Claims Payment Processor Jobs

ICD-9 and CPT coding and general practices of claims processing. Prefer knowledge of capitated managed care environment.

Major Functions (Duties and Responsibilities)

Major Functions (Duties and Responsibilities) Cont

Two (2) years experience in examining and processing medical claims; professional or institutional.

Medicare/Medi-Cal experience preferred. Claim adjustments, provider appeals and/or disputes preferred.

Microcomputer skills, proficiency in Windows applications preferred. Excellent communication and interpersonal skills, strong organizational skills.

2 years of experience processing, researching, and adjudicating claims

Strong organizational, analytical and judgment skills

Strong oral and written communication skills

5 years-of experience processing and adjudicating claims

CES, CORDS, OR AMMS experience

Knowledge of mathematical and statistical concepts

Minimum of 1-year mortgage servicing experience; specifically, in the procurement and payment of property taxes

1+ years clerical and/or office experience

Excellent mathematical and analytical skills

Knowledge of Real Estate Settlement Procedures Act (RESPA) and Consumer Financial Protection Bureau (CFPB) regulations

Performs basic clerical duties such as copying, scanning and filing of property tax and other documentation

Initiates and submits check requests for agency fees and penalties

2 years of experience processing, researching, and adjudicating claims

Strong organizational, analytical and judgment skills

Strong oral and written communication skills

5 years-of experience processing and adjudicating claims

Knowledge of mathematical and statistical concepts

We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities.

Upholds Kaiser Permanente's Policies and Procedures, Principles of Responsibilities, and applicable state, federal and local laws.

One (1) year relevant experience in health care industry.

Preferred experience with processing disability claims with EDD and release of Information processing.

This is a hybrid on-site/remote position processing Disability claims with EDD and fulfilling requests for Release of Information

Screens disability claims, interviews patients, locates and orders medical records.

Abstracts medical information and diagnoses using ICD-9 codes.

ACH background & Reg E Experience (In depth Reg E principal knowledge)

2+ years of Banking or financial experience (ideally experience managing claims in high pace environment)

Experience in a high volume environment dealing with claims and meeting defined metrics

Review any claims that are flagged and need to be reviewed or any claims that were not automated

Work with leads in the case issues come up that need to be approved

Stability/ longevity in previous roles

2 years of experience processing, researching, and adjudicating claims

Strong organizational, analytical and judgment skills

Strong oral and written communication skills

5 years-of experience processing and adjudicating claims

Knowledge of mathematical and statistical concepts

Examine and process complex or specialty claims according to business/contract regulations, internal standards and examining guidelines

Manages incoming manual claims from multiple clients to our secure server

Other responsibilities or projects as assigned

3-5 years of healthcare experience

Excellent verbal and written communication skills

Strong internal and external communication skills, both verbal and written

Must be able to operate computers and phones to support position requirements

Major Functions (Duties and Responsibilities)

Major Functions (Duties and Responsibilities) Cont

Three (3) years experience in adjudicating medical claims.

Microcomputer skills, proficiency in Windows applications preferred. Eexcellent communication and interpersonal skills, strong organizational skills required.

Data entry involving computer keyboard and screens, filing and copying of records and/or correspondence.

A reasonable salary expectation is between $48,110.40 and $59,425.60, based upon experience and internal equity.

Continuing education funds for additional certifications and certification renewal.

Two years of experience processing, researching and adjudicating claims.

Strong organizational, analytical and judgment skills.

Strong oral and written communication skills.

Ensures that claims are processing according to established quality and production standards. Corrects processing errors by reprocessing, adjusting, and/or recouping claims.

High School Diploma or equivalent

Minimum Education and Experience Requirements:

College education may be substituted for experience.

Prefer some college-level business, finance or accounting courses.

Experience in Blue Cross, Medicare, Medicaid and/or other third-party payer billing or collections preferred.

Must have above average math skills and be proficient on a calculator.

Experience with computerized insurance billing system and Microsoft programs preferred.

Our Comprehensive Benefits Package Includes

401(k) retirement savings plan with company match

Fantastic health plans and free vision coverage

Paid annual leave — the longer you work here, the more you earn.

Onsite cafeterias and fitness centers in significant locations

Wellness programs and a healthy lifestyle premium discount

Minimum of 1 year experience in handling loan or payment processing

Experience with various types of principal and interest calculations

Responsible for processing and recording payment accurately, timely and efficiently in Ventures

Board new loans and post disbursements in Ventures

Sets up ACH for newly funded loans

Processes loan payments (ACH NACHA import and manual entry of checks)

We compensate based on experience

Full benefits on the 1st of the month after 31 days of employment:

Minimum of one (1) year of customer service experience required

Technical aptitude, problem solving skills

Prepare Daily Cash Report and reconcile to AR posting.

Support the maintenance of Lockbox, ACH, and Credit Card payments.

1-3 years of relevant work experience including claims submission/processing experience

Excellent verbal and written communication skills

Problem-solving skills to analyze, troubleshoot and resolve issues

Structured thinker and love checking things off your to-do list

An innovative spirit to push the boundaries

Ability to thrive in a fast-paced, results-oriented environment

1-3 years of relevant work experience including claims submission/processing experience

Excellent verbal and written communication skills

Problem-solving skills to analyze, troubleshoot and resolve issues

Structured thinker and love checking things off your to-do list

An innovative spirit to push the boundaries

Ability to thrive in a fast-paced, results-oriented environment

Review, process, and resolve moderately complex claims in accordance with contracts and policies.

Research claims through the utilization of reference materials and on-line tools.

Responsible for accurately coding claims through the system.

Translate data into information acceptable to the claims processing system including follow up on pended claims.

Maintain all appropriate claims files and perform follow-up on pended claims.

Prepare claims for return to Provider or Subscriber when additional information is needed.

Excellent organizational and communication skills.

Excellent speed and accuracy in data entry and balancing.

Exceptional Internal (teamwork) and External Customer Service Skills.

Full Time (40-hour work week) Monday thru Friday

Medical, Dental, Vision Insurance, Employer paid Life Insurance

401(k) plan with Employer Match