Medicaid Claims Adjuster - remote
Job Title : Medicaid Claims Adjuster - remote
Location : Remote
Term : Long Term Contract
Job Description :
- Claims Adjudication / Adjustment
- Having HCFA 1500 and UB04 processing is desirable (not mandatory).
- Facets experience is a plus (not mandatory)
- Working on multiple screens, hand-on with claims processing
- Review and scrutinize claims and process claims into the computer system as per the provided DLPs / guidelines
- Determine accurate claims payment or denial, identify, and elevate dubious claims or system issues to process the claim accurately.
- Process claims in a timely manner, as per the required TAT
- Correct errors or omissions on claim and investigate questionable data
- To maintain Quality as per the SLA
- To maintain Productivity as per the SLA
- Continuously meet and exceed the assigned Targets
- Performance should be maintained in accordance with the process performance parameters
- To maintain confidentiality of work done
- To follow all regulatory requirements and procedures as per the company policy
- Display high levels of professionalism in the work delivered and overall conduct
Skills
- Claims Adjudication / Adjustment experience
- Having HCFA 1500 and UB04 processing is desirable (not mandatory)
- Facets experience is a plus (not mandatory)
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We always seek to deliver competitive and sought-after career opportunities to our potential consultants and employees. We invite you to review the position requirements and apply today if your skills match our needs.
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Medicaid Claims Adjuster - remote
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