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Medical Claims Processor

CTC
locationMason, OH 45040, USA
PublishedPublished: 6/14/2022
Healthcare
Full Time

Job Description

Job Description

Work Hours: 8-5 (1 hr lunch) or 8-4:30 (1/2 lunch)

Processor Brief Description of Work:

Billing routine vision claims in insurance portals Specific Skills/experience needed: excel skills, effective communication skills, analytical skills, experience processing insurance claims

Preferred Start Date: ASAP Assignment Length

Location: Mason OH Hybrid - 3x a wee(Tuesday, Wednesday and Thurs)

Training 100% on site.

GENERAL FUNCTION: Accurately and efficiently processes manual claims and other simple processes such as claims projects. Through demonstrated experience and knowledge, process standard, non-complex claims requiring a basic knowledge of claims adjudication.

About us:

Since its founding in 1996, CTC has grown into a trusted global partner in AI & ML, Enterprise Applications, Digital Services, Managed Services, and Business Services. With headquarters in Detroit, Michigan, CTC has a team of over 2,000 experts worldwide. We empower more than 100 organizations to tackle complex challenges and transform them into sustainable competitive strengths--driving innovation, efficiency, and growth every step of the way. Our strengths have always been Commitment to Customer, Commitment to Colleagues, and Commitment to Community (CTC).

MAJOR DUTIES & RESPONSIBILITIES:

  • Processing - Efficiently and accurately processes standard claims or adjustments
  • Consistently achieves key internals with respect to production, cycle time, and quality
  • May participate on non-complex special claims projects initiatives, including network efforts
  • Understands and quickly operationalizes processing changes resulting from new plans, benefit designs.
  • Drive client satisfaction - Works with supervisor and co-workers to provide strong customer service and communication with key customer interfaces that include Account Managers, Operations, Information Systems, Client Representatives and leadership team

KNOWLEDGE & SKILLS:

  • Data entry and claims processing knowledge
  • Has a working knowledge of interface systems that include the claims system, Metastorm, Exclaim and Eye Net
  • Some basic working knowledge of software programs, specifically Excel and Access
  • Understands third party benefits and administration
  • Strong customer service focus
  • Ability to work well under pressure and multi-task

EXPERIENCE:1 year of claims processing/data entry experience. Knowledge of PCs and spreadsheet applications

EDUCATION: High school mandatory

Payrate $18.50/hourly on w2

This position can be searched as Claims coordinator , healthcare claims

Company DescriptionAbout company - Since its founded in 1996, CTC has grown into a trusted global partner in AI & ML, Enterprise Applications, Digital Services, Managed Services, and Business Services. With headquarters in Detroit, Michigan, CTC has a team of over 2,000 experts worldwide. We empower more than 100 organizations to tackle complex challenges and transform them into sustainable competitive strengths--driving innovation, efficiency, and growth every step of the way. Our strengths have always been Commitment to Customer, Commitment to Colleagues, and Commitment to Community (CTC).

Company Description

About company - Since its founded in 1996, CTC has grown into a trusted global partner in AI & ML, Enterprise Applications, Digital Services, Managed Services, and Business Services. With headquarters in Detroit, Michigan, CTC has a team of over 2,000 experts worldwide. We empower more than 100 organizations to tackle complex challenges and transform them into sustainable competitive strengths--driving innovation, efficiency, and growth every step of the way. Our strengths have always been Commitment to Customer, Commitment to Colleagues, and Commitment to Community (CTC).

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