Fully Remote Medical Claims Processor
This range is provided by Reqroute, Inc. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range$17.00/hr - $17.00/hrFullyRemote Claims ProcessorDuration: 5-6 Month ProjectPay: $17.00/hr on W2Hours: 7:00am – 4:00pm PSTStart Date: Targeting for December 15thRoleEach associate is responsible for validating members’ Out-of-Pocket Maximum (OOPM) bolthires shares based on the audit years provided in the Accumulator Overages Report. The process involves reviewing the members’ responsibilities according to their plan benefits and ensuring that OOPM limits and any overages are accurate, following the preset criteria established by Centene.If a member has exceeded their OOPM limit, the excess amount will be reimbursed directly through medical claims and pharmacy reimbursements. Qualifications• 1-3 years of experience in claims processing• Good logical thinking ability• Knowledge of US Healthcare Industry• Exposure to MS OfficeResponsibility• Adjudication/Adjustments of claims with zero errors• Completion of claims in queue within specified time frameSeniority level• ExecutiveEmployment type• ContractJob function• Customer Service• Business Consulting and ServicesReferrals increase your chances of interviewing at Reqroute, Inc by 2xGet notified about new Medical Claims Processor jobs in United States.Apply tot his job