Claims Processors - Part-Time, Full-Time, Temporary Positions!

CLAIMS PROCESSORS – Part-Time and Full-Time TEMPORARY Positions Available!!!
America’s Health Choice Medical Plans, Inc., a Medicare HMO, located in Vero Beach, FL has immediate openings for Claims Processors – Multiple openings for part-time, full-time, and temporary positions!Responsibilities:Processing health care claims using fee schedule and provider contacts in an accurate and timely manner.
Prepares comments on Explanation of Benefits (EOBs) as needed.
Interprets and applies on-line payment and policy documentation correctly.Checks for authorizations and eligibility including in-network, out-of-network, co-pays, and deductibles.
Ensures quality and excellent customer service.Identifies potential fraudulent claims and responds per company policy.
Requirements:
High school diploma or an equivalent combination of education and experience.MUST have experience in paying billed claims and matching bills aginst provider contract to ensure correct processing.
Good communication skills and the ability to work under pressure with changing priorities.
Must be able to type 35 wpm. Knowledge of Microsoft office, Word and Excel.Have above-average skills in grammar, vocabulary, punctuation, sentence structure and communication.
Must have aptitude for details and organization.
Knowledge of ICD9 and CPT coding a plus!
For immediate consideration, please "apply online" with your resume. Include your resume as part of your e-mail, NOT as an attachment (to maximize legibility). Please include current salary, salary history, and whether interested in part-time and/or full-time positions. Please provide Job Title in your reply by listing in the Subject Line.Equal Opportunity Employer / Drug-Free Workplace.
CareerBuilder Keywords:Managed care, health care, claims processor, nurse, claims, coding, Medicare, LPN, RN, quality improvement, HMO.
REQUIREMENTS



See Job Description.