Processor, Claims I

TEKsystems•Myrtle Beach, SC

2d•$23 - $23•Onsite

About The Position

Responsible for the accurate and timely processing of claims. •75% Researches and processes claims according to business regulation, internal standards and processing guidelines. Verifies the coding of procedure and diagnosis codes. •20% Resolves system edits, audits and claims errors through research and use of approved references and investigative sources. •5% Coordinates with internal departments to work edits and deferrals, updating the patient identification, other health insurance, provider identification and other files as necessary. Training will be 6 weeks onsite • Hours are 8am – 5pm (occasional mandatory OT may be required based on business needs) • 3 – 6-month assignment with potential for conversion to FTE C2 clearance will be required for all workers (Magnit will coordinate this with the workers/Suppliers directly) - It can take up to 6 – 8 weeks to receive clearance

Requirements

High School Diploma or equivalent
None

Nice To Haves

1 year-of experience in a healthcare or insurance environment.
Ability to use complex mathematical calculations.

Responsibilities

Researches and processes claims according to business regulation, internal standards and processing guidelines. Verifies the coding of procedure and diagnosis codes.
Resolves system edits, audits and claims errors through research and use of approved references and investigative sources.
Coordinates with internal departments to work edits and deferrals, updating the patient identification, other health insurance, provider identification and other files as necessary.