Healthcare Claims Data Entry Specialist

Sutherland; Louisville (KY); Sur place; USD 15 000 - 22 000; Plein temps

Avantages offerts par ce poste

Medical, dental, and vision plans.

Paid training and PTO

Company-provided equipment.

Advancement opportunities

Monthly rewards & recognition programs

Employee Discounts

EAP and Health and Wellness programs

Résumé du poste

Sutherland is seeking a full-time permanent Healthcare Claims Adjudicator to process medical claims via data entry and ensure accuracy according to client requirements.

You will work independently with knowledge base support, meet KPI and quality goals, and handle claims with HIPAA privacy in mind. Billing systems and insurance terminology familiarity are preferred; career advancement opportunities exist within the organization.

Qualifications

• High school diploma or equivalent required.
• Minimum 40 words per minute on typing test.
• Experience in a medical office setting with knowledge of insurance, billing or coding.

Responsabilités

• 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 additional information
• 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 HIPAA guidelines
• Work with specific software
• May be assigned special projects

Connaissances

Time management

Analytical

Formation

High School Diploma or equivalent

Medical Billing and Coding degree/certification

Description du poste

Sutherland is seeking a full-time permanent Healthcare Claims Adjudicator to process medical claims via data entry and ensure accuracy according to client requirements.

You will work independently with knowledge base support, meet KPI and quality goals, and handle claims with HIPAA privacy in mind. Billing systems and insurance terminology familiarity are preferred; career advancement opportunities exist within the organization.