Grievance & Appeals Coordinator I

2 months ago

Flagstaff, United States TEKsystems Full time

Claims Analyst (Remote)

Must live in PST MST State ( USD/hour)  (Paid Training)

Highlights of the job:

·Industry: Healthcare-Call Center

·Start Date:  9/25

·Shift:  8a- 4:30pm PST

·Employment Type: Contract to Hire

Working with an extensive client base, TEK systems is searching for Claims Analyst

Benefits of this role:

·Weeklypay

·Work fully remote / no weekends

·Helpful and supportive leadership and executives

·Opportunity to work for one of the top Healthcare organizations in Washington.

A Day in the Role:

·Process pending medical claims verifying and updating information on submitted claims and reviewing work processes to determine reimbursement eligibility.

·Ensure payments and/or denials are made in accordance with company practices and procedures.

·Review claims to determine whether claimant is covered under a policy review policy to determine coverage and evaluate the extent of a settlement. 

·Authorize claim payments set reserves on payments ensure timely disbursement of funds coordinate or conduct investigations on claims

identify claims with possible recovery from third parties and consult with attorneys’ doctors and agents regarding the disposition of complex claims.

Requirements:

·Ability to communicate with multiple departments.

· Must have at least a high school diploma

· Associates, degree preferred.

·Work independently and prioritized assigned tasks.

· Able to multitask and prioritize when it comes to multiple complex projects or queues. 

Next Steps:

·The TEK systems recruiting team will reach out to you to discuss next steps in 5 business days.

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.

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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