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Medical Claims Processor - Entry Level

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Robert Half Office Team


Description Primary Responsibilities Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing, and adjusting hospital and physician claims. Consistently meet established productivity, schedule adherence and quality standards Knowledge of International Classification of Diseases (ICD) and/or Current Procedural Terminology (CPT) codes required. Answers phone calls regarding claims questions as needed. Adheres to privacy and confidential and proprietary company policies and procedures (i.e. HIPAA). Data entry and coding. Prep documents. Reprice bills according to the physician/facility contracts. Scan all claims accurately and efficiently. Communications - interacts effectively Teamwork - Work and interact effectively as a team member; support the team approach This is a challenging role that takes an ability to thoroughly review, analyze and research complex health care claims to identify discrepancies, verify pricing, confirm prior authorizations, and process them for payment. You will need to be comfortable navigating across various computer systems to locate critical information. Attention to detail is critical to ensure accuracy, which will impact the timely processing of the member's claim Requirements Must have Qualifications and Experience High School Diploma/GED 2+ years of experience analyzing healthcare claims Familiarity with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications Experience in using excel to create and maintain spreadsheet, Word for documentation Ability to screen and populate from different sources Experience using Microsoft Office to manage emails Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product Extended periods of sitting at a computer and use of hands/fingers across keyboard or mouseRobert Half is the worlds first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.Robert Half puts you in the best position to succeed by advocating on your behalf and promoting you to employers. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity even on the go. Download the Robert Half app and get 1-tap apply, instant notifications for AI-matched jobs, and more.Questions? Call your local office at 1.888.###.####. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals. Visit for more information.2021 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking Apply Now, youre agreeing to Robert Halfs Terms of Use (
Associated topics: care, clinic, family, nocturnist, practice, practice physician, primary, primary care, provider, urgent
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