Health Claims Adjuster - remote

ReqRoute; Austin (TX); Remote; USD 45,000 - 60,000; Full time

Job summary

ReqRoute, un partenaire de confiance, recherche des professionnels qualifiés pour examiner et traiter les demandes. Ce poste implique une attention particulière aux détails ainsi qu'une capacité à gérer les demandes en respectant les normes de qualité et de productivité. Nous offrons des opportunités de carrière compétitives avec des entreprises Fortune 1000 à travers les États-Unis.

Qualifications

• Expérience de traitement HCFA 1500 et UB04 souhaitée mais non obligatoire.
• L'expérience Facets est un plus mais non obligatoire.

Responsibilities

• Examiner et traiter les demandes avec précision en suivant les directives.
• Déterminer le paiement ou le refus des demandes, identifier et escalader les demandes douteuses.

Skills

HCFA 1500 processing experience

UB04 processing experience

Facets experience

Job description

Job Responsibilities

• Review and process claims accurately into the computer system following provided DLPs/guidelines.
• Determine claim payment or denial, identify and escalate dubious claims or system issues.
• Process claims timely, adhering to the required TAT.
• Correct errors or omissions on claims and investigate questionable data.
• Maintain quality and productivity as per SLA standards.
• Consistently meet and exceed assigned targets.
• Ensure confidentiality of work and adhere to all regulatory requirements and company policies.
• Display professionalism in work and conduct.

Skills and Qualifications

• HCFA 1500 and UB04 processing experience is desirable but not mandatory.
• Facets experience is a plus but not mandatory.

ReqRoute, Inc. partners with companies across the U.S. to deliver skilled IT professionals. We support Fortune 1000 companies with their hiring needs and strive to offer competitive career opportunities. We invite qualified candidates to review the position requirements and apply.

ReqRoute, Inc. is an Equal Opportunity Employer. Qualified applicants will receive consideration without regard to race, color, religion, sex, age, disability, military status, national origin, or other protected characteristics.