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Claims processor

Role overview

Qualifications

  • 3 years of experience in claims processing
  • Experience in healthcare claims
  • Strong analytical skills

Responsibilities

  • Analyze medical claims and supporting documentation to determine eligibility and payment amounts based on provided SOPs.
  • Conduct thorough evaluations of claims to assess legitimacy while meeting monthly production and quality targets.
  • Maintain detailed records of claims processed, decisions made, and communications with claimants for auditing purposes.

Key facts

  • Remote from: Arizona (USA)
  • Full time
  • Mid-level (2-5 years)
  • English

Other skills

  • Record Keeping
  • Detail Oriented

About the company

ICONMA logo

ICONMA

Management Consulting

We provide Professional Staffing Services & Project-Based Solutions for a broad range of Fortune 500 organizations. ICONMA is a certified Woman-Owned staffing company and was founded in 2000. ICONMA’s corporate headquarters is in Troy, Michigan, and has 15+ locations worldwide. What makes ICONMA stand out in a fiercely competitive industry? *We provide integrated, full lifecycle services across a broad range of business and technical platforms. *No single company can duplicate our full range of staffing and permanent recruiting services nationwide. *Proven track record of attracting and retaining exceedingly skilled professional workers in a highly competitive market. SERVICES OFFERED Staff Augmentation (Contract, Contract to Hire, Direct Hire, Single Source) Data Analysis Project-Based Services & Solutions Hire Train Deploy Service Model Offshore Staff Augmentation Payroll Services AREAS OF EXPERTISE - Information Technology - Engineering - Business Professional - Accounting/Finance - Admin/Clerical/Call Center - Healthcare/Clinical/Scientific - Marketing/Creative mail linkedin@iconma.com Phone (888) 451-2519 Website http://www.iconma.com

Company details

Company typeLarge
IndustryManagement Consulting
Company size1001 - 5000

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Job description

Our client, a IT Services and Consulting company, is looking for a Claims Processor for their Remote location.
 
Responsibilities:
  • Analyze medical claims and supporting documentation to determine eligibility and payment amounts based on provided SOPs.
  • Conduct thorough evaluations of claims to assess legitimacy while meeting monthly production and quality targets.
  • Record Keeping: Maintain detailed records of claims processed, decisions made, and communications with claimants for auditing purposes, and report daily results to the lead at the end of each day without fail.
 
Requirements:
  • Years of Experience:   3.00 Years of Experience
Skills: 
  • Category          Name   Required          Importance       Experience
  • Healthcare       Claims Yes      1
 
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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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