Experienced Healthcare Claims Specialist
6 hours ago
We are seeking an experienced claims processor to join our team at Imagenet LLC. As a key member of our team, you will be responsible for accurately and efficiently processing medical claims in compliance with payer requirements and internal policies.
This is a fully remote position, and we offer a flexible schedule with 8 hour shifts, Monday to Friday. Our team is dedicated to providing excellent service and support to our clients, and we are looking for someone who shares our commitment to excellence.
Key Responsibilities- Maintain up-to-date knowledge of coding guidelines, payer policies, and regulatory requirements related to claims processing.
- Perform claims audits and quality checks to ensure accuracy and compliance.
- Assist in the development and implementation of claims processing procedures and workflows.
- Participate in ongoing training and professional development activities.
- Provide backup support and cross-training to other team members as needed.
- Train new claims processors on systems and processes.
- Coding Specialist - Develop expertise in medical classification codes.
- Consistent production & quality >95%.
- High School Diploma or equivalent required.
- Preference for minimum of two-year experience working closely with healthcare claims or in a claims processing/adjudication environment.
- Understanding of health claims processing/adjudication.
- Ability to perform basic to intermediate mathematical computation routines.
- Medical terminology strongly preferred.
- Understanding of ICD-9 & ICD-10.
- Basic MS office computer skills.
- Ability to work independently or within a team.
- Time management skills.
- Written and verbal communication skills.
- Attention to detail.
- Must be able to demonstrate sound decision-making skills.
- Dental insurance.
- Health insurance.
- Vision insurance.
- PTO.
- 401K Savings Plan.
We offer great benefits, flexible hours, and the opportunity for remote work for self-disciplined candidates who can perform well under limited supervision. Imagenet offers unlimited opportunities for candidates looking for upward mobility. Our leaders are always promoted from within and there is not a minimum employment time frame if you qualify for promotions. We appreciate referrals and always look to reward employees who help us grow.
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