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Lead Claims Processor- Remote

Company

Prime Therapeutics
Address , Remote
Employment type FULL_TIME
Salary $20.36 - $30.53 an hour
Expires 2023-06-27
Posted at 1 year ago
Job Description
Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.
Job Posting Title
Lead Claims Processor- REMOTE
Summary
Adjudicate or submit claims and adjustments as required. Track and trend performance of root cause analysis and provide additional training as needed. Resolve claims edits and suspended claims.
  • Implementation and maintenance of claims processing programs and procedures
  • Other duties as assigned
  • Provide backup support to other team/group members in the performance of job
  • Verify that claims are being adjudicated or submitted according to Magellan contracts in a consistent and accurate manner.
  • Lead and implement positive changes with a high level of quality and professionalism.
  • Manage projects and administrative duties as required by business need.
  • Adjudicate or submit claims and adjustments as required.
Responsibilities
  • Ability to quickly use a 10-key machine
Work Experience
Work Experience - Required:
Claims
Work Experience - Preferred:
Education
Education - Required:
A Combination of Education and Work Experience May Be Considered., Bachelors
Education - Preferred:
Certifications
Certifications - Required:
Certifications - Preferred:
Potential pay for this position ranges from $20.36 - $30.53 based on experience and skills. Pay range may vary by 8% depending on applicant location.

Prime Therapeutics LLC is an Equal Opportunity Employer. We encourage diverse candidates to apply and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, genetic information, marital status, family status, national origin, age, disability, veteran status, or any other legally protected class under federal, state, or local law.