Claims Specialist

Portsmouth, NH 03801

Posted: 12/02/2019 Employment Type: Contract Industry: Claims Administrator Job Number: 4214995

Job Description


Responsibilities:
  • Process Professional and Hospital claims accurately and timely within claiming system
  • Process claims according to set guidelines for payment or denial
  • Price claims according to Medicare, Medicaid and custom fee schedules
  • Meet personal and team goals and metrics
  • Manually enter data from CMS1500 and UB04 claims into claiming system as necessary
  • Use available resources to manage workload
  • Actively participate in staff meetings
  • Communicate with supervisor on workload/issues/backlog
  • Follow procedures, guidelines and policies
  • Provide customer support for a 1-800 line inquiries as needed
  • Assist with other duties as assigned

Qualifications:

Education:
  • High School Degree or Equivalent

Experience:
  • Experience working in claims or healthcare environment as well as customer Service Call Center or Customer Facing positions
  • Basic understanding of medical coding guidelines and medical terminology preferred
  • Basic understanding of healthcare and claims concepts preferred

Meet Your Recruiter

Delsin Grubbs
Senior Recruiter

Delsin began working with The Panther Group in 2007. He left for a few years, then returned as a recruiter in 2013 after coaching high school football and winning a state championship with that team. He is father to a 14-year-old sophomore in high school.

Delsin loves all food, but eats sushi 2-3 times a week.

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