Medical
Claims Associate<\/span><\/u>
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The
Claims Business Associate will perform all the duties necessary to ensure group
members and providers receive proper payment of policy benefits in a timely
manner, while providing excellent customer service.<\/span>
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· <\/span><\/span><\/span>Duties
include but are not limited to:<\/span>
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· <\/span><\/span><\/span>Receive
pending claims for evaluation and processing.<\/span>
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· <\/span><\/span><\/span>Enter
and/or review claims data in the claims administration system and adjudicate
claims.<\/span>
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· <\/span><\/span><\/span>Accurately
code explanation of benefits.<\/span>
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· <\/span><\/span><\/span>Maintain
claims and task procedural, financial, and timing standards.<\/span>
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· <\/span><\/span><\/span>Adjudicate
pending claims.<\/span>
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· <\/span><\/span><\/span>Review
claims and research as needed.<\/span>
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· <\/span><\/span><\/span>Process
claims received.<\/span>
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Experience:
3+ years claims processing experience. A working knowledge of ICD10, CPT codes
and HIPAA guidelines; knowledge of medical terminology.<\/span>
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This
is a fully remote position.<\/span>
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SilverXis Inc. is leading provider of cutting-edge software development , and workforce solutions. We combine our profound industry expertise with our broad range of full-service capabilities – In House Software Development, Recruitment, Consulting, Staffing, and Outsourcing - to deliver the right fit to our clients and candidates. As a leading provider of Staff augmentation and Development , SilverXis will deliver the support staff with the essential expertise to compliment your organization.
At Silver Xis we are dedicated to giving you an exceptional experience tailored to your specific situation. We accomplish this by listening carefully to your needs and looking beyond the obvious for creative solutions. SilverXis is focused on exceptional customer service and giving our clients what they want: flexibility and access to talent. By utilizing SilverXis screened professionals, our clients are able to maintain high production levels without increasing headcount.
SilverXis has an excellent track record for delivering high-quality, major projects on time and on budget. We can identify real costs and model the projects around value-based priorities for your organization. Since 2005, SilverXis has been providing Staffing solutions in the Field of Information Technology, Healthcare, Customer Service, and Financials.