Healthcare Claims Specialist

Insight Global (United States); United States; Vor Ort; USD 27.552 - 30.307; Teilzeit

Benefits dieser Stelle

Medical insurance

Vision insurance

401(k)

Zusammenfassung

A health insurance consulting firm in the United States is seeking a Claims Production Representative. In this role, you will be responsible for accurately reviewing, processing, and adjudicating health insurance claims while ensuring compliance with company policies and regulatory requirements. You will verify eligibility, benefits, and supporting documents to ensure timely resolution and address claim inquiries. This role offers a competitive hourly pay rate and essential benefits, including medical and vision insurance.

Aufgaben

• Accurately review, process, and adjudicate health insurance claims in compliance with company policies.
• Ensure timely and accurate claim resolution by verifying eligibility and supporting documentation.
• Resolve claim inquiries and provide clarification on claim status.

Jobbeschreibung

Base Pay Range

$20.00/hr - $22.00/hr

Responsibilities

The Claims Production Representative is responsible for accurately reviewing, processing, and adjudicating health insurance claims in compliance with company policies, contractual agreements, and regulatory requirements. This role ensures timely and accurate claim resolution by verifying eligibility, benefits, and supporting documentation; applying appropriate coding and payment guidelines; and identifying discrepancies or potential issues for follow-up. The role works to resolve claim inquiries, provide clarification on claim status, and support prompt reimbursement.

Seniority Level

• Associate

Employment Type

• Contract

Job Function

• Quality Assurance

Industries

• Hospitals and Health Care and Insurance

Benefits

• Medical insurance
• Vision insurance
• 401(k)