## Job Overview
We are seeking a detail-oriented Claims Representative to join our team. The ideal call center agent be responsible for processing and managing medical claims, ensuring accuracy and efficiency in claims resolution.
## Duties
-inbound outbound call support.
-good understanding of Microsoft excel.
– Review and process health insurance claims for accuracy and completeness
– Utilize financial software to assess and calculate claim amounts
– Understand and apply ICD-9 coding to claims
– Maintain medical records and documentation related to claims
– Familiarity with Workers’ Compensation laws and regulations
– Verify insurance coverage and eligibility for claimants
– Knowledge of medical terminology to accurately assess claims
– Collaborate with medical billing teams for claim processing
– Ensure proper insurance verification procedures are followed
## Requirements
– Previous experience in clerical roles within the insurance or healthcare industry is preferred
– Proficiency in financial software for claims processing.
-proficient in Microsoft excel.
-good call center experience.
– Knowledge of Workers’ Compensation laws is a plus
– Strong attention to detail and accuracy in claim assessment
– Excellent communication skills for interacting with claimants and internal teams
Job Type: Full-time
Pay: $54,007.00 – $58,516.00 per year
Benefits:
? Work from home
Schedule:
? 8 hour shift
? Monday to Friday
Education:
? High school or equivalent (Preferred)
Experience:
? Microsoft Office: 1 year (Preferred)
? Customer service: 1 year (Preferred)
? Call center: 1 year (Preferred)
? MEDICAL/HEALTHCARE CLAIMS: 1 year (Preferred)
? Microsoft Excel: 1 year (Preferred)
? INBOUND / OUTBOUND CALL: 1 year (Preferred)
Work Location: Remote
