Medical Claims & Adjustment Specialist — Fast & Precise

HTU; Mississippi; Hybrid; USD 38,000 - 60,000; Full time

Benefits offered by this job

Medical benefits

401(k)

Paid time off

Work-life balance

Onsite gym

Walking track

Café

Team events

Job summary

HTU in the United States is seeking a Claims Processor to review and process medical claims accurately, applying policy guidelines, managing additional review, and coordinating benefits while prioritizing timeliness.

You will review correspondence, conduct research, and communicate appropriately to expedite claim issue resolution and payments, and ensure performance meets or exceeds established timelines and accuracy benchmarks in daily activities.

Qualifications

• Bachelor's degree with a 3.0 GPA or higher.
• Strong computer skills with the ability to navigate multiple screens/applications.
• Excellent written communication, adaptable to different audiences.
• High accuracy and attention to detail in daily work.
• Customer-focused and service-oriented to meet performance benchmarks.

Responsibilities

• Review and process medical claims accurately and efficiently by applying policy guidelines and coordinating benefits.
• Review correspondence, conduct research, and communicate to expedite claim issue resolution and/or payment.
• Ensure performance meets or exceeds established timelines and accuracy benchmarks in daily activities.

Skills

Computer proficiency

Written communication

Attention to detail

Customer-focused

Education

Bachelor's degree with 3.0 GPA

Job description

Your Role

Here’s what you will be doing:

• Review and process medical claims accurately and efficiently by applying policy guidelines, managing additional claims review, and coordinating benefits while prioritizing timeliness.
• Review correspondence, conduct research, and communicate appropriately to expedite claim issue resolution and/or payment.
• Ensure performance meets or exceeds established timelines and accuracy benchmarks in daily activities.

About You

The company is looking for:

• Bachelor’s degree with at least a 3.0 GPA.
• Computer proficiency with the ability to navigate multiple screens/applications while maintaining focus.
• Articulate written communication skills with the ability to adapt tone and style for different audiences.
• High accuracy and attention to detail in work produced.
• Customer-focused and service-oriented to meet timely and accurate performance benchmarks.

Compensation & Benefits

• Highly competitive compensation package including medical benefits.
• 401(k) retirement plan.
• Ample paid time off.
• Work schedule supporting true work/life balance.
• Access to onsite gym, walking track, and café.
• Monthly team events to foster community.

Training & Development

Supportive onboarding process and continual development opportunities provide career paths into various business areas including Information Technology, Finance, Accounting, Medical Administration, Compliance, Human Resources, and Sales.

How to Apply

• Set up a Workday account and complete the application process.
• Attach a resume and cover letter.
• Check email for updates.
• Application process may include phone screening, testing, in-person interviews, background, and drug testing.