Medical Claims Processor 8:30 to 5:00 Position Available In Capitol Planning Region, Connecticut

Medical Claims Processor 8:30 to 5:00 4.1 4.1 out of 5 stars Glastonbury, CT 06033 Medical Claims Processor (Temporary Project) 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:

8:30 to 5:00

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:

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