Accounts Payable, Adjudication Systems, Administrative Policies, Auditing, Billing, Claims Processing, Current Procedural Terminology (CPT), Customer Relations, Data Entry, English Language, General Ledger Accounting, Health Insurance, High School Diploma, International Classification of Diseases (ICD), Medical Terminology, Presentation/Verbal Skills, Problem Solving Skills, Reconciliation, Time Management, Writing Skills
Position: Claims Examiner / Accounts Payable Assistant
Department: Executive Administration / Claims
Address: New York, NY 10004
Duration: 8 Weeks
Shift: Day Shift
Schedule: Monday – Friday | 7 Hours/Day | 35 Hours/Week
Pay Range: $26-$28/hr.
Additional Information
- 3 Openings
- Exposure to General Ledger
- Data entry and system adjudication of provider claims
- Ability to review, audit, and process invoices while identifying errors
- Maintain departmental production and quality goals
Required Experience
- Minimum 2 years of experience in the healthcare insurance industry
- Experience with integrated claims processing
- Experience with intermediate PC applications
- Decision-making, problem-solving, and time management skills
- Proficient data entry skills
- Knowledge of medical terminology, CPT, ICD, and Revenue Codes
- Experience reviewing, auditing, and processing invoices
- Exposure to General Ledger
Required Skills
Claims Processing, Integrated Claims Processing, Healthcare Insurance, Invoice Auditing, Invoice Processing, General Ledger, Data Entry, Medical Terminology, CPT Coding, ICD Codes, Revenue Codes, Intermediate PC Applications, Decision Making, Problem Solving, Time Management.
Required Education
- High School Diploma or GED
Preferred Education
- Associate Degree or equivalent combination of education and experience
Job Responsibilities
- Process medical and surgical claims by reviewing member/provider information.
- Apply administrative policies using claims processing manuals.
- Authorize provider letters/questionnaires to obtain additional information.
- Review claims to determine validity of charges and identify errors.
- Evaluate claims pending due to contractual and payment discrepancies.
- Review, audit, and process invoices while identifying errors.
- Maintain departmental production and quality goals.
- Maintain individual production counts and update manuals/reference materials.
- Attend refresher training seminars.
- Authorize final disposition of claims accurately and within established guidelines.
Professional Competencies
Integrity & Trust, Customer Focus, Functional/Technical Skills, Written & Oral Communication.
Language
I
Integrated Resources, Inc