Processor, Claims I
$17.50 - $22/hr
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 ...
$17.50 - $22/hr
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 ...
$17.50 - $22/hr
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 ...
Southfield, MI · On-site
$15.50 - $19.75/hr
Receive, analyze and process assigned claims by product (medical, dental, vision, FSA or HRA) and group. Ensure accurate processing based on benefit plan design and/or regulations. * Evaluate ...
Southfield, MI · On-site
$15.50 - $19.75/hr
Receive, analyze and process assigned claims by product (medical, dental, vision, FSA or HRA) and group. Ensure accurate processing based on benefit plan design and/or regulations. * Evaluate ...
Sherman Oaks, CA · Remote
$19 - $21/hr
Join MedPOINT Management as a Claims Processor in Sherman Oaks, CA, where you will play a crucial ... Knowledge of medical terminology and insurance policies is a plus. * Strong problem-solving skills ...
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Sherman Oaks, CA · Remote
$19 - $21/hr
Join MedPOINT Management as a Claims Processor in Sherman Oaks, CA, where you will play a crucial ... Knowledge of medical terminology and insurance policies is a plus. * Strong problem-solving skills ...
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Springfield, IL · On-site
$17 - $17.75/hr
Join our team as a Claims Processor! In this role, you will be responsible for reviewing and ... Solid computer and typing skills * 6+ months of office-clerical, medical, or insurance claims ...
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Springfield, IL · On-site
$17 - $17.75/hr
Join our team as a Claims Processor! In this role, you will be responsible for reviewing and ... Solid computer and typing skills * 6+ months of office-clerical, medical, or insurance claims ...
Fairfax, VA · On-site
$17.50 - $22.25/hr
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 ...
Fairfax, VA · On-site
$17.50 - $22.25/hr
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 ...
Mason, OH · On-site
$16 - $20.25/hr
Claims Processor Mason, OH, United States $ 16.00 - 17.00 (US Dollar) Or refer someone Job Openings Claims Processor About the job Claims Processor Claims Processor needs office support ...
Mason, OH · On-site
$16 - $20.25/hr
Claims Processor Mason, OH, United States $ 16.00 - 17.00 (US Dollar) Or refer someone Job Openings Claims Processor About the job Claims Processor Claims Processor needs office support ...
Tucson, AZ · On-site
Maximize reimbursement and develop effective policies for billing and claim processing. This position is 100% Onsite and NOT open for Remote. Medical Claims Coder Responsibilities: - Submit claims ...
Tucson, AZ · On-site
Maximize reimbursement and develop effective policies for billing and claim processing. This position is 100% Onsite and NOT open for Remote. Medical Claims Coder Responsibilities: - Submit claims ...
Claims Processor requires: * Spreadsheet * Excel * MS Office * Access * working knowledge of interface systems * Understands third party benefits and administration Claims Processor duties:
Claims Processor requires: * Spreadsheet * Excel * MS Office * Access * working knowledge of interface systems * Understands third party benefits and administration Claims Processor duties:
Tualatin, OR · On-site
$17.75 - $22.50/hr
Processes routine claims which could include medical, dental, vision, prescription, death, Life and AD&D, Workers' Compensation, or disability. * May provide customer service by responding to and ...
Tualatin, OR · On-site
$17.75 - $22.50/hr
Processes routine claims which could include medical, dental, vision, prescription, death, Life and AD&D, Workers' Compensation, or disability. * May provide customer service by responding to and ...
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Warren, MI · On-site
$15/hr
Claims Processor for durable medical equipment and pharmaceutical claims submitted from contracted and out of network providers. Responsible for processing claims in a timely manner, verifying ...
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Warren, MI · On-site
$15/hr
Claims Processor for durable medical equipment and pharmaceutical claims submitted from contracted and out of network providers. Responsible for processing claims in a timely manner, verifying ...
Milwaukie, OR · On-site
... medical claim processing or customer service dealing with all types of plans/claims and ... Work in excess of 37.5 hours per week, including evenings and occasional weekends, to meet business ...
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Milwaukie, OR · On-site
... medical claim processing or customer service dealing with all types of plans/claims and ... Work in excess of 37.5 hours per week, including evenings and occasional weekends, to meet business ...
$17.75 - $22.50/hr
Processes routine claims which could include medical, dental, vision, prescription, death, Life and AD&D, Workers' Compensation, or disability. * May provide customer service by responding to and ...
$17.75 - $22.50/hr
Processes routine claims which could include medical, dental, vision, prescription, death, Life and AD&D, Workers' Compensation, or disability. * May provide customer service by responding to and ...
Tucson, AZ · On-site
Maximize reimbursement and develop effective policies for billing and claim processing. This position is 100% Onsite and NOT open for Remote. Medical Claims Coder Responsibilities: - Submit claims ...
Tucson, AZ · On-site
Maximize reimbursement and develop effective policies for billing and claim processing. This position is 100% Onsite and NOT open for Remote. Medical Claims Coder Responsibilities: - Submit claims ...
Waterbury, CT · On-site
$17 - $24/hr
This role ensures claims are processed in compliance with payer requirements and organizational ... Submit medical claims (electronic and manual) to insurance carriers, Medicaid, and managed care ...
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Waterbury, CT · On-site
$17 - $24/hr
This role ensures claims are processed in compliance with payer requirements and organizational ... Submit medical claims (electronic and manual) to insurance carriers, Medicaid, and managed care ...
Manhattan, NY · On-site
$18.75 - $23.75/hr
... claims Process and evaluate hospital claims manually or through claims work flow Validate ... medical claims in a health insurance or benefits environment required Basic keyboarding skills ...
Manhattan, NY · On-site
$18.75 - $23.75/hr
... claims Process and evaluate hospital claims manually or through claims work flow Validate ... medical claims in a health insurance or benefits environment required Basic keyboarding skills ...
Milwaukie, OR · Remote
$18.39 - $20.58/hr
... medical claim processing or customer service dealing with all types of plans/claims and ... Work in excess of 37.5 hours per week, including evenings and occasional weekends, to meet business ...
Milwaukie, OR · Remote
$18.39 - $20.58/hr
... medical claim processing or customer service dealing with all types of plans/claims and ... Work in excess of 37.5 hours per week, including evenings and occasional weekends, to meet business ...
$16 - $20.25/hr
... days, Medical, Dental and Vision insurance, 401K retirement savings plan, Life Insurance ... Accurately and efficiently processes manual claims and other simple processes such as matrix and ...
$16 - $20.25/hr
... days, Medical, Dental and Vision insurance, 401K retirement savings plan, Life Insurance ... Accurately and efficiently processes manual claims and other simple processes such as matrix and ...
$18.75 - $23.75/hr
Process and evaluate hospital claims manually or through claims work flow * Validate information ... Minimum two (2) years experience entering and updating hospital or medical claims in a health ...
$18.75 - $23.75/hr
Process and evaluate hospital claims manually or through claims work flow * Validate information ... Minimum two (2) years experience entering and updating hospital or medical claims in a health ...
$15.75 - $19.75/hr
Receive, analyze and process assigned claims by product (medical, dental, vision, FSA or HRA) and group. Ensure accurate processing based on benefit plan design and/or regulations. * Evaluate ...
$15.75 - $19.75/hr
Receive, analyze and process assigned claims by product (medical, dental, vision, FSA or HRA) and group. Ensure accurate processing based on benefit plan design and/or regulations. * Evaluate ...
Milwaukie, OR · On-site
Medical, Dental, Vision, Pharmacy, Life, & Disability * 401K- Matching * FSA * Employee Assistance ... Work in excess of 37.5 hours per week, including evenings and occasional weekends, to meet business ...
Quick apply
Milwaukie, OR · On-site
Medical, Dental, Vision, Pharmacy, Life, & Disability * 401K- Matching * FSA * Employee Assistance ... Work in excess of 37.5 hours per week, including evenings and occasional weekends, to meet business ...
$13.94 - $15.01
6% of jobs
$15.01 - $16.08
6% of jobs
$16.08 - $17.15
11% of jobs
$17.27 is the 25th percentile. Wages below this are outliers.
$17.15 - $18.23
15% of jobs
The median wage is $19.01 / hr.
$18.23 - $19.30
16% of jobs
$19.30 - $20.37
11% of jobs
$21.38 is the 75th percentile. Wages above this are outliers.
$20.37 - $21.44
11% of jobs
$21.44 - $22.51
11% of jobs
$22.51 - $23.58
6% of jobs
$23.58 - $24.65
5% of jobs
$24.65 - $25.72
2% of jobs
$13
$19
$25

FULL TIME REMOTE
PURPOSE:
Under direct supervision, reviews and adjudicates paper/electronic claims. Determines proper handling and adjudication of claims following organizational policies and procedures.
ESSENTIAL FUNCTIONS:
60% 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.
25% 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.
10% 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.
5% Collaborates with multiple departments providing feedback and resolving issues and answering basic processing questions.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable
accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education Level: High School Diploma or GED
Experience: more than three years experience processing claim documents. Experience with processing Inter-Plan Teleprocessing System (ITS) Claims.
Preferred Qualifications
5+ years Claims processing, billing, or medical terminology experience
Knowledge, Skills and Abilities (KSAs)
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
Previously adjudicated 200-300 medical claims daily with accuracy of 98% or above for prior roles.
Sourced by ZipRecruiter
Ageatia Global Solutions, located in Schaumburg, IL, US, is a reputable IT consultant company that offers a range of premium technical and IT staffing services across numerous industries. Its official website, ageatia.com, is a testament to its dedication to top-tier delivery. Since its inception in 2002, Ageatia has consistently provided optimal services specific to each client's needs. Ageatia's core competency lies in identifying and delivering expert engineers and IT professionals on contract and permanent placements. The company is known for maintaining a business model that ultimately focuses on solving client's workforce challenges. Ageatia's mission is to provide companies with the most skilled set of candidates, while also offering advancing opportunities to potential employees.
It services
51 - 200 Employees
Schaumburg, IL, US
2002