Healthcare Claims Processor Position Available In DeKalb, Georgia

Description Job Description Our client is looking for a Healthcare Claims Processor to join their team. Contract will go through end of 2026. This person will be providing support to the World Trade Center Program on their NIOSH program. Seeking a contract position working as a Healthcare Claims Processor. This team handles support calls received via telephone, or email. Claims are logged and tracked using a government claims processing system. We are looking for an eager, experienced, and dedicated team player to provide a broad array of claims processing experience. The individual must be able to work effectively in responding to claims during daily operations. The candidate must possess excellent customer skills.

• Healthcare Claims Processor (must have claims processing experience but will be more on admin side) (ATL)
• Resolving pended healthcare claims, prior approval requests and responding to providers.
• Analyzing claims to determine whether or not the claims should be approved or denied for payment.
• Reviewing and addressing provider inquiries regarding claim adjudication
• Meeting all required metrics for the position (Monthly metrics are monitored monthly not weekly. Will be based on accuracy and production
• Applying knowledge of medical coding and various medical claims forms to the claims process.
• Team meeting each week to go over any necessary announcements and to go over claims that have been flagged by auditor and need an explanation
• Reaching out for reprocessing of claims if it is kicked back by auditor
• Report to Team Lead and Operations Manager
• 6-8 weeks of training and 1 additional month of working before they are put at full volume Skills Healthcare claim, icd-10, icd9, medicare, medicaid, modifiers, claims processing, medical coding Top Skills Details Healthcare claim,icd-10,icd9,medicare,medicaid,modifiers Additional Skills & Qualifications HS Diploma required
• 2-5 years of medical claims processing experience
• Experience with medical coding to include, diagnosis coding and terminology
• Ability to multi-task and follow documented claims processes
• Capability to prioritize and organize work assignments to meet deadlines
• Position is centered on meeting quality and production claim adjudication objectives
• Able to work independently and with little supervision
• Ability to work as part of a team
• Proficient with MS Office skills, particularly Excel
• Excellent oral and written communication skills
• Strong attention to detail and the ability to make appropriate decisions based on the information presented
• Previous

CDC/NIOSH

experience strongly preferred

• Ability to obtain and maintain required clearance Experience Level Entry Level