Randstad Claims in Concord, New Hampshire
salary:$15 per hour
date posted:Wednesday, January 2, 2019
job type:Temp to Perm
industry:Health Care and Social Assistance
Our client, based in Concord, NH, is seeking an experienced claims representative
Location: Concord, NH
Pay: $15/hour Temp-hour
Hours:This position requires sitting at a desk, M-F, 8 - 5; some OT may be available, not mandatory
Performs data entry of material from source documents to a computer database.
Transcribes routine pre-coded and identifiable alphanumeric data from source document and/or phone call into an automated system.
Ensures accuracy and completeness data.
Screen internal and external adjustment requests for compliance with guidelines and contract requirements.
Enter batch control records into the MMIS.
Prepare requests for scanning.
Enter adjustment requests into the MMIS, making necessary adjustments as requested within the guidelines of New Hampshire Medicaid.
Process all suspended adjustment transactions according to internal and contractual requirements.
Prepare and log documents to be returned to the provider.
Process claims that have suspended in the Fiscal Agent locations.
Meet Quality Assurance and production standards of Claims Department.
Will be working directly with clients with regarding a variety of questions regarding claims
These calls will vary in complexity. You will learn various key healthcare terms.
You will field 25-30 calls per day with regarding various stages of claims
Triage calls, such as complex claims, to other departments based on the situation
Work with Medicare and Medicaid
Keying in key information into client file relative to claims
Working hours: 8:00 AM - 5:00 PM
Attention to detail
Show up on time, every day
Production environment where they are an individual contributor and targets for quantity of work done is measured
All work reviewed by the QA team, quality has to be there as well
Ability to work in a production environment, working quickly and accurately in resolving pended adjustment transactions.
Strong analytical, comprehension, and problem solving skills.
Ability to follow oral and written instructions and directions.
Personal computer experience.
Must be detailed oriented.
Must have good organizational skills and decision-making ability.
Must be able to work independently and as a team member.
Excellent attendance required.
For immediate consideration, please email email@example.com or call 603/623-1181.
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