Insurance Claims Processor

Insurance Claims Processor needs 1+ years’ experience

Insurance Claims Processor requires:

• 2 weeks training onsite

• Must be able to train onsite when requested

• Proficient in Microsoft Excel applications.

• Understand and honor high level of confidentiality. Promote integrity.

• Working knowledge of mainframe computers and systems in general, ie: AS400

• Strong work ethic.

• High school degree required

• Understands third party benefits and administration

• 10,000 keystrokes

Insurance Claims Processor duties:

• Research and apply insurance payments from clients to the appropriate system invoice.

• Research insurance claim payments in the AS/400 to identify correct claim based on customer information, date of service and service/material procedure codes and related charges.

• Continuously improve methods for research and in order to effectively and efficiently process transactions.

• Process transactions apply cash, member bills, resubmit invoices, write-offs, etc. Follow data processing guidelines to meet established departmental standards.

• Communicate with supervisor regarding transactions processed in a timely manner.

• Identify and recommend systems and process modifications necessary to improve the efficiency