Hospital Claims Specialist: Fast-Paced Claims Processing

1199SEIU Benefit and Pension Funds; New York (NY); On-site; USD 45,000 - 60,000; Full time

Job summary

1199SEIU Benefit and Pension Funds in New York is hiring for a position focused on reviewing and processing hospital claims within a health insurance environment. The ideal candidate will have a minimum of two years of experience and strong knowledge of eligibility and benefits.

This role requires attention to detail, the ability to handle multiple tasks, and a strong understanding of claims regulations and coding. Join a reputable organization dedicated to providing excellent health benefits.

Qualifications

• Minimum two years experience entering and updating hospital or medical claims.
• Ability to meet strict deadlines and work well under pressure.
• Work well independently and in a team environment.

Responsibilities

• Review hospital claims and determine action needed.
• Process and evaluate hospital claims manually or through a claims workflow.
• Finalize hospital claims by applying knowledge of eligibility and operational procedures.

Skills

Knowledge of hospital claims

Organizational skills

Multitasking

Analytical skills

Basic keyboarding skills

Knowledge of ICD-9, ICD-10, CPT codes

Education

High School Diploma or GED

Some college or degree preferred

Tools

Health claims system (QNXT)

Job description

1199SEIU Benefit and Pension Funds in New York is hiring for a position focused on reviewing and processing hospital claims within a health insurance environment. The ideal candidate will have a minimum of two years of experience and strong knowledge of eligibility and benefits.

This role requires attention to detail, the ability to handle multiple tasks, and a strong understanding of claims regulations and coding. Join a reputable organization dedicated to providing excellent health benefits.