Claims Processor

Portsmouth, NH 03801

Posted: 03/06/2019 Employment Type: Contract Industry: Claims Administrator Job Number: 3707829
Duties & 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 assignedRequired Skills: Proficient in Microsoft applications; particularly Word, Outlook and Excel Ability to understand and use all systems required to perform duties, using dual screens Ability to take initiative, prioritize tasks and manage workflow to meet deadlines Ability to interpret, comprehend and follow policies and plan provisions Excellent interpersonal skills Excellent oral and written communication skills Problem solving and analytical skills Demonstrated typing skills and accuracy rate Ability to work autonomously and within a teamQualifications: Education: High School degree or equivalentExperience: 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

Ashley Dineen
Director, Client Services

Ashley Dineen has been with The Panther Group since 2009 and has worked within many areas of the company including payroll, compliance, on-boarding, recruitment, and client management.

Ashley is a mother of two and enjoys spending time with family in her spare time.

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