Health Claims Specialists

Sutherland; Kentucky; Presencial; USD 15.000 - 22.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical/dental/vision

Paid training

PTO

Equipment provided

Advancement opportunities

Rewards program

Employee discounts

EAP & wellness

Weekday schedule

Descripción de la vacante

Sutherland in Kentucky is seeking a Claims Examiner to process and adjudicate medical claims with high accuracy. You’ll enter data and meet quality metrics in a fast-paced environment.

The role offers paid training, benefits, and opportunities for advancement. Schedule is Monday–Friday, 8:30 AM – 5:00 PM EST, with a supportive team and wellness programs.

Formación

• High School diploma or equivalent required.
• Medical Billing and Coding degree/certification.
• Typing speed at least 40 wpm.
• Stable internet with 2 Mbps upload and 10 Mbps download.
• Quiet, distraction-free workspace.
• Excellent verbal and written communication.
• Strong typing and analytical abilities.
• Knowledge of medical terminology.

Responsabilidades

• Process claims via data entry for the majority of the day.
• Adjudicate claims to meet production, quality, and regulatory standards.
• Follow up on claims needing additional information.
• Refer problem claims to Lead or auditor for review.
• Maintain information privacy per HIPAA guidelines.
• Work with specific software used by the company.
• May be assigned special projects.

Conocimientos

Data entry

Time management

Attention to detail

Analytical

Educación

High School Diploma or equivalent

Medical Billing and Coding degree/certification

Descripción del empleo

What you will be doing as a Claims Examiner:

• Work independently, processing claims via data entry for 90% of your day.
• Be responsible for effectively adjudicating claims to meet production, quality, and other metrics in accordance with policy/procedures and regulatory guidelines
• Follow up on claims needing additionalinformation
• Refer problem claims to a Lead and/or auditor for additional review
• Make sure that the integrity of the information is accurate and kept private according to HIPPA guidelines
• Work with specific software
• May be assigned special projects

When you join us, you’ll enjoy:

• Pay rate of $13.50/hour with the opportunity to bonus an additional $1500 a month.
• Medical, dental, and vision plans.
• Paid training and PTO (be sure to ask about our Global Flexible Vacation Policy).
• Company-provided equipment.
• Advancement opportunities – 80% of our frontline leaders have been promoted from within.
• Monthly rewards & recognition programs.
• Employee Discounts.
• EAP and Health and Wellness programs including a personal trainer dedicated to Sutherland.
• Weekday schedule, Monday – Friday 8:30 AM – 5:00 PM EST.

Skills

• Data entry
• Time management
• Attention to detail
• Analytical

Required Qualifications

• High School Diploma or equivalent
• Excellent Internet Connectivity:
  • Internet access speed of 2 Mbps upload and 10 Mbps download – the faster the better.
  • • house network, and a hard-wired internet connection capable of continuously supporting outstanding call quality and high-speed response rates. (Wireless and/or satellite Internet Service Providers are not compatible with our systems)
  • A quiet and distraction-free, secure place to work
  • Effective verbal and written communication skills
  • Strong typing and analytical abilities
  • Multi-tasking skills with a strong attention to detail
  • Computer knowledge
  • Minimum 40 words per minute on typing test
  • Must have and maintain a clean and paper free work environment to meet our company policies.
• Medical Billing and Coding degree/certification.
• Previous experience in a medical office type setting, including some knowledge of insurance, claims, billing or coding, with an understanding of the different types of insurance (Medicare/Medicaid and/or Child Plus).
• Knowledge of Medical terminology

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

EEOC and Veteran Documentation

During employment, employees are treated without regard to race, color, religion, sex, national origin, age, marital or veteran status, medical condition or handicap, or any other legally protected status.
At times, government agencies require periodic reports from employers on the sex, ethnicity, handicap, veteran and other protected status of employees. The purpose of this Administrative EEO Record is for statistical analysis only and is used to comply with government record keeping, reporting, and other legal requirements. Periodic reports are made to the government on the following information. The completion of the Administrative EEO record is optional. If you choose to volunteer the requested information, please note that all
Administrative EEO Records are kept in a Confidential File and are not part of your application for employment or personnel file.
Please note: YOUR COOPERATION IS VOLUNTARY. INCLUSION OR EXCLUSION OF ANY DATA WILL NOT AFFECT ANY EMPLOYMENT DECISION.