Claims Processor

Integrated Resources Inc.; Maryland Heights (MO); On-site; USD 30,000 - 40,000; Full time

Job summary

A leading resource management company located in Maryland Heights, MO, is looking for a Claims Processor responsible for adjudicating claims with a focus on accuracy and detail. The ideal candidate will have proficiency with 10-key machines and experience with ICD-9 codes and CPT claims. This role includes resolving claims edits and providing support to team members, ensuring timely processing in accordance with company policies.

Responsibilities

• Adjudicate claims and adjustments as required.
• Resolve claims edits and suspended claims.
• Maintain and update required materials for adjudicating claims.
• Provide backup support to team members.

Skills

10-key machine proficiency

ICD-9 code knowledge

CPT Claims experience

Education

High School diploma or GED

Job description

Responsible and accountable for the accurate and timely claims processing of all claim types. Claims must be processed with a high level of detailed quality and in accordance with claims payment policy and by the terms of our customer/provider contractual agreements.

Responsibilities

• Adjudicate claims and adjustments as required.
• Resolve claims edits and suspended claims.
• Maintain and update required reference materials to adjudicate claims.
• Provide backup support to other team/group members in the performance of job duties as assigned.

Qualifications

• Ability to quickly use a 10-key machine
• Experience with list of ICD-9 codes and Current Procedural Terminology (CPT) Claims
• High School (Required) GED (Required)

Additional Information

All your information will be kept confidential according to EEO guidelines.