Lumen Solutions Group Inc. · 3 hours ago
Processor, Claims I
United States
Full-time
Remote
Entry Level
$21/hr - $21/hr
1+ years expLumen Solutions Group Inc. is a company focused on providing solutions in various sectors. They are seeking a Claims Processor I to review and adjudicate claims under direct supervision, ensuring compliance with organizational policies and procedures.
Information Technology & Services
Responsibilities
Examines and resolves non-adjudicated claims to identify key elements of processing requirements based on contracts, policies and procedures
Process product or system-specific claims to ensure timely payments are generated and calculate deductibles and maximums as well as research and resolve pending claims
The Claims Processor also use automated system processes to send pending claims to ensure accurate completion according to medical policy, contracts, policies and procedures allowing timely considerations to be generated using multiple systems
Completes research of procedures
Applies training materials, correspondence and medical policies to ensure claims are processed accurately
Partners with Quality team for clarity on procedures and/or difficult claims and receives coaching from leadership
Required participation in ongoing developmental training to performing daily functions
Completes productivity daily data that is used by leadership to compile performance statistics
Reports are used by management to plan for scheduling, quality improvement initiatives, workflow design and financial planning, etc
Collaborates with multiple departments providing feedback and resolving issues and answering basic processing questions
Qualification
Required
High School Diploma or GED
less than one year experience processing claim documents
Demonstrated analytical skills, Proficient
Demonstrated reading comprehension and ability to follow directions provided, Proficient
Basic written/oral communication skills, Proficient
Demonstrated ability to navigate computer applications, Proficient
Basic PC Skills
MS Excel
MS Outlook
Teamwork
Data Entry
Organizational Skills
Problem Solving Skills
Time Management
Verbal Communication
Preferred
1-3 years Claims processing, billing, or medical terminology experience
Company
Lumen Solutions Group Inc.
Lumen Solutions Inc., is a dynamic small and minority-owned, Disadvantaged Business Enterprise headquartered in Virginia, USA.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Charanjiv Gadh
Chief Executive Officer
Company data provided by crunchbase