Claims Adjuster

CLAIMS ADJUSTERS NEEDED!!!!!!
Snelling Staffing is working together with a company in Union County to locate an experienced Claims Adjuster. This is a busy department that requires the Claims Adjuster to process a minimum of 70 claims on a daily basis. In addition to working for a great company, our client offers BENEFITS PIAD BY THE COMPANY – 401K & ANNUITY PLANS – OVERTIME PAID AFTER 35 HOURS

The Claims Examiner will need to have knowledge and proficiency of the following:

Knowledge of Medical, Dental and Vision Claim Adjudication
Knowledge of CPT and ICD 9 coding, Medicare, HIPAA privacy laws
Levels of coverage provided under the Plan
Ability to determine PPO vs. NON-PPO providers
Knowledge of Claims Department procedures
All phases of claim batch preparation
Collaborating with other departments for proper processing of claims
Answer member and provider claims related to telephone inquiries
REQUIREMENTS
Direct telephone inquiries appropriately
Weekly monitoring of pended and medical review files
Organizational skills
Time Management skills
Customer Service Skills
Assistance with claim projects when requested
Other duties as assigned














Careerbuilder Related Terms:
liability, insurance,transcriptionist, medical transcription, medical secretary, medical billing, medical records, medical records clerk, medical assistant, medical asst, medical coder, medical coding, data entry, coding, CPT, ICD, ICD-9, CPT-4