Insurance Claims Processor

4 days ago


New York, New York, United States Global Channel Management Full time
About the Job

We are seeking a highly skilled Insurance Processor to join our team at Global Channel Management. As an Insurance Processor, you will play a critical role in ensuring the efficient and accurate processing of insurance transactions.

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 the efficiency and effectiveness of the Assignment processes.
Requirements
  • Working knowledge of mainframe computers and systems in general, ie: AS400.
  • Understands third-party benefits and administration.
  • Minimum keystrokes per hour requirement of 10,000 with less than 2% error rate.
  • High level of detail orientation.
  • Flexibility working in both a team and individual environments.
  • Proficient in Microsoft Excel applications.
  • Understand and honor high level of confidentiality.
  • Promote integrity. Strong work ethics.


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