Medical Claims Specialist

3 weeks ago


Charlotte, North Carolina, United States TEKsystems Full time

Job Summary

We are seeking a skilled Medical Claims Specialist to join our team at TEKsystems. As a Medical Claims Specialist, you will be responsible for the daily processing of claims and pre-authorizations/referrals. This role will support one business line, whether it is commercial, Medicare, Medicaid, etc.

Key Responsibilities

  • Pull claims and verify data entry errors
  • Correct entries and decide if claims should be processed or sent to a different department for review based on the benefits schedule
  • Support one business line, including commercial, Medicare, and Medicaid

Requirements

  • 2+ years of medical claims experience
  • Dental Preferred
  • Dental/medical back office work experience
  • Experience working in dental or medical offices
  • Experience working on the insurance portion (not just a dental assistant)
  • No medical assistants

Benefits

  • Medical, dental, and vision insurance
  • Critical Illness, Accident, and Hospital insurance
  • 401(k) Retirement Plan
  • Life Insurance (Voluntary Life & AD&D for the employee and dependents)
  • Short and long-term disability insurance
  • Health Spending Account (HSA)
  • Transportation benefits
  • Employee Assistance Program
  • Time Off/Leave (PTO, Vacation or Sick Leave)

About TEKsystems

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

Equal Opportunity Employer

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.



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