review Full Job Description Medical Claims Processor J. Morrissey, in partnership with our Client, is seeking a Medical Claims Processor. In this role, you will be adjudicating healthcare claims pertaining to healthcare benefits and medical claim payments which includes deductibles and co-payments. Work for a 3rd Party Administrator (TPA) that focus’s on Healthcare Claims and Premium payments nationwide. Monday through

Friday:

11:30am – 8:00pm

Pay Rate:

$23.00 to $24.00 Per Hour based on

Experience Job Responsibilities:

Resolve client health premiums and out of pocket medical expenses by reviewing medical documentation and looking at gaps in medical documentation or records that could help with payment guidelines.

A representative list of duties:

Answer phones and respond to client inquiries related to payments made on their behalf. Make outgoing calls to clients, medical providers, and insurance companies any issues. Identify, research and resolve client issues. Ensure payment processing timeliness and accuracy are met. Send follow up letters for approvals and / or denial letters.

Required Skills:

Experience with Insurance Follow up / Medical billing and payment resolution / Insurance Claims and EOBs. Understanding of EOBs, Form 1500 and UB-04’s. Good understanding of Medicare, Medicaid, Commercial insurance. Ability to read and identify missing Clinical Documentation, Enrollment; and Payment Terms, and out of pocket expenses; Benefits Coordination with other insurance coverage. Proficient with Computers. This role is in a very nice office building that is easy to access with Free onsite parking and a cafeteria. INDH