Insurance Claims Processor

Insurance Claims Processor needs 1+ years experience

Insurance Claims Processor requires:

2 weeks training onsite

Must be able to train onsite when requested

Proficient in Microsoft Excel applications.

Understand and honor high level of confidentiality. Promote integrity.

Working knowledge of mainframe computers and systems in general, ie: AS400

Strong work ethic.

High school degree required

Understands third party benefits and administration

10,000 keystrokes

Insurance Claims Processor duties:

Research and apply insurance payments from clients to the appropriate system invoice.

Research insurance claim payments in the AS/400 to identify correct claim based on customer information, date of service and service/material procedure codes and related charges.

Continuously improve methods for research and in order to effectively and efficiently process transactions.

Process transactions apply cash, member bills, resubmit invoices, write-offs, etc. Follow data processing guidelines to meet established departmental standards.

Communicate with supervisor regarding transactions processed in a timely manner.

Identify and recommend systems and process modifications necessary to improve the efficiency