Claims Processor Jobs

Medical Insurance Claims Processor - Hybrid

Medical insurance company is seeking a full-time Claims Processor to join their Charlotte team. This position will be responsible for determining insurance coverage, processing and resolving medical claims, documenting actions, and ensuring legal compliance.

After 3 months of onsite training, this position will have the ability to work from home 4 days a week. Excellent pay up to $22/hr, flexible hours, and comprehensive benefits offered.

Essential Duties and Responsibilities:

• Responsible for all aspects of claim adjudication for medical, hospital, and vision for multiple groups in accordance with their plan document
• Works independently and also as a team member
• Performs other related duties, as assigned
• Provides assistance to customer service for claim inquiries and resolution
• Processes accurately, as quantity and quality standards apply
• Ensures HIPAA compliancy with protected health information and/or data of sensitive nature
• Provides back-up support to team members, as required

Qualifications:

• High school diploma or equivalent; preferred higher education in related field
• Excellent communication, organizational, and follow-up skills
• Possess a thorough working knowledge of ICD 10 and CPT coding
• Understanding of Medicare and Medicaid
• Required 3-5 years of experience working in the medical industry and management of benefit plans and claims processing
• Proficient computer skills
• Ability to interpret client plan documents
• Strong attention to detail
• HIPAA compliancy
• Experience working with TPA preferred (candidates with this experience will be considered first)
• Application of coordination of benefits
• Understanding of COBRA

TRC Staffing is proud to be an Equal Opportunity Employer (EOE). All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.