Insurance Claims Specialist

5 days ago


Mason, Ohio, United States Global Channel Management Full time
About the Job

Global Channel Management is seeking a highly skilled Insurance Claims Processor to join our team. As an Insurance Claims Processor, you will be responsible for researching and applying insurance payments from clients to the appropriate system invoice.

Key Responsibilities
  • Research and apply insurance payments from clients to the appropriate system invoice.
  • Research insurance claim payments in the AS/400 to identify correct claim based on customer information, date of service, and service/material procedure codes and related charges.
  • Continuously improve methods for research and in order to effectively and efficiently process transactions.
  • Process transactions, apply cash, member bills, resubmit invoices, write-offs, etc. Follow data processing guidelines to meet established departmental standards.
  • Communicate with supervisor regarding transactions processed in a timely manner.
  • Identify and recommend systems and process modifications necessary to improve efficiency.
Requirements
  • 1+ years of experience in insurance claims processing.
  • Proficient in Microsoft Excel applications.
  • Working knowledge of mainframe computers and systems in general, ie: AS400.
  • Strong work ethic.
  • High school degree required.
  • Understands third-party benefits and administration.
What We Offer

As an Insurance Claims Processor at Global Channel Management, you will have the opportunity to work in a dynamic and fast-paced environment. You will be part of a team that is dedicated to providing excellent service to our clients. We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.



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