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American Specialty Health · 15 hours ago

Claims Examiner I (Remote, $15/hour)

United States

Full-time

Remote

New Grad, Entry Level

$15/hr - $15/hr

0+ years exp

American Specialty Health is seeking an Examiner I to join their Claims department. The primary purpose of this position is to verify claim information and process claims accurately in accordance with regulations and organizational standards.

Health CareMedical

Responsibilities

Processes claims accurately and efficiently

Reviews all incoming claims to verify necessary information

Determines that correct member and provider records are chosen and utilized to process claims

Enters claims data and information into the computerized Claims Processing System

Maintains all required documentation of claims processed and claims on hand

Adjudicates claims in accordance with departmental policies, procedures, state and accreditation standards and other applicable rules

Maintains production standards; for direct data entry claims this includes processing an average of 31 claims per hour, with an accuracy rate of 98.5% over each pay period

Verifies data of scanned paper claims at stated standards

Provides backup for other examiners within the department

Promotes a spirit of cooperation and understanding among all personnel

Attends organizational meetings as required

Adheres to organizational policies and procedures

Maintains confidentiality of all claim files, claims reports, and claims related issues

Performs other duties as assigned

Complies with all policies and standards

Qualification

Data entry experienceMedical claims processingMedical billing terminologyMS Office proficiencyCustomer service skillsProblem analysisInterpersonal communicationTime managementConfidentiality

Required

High School Diploma or GED certificate required

6 months data entry experience with 10 key and word processing; minimum 10,000 keystrokes per hour required

Proficient in MS Office

Ability to work and maintain production in a work-from-home (WFH) environment

Demonstrated ability to show self-discipline to meet production goals

Preferred

Experience processing medical claims and knowledge of medical billing terminology and coding strongly preferred

Company

American Specialty Health

Glassdoor3.6

American Specialty Health Incorporated (ASH) is one of the nation’s premier independent and privately-owned specialty health organizations offering technology-enabled services for benefits management, including clinical programs for musculoskeletal health, fitness programs, and well-being solutions for health plans, employers, associations, and others.

Founded in 1987

Carmel, Indiana, USA

1001-5000 employees