Medical Claims Processor (2 Years Experience)

Medical Claims Processor (2 Years Experience) MEBA Benefit Plans Baltimore, MD Job Details Full-time $22.15 - $25.00 an hour 19 hours ago Benefits Health insurance Dental insurance 401(k) Paid time off Vision insurance Life insurance Retirement plan Prescription drug insurance Qualifications Medical claims processing Medicare Claims adjudication Regulatory compliance in claims processing Subrogation Mid-level Attention to detail SharePoint Productivity software 2 years Full Job Description Baltimore organization that administers multi-employer benefit plans seeks experienced Medical Claims Processor/Adjudicator.

Duties include:

accurate and timely adjudication of simple to moderately complex medical claims in accordance with plan regulations, ensuring that the proper benefits are applied to each claim by using the appropriate processes and procedures, preparing correspondence to participants and providers, and meeting daily performance goals and claims processing deadlines. Qualified candidate must possess a minimum of two years claims adjudication experience (not billing); a sharp attention to detail and ability to remain focused and productive detail-oriented and analytical; ability to utilize Office 365 software and SharePoint; familiarity with coordination of benefits, Medicare, and subrogation.

Job Type:

Full-time Pay:

$22.15 - $25.00 per hour

Benefits:

401(k) Dental insurance Health insurance Life insurance Paid time off Prescription drug insurance Retirement plan Vision insurance Application Question(s): This job requires experience with medical claims adjudication within a health plan, not billing from providers. Can you expand on your work history dealing with claims adjudications?

Experience:

CLAIMS PROCESSING

2 years (Required) clearinghouse portals such third party administrators: 2 years (Required) Ability to

Commute:

Baltimore, MD 21202 (Required)

Work Location:

Hybrid remote in Baltimore, MD 21202