Certified Claims Processor – Call Center Provider Support

AllCare Health, Inc.; Grants Pass (OR); On-site; USD 27,552 - 33,062; Full time

Benefits offered by this job

Affordable healthcare

401(k) retirement

Flexible schedule options

Wellness programs

Job summary

AllCare Health, Inc. is seeking a Certified Call Center Claims Processor I in Grants Pass, Oregon. This position involves acting as the primary contact for provider inquiries while resolving claims issues and ensuring compliance with coding guidelines.

The ideal candidate must hold an associate degree, possess current coding certification, and have experience in healthcare claims processing. The role offers a competitive hourly wage, flexible scheduling, and excellent benefits, including healthcare and a 401(k) plan.

Qualifications

• Six months to one year of experience in healthcare claims processing.
• Experience in resolving claim-related issues preferred.
• Proficient in ICD-10-CM, CPT, and HCPCS coding systems.

Responsibilities

• Respond to inbound provider calls and resolve inquiries.
• Research and resolve claim issues accurately.
• Maintain documentation of provider interactions and claims.

Skills

Customer service skills

Claims processing knowledge

Bilingual skills

Organizational skills

Time management skills

Education

Associate degree or equivalent

Current coding certification (CPC, CPC-P)

Tools

Microsoft Office Suite

Healthcare claims processing systems

EZ-CAP

Job description

AllCare Health, Inc. is seeking a Certified Call Center Claims Processor I in Grants Pass, Oregon. This position involves acting as the primary contact for provider inquiries while resolving claims issues and ensuring compliance with coding guidelines.

The ideal candidate must hold an associate degree, possess current coding certification, and have experience in healthcare claims processing. The role offers a competitive hourly wage, flexible scheduling, and excellent benefits, including healthcare and a 401(k) plan.