Experienced Medical Claims Processor

Job Title: Claims Processor

Job Location: Charlotte, NC

Company Website: www.90degreebenefits.com

Company Summary:

90 Degree Benefits is a health benefits company that specializes in designing health plans and administering benefits for self-funded employers. With a fully integrated, comprehensive medical risk management program that improves health care outcomes for plan participants, the 90 Degree Benefits team of experts is able to significantly reduce claim costs for employer clients. Like all of the 90 Degree Benefits locations, the Charlotte, NC office serves employers and their members both locally and nationwide. As leaders in the industry, the 90 Degree Benefits team in Charlotte takes pride in guiding clients on the road to achieving more with their health plan.

Position Summary:

****** MUST HAVE DIRECT MEDICAL CLAIMS PROCESSING EXPERIENCE******

90 Degree Benefits is seeking a full-time Claims Processor to join our team. This is a non-exempt position that will be responsible for determining insurance coverage, processing and resolving medical claims, documenting actions, and ensuring legal compliance. Applicant must have at least 3 years of experience in medical claims processing. Detailed job responsibilities and qualifications are listed below. After 3 months of onsite training in our Charlotte, NC, office, this position will work from home 4 days a week. Excellent pay, flexible hours, and comprehensive benefits offered.

Essential Duties and Responsibilities:

• Responsible for all aspects of claim adjudication for medical, hospital, and vision for multiple groups in accordance with their plan document
• Works independently and also as a team member
• Processes accurately, as quantity and quality standards apply
• Ensures HIPAA compliancy with protected health information and/or data of sensitive nature
• Provides assistance to customer service for claim inquiries and resolution
• Performs other related duties, as assigned
• Provides back-up support to team members, as required

Qualifications:

• High school diploma or equivalent; preferred higher education in related field
• Required plans and claims processing
• Experience working with TPA preferred (candidates with this experience will be considered first)
• Possess a thorough working and CPT coding
• Application of coordination of benefits
• Understanding of Medicare and Medicaid
• Understanding of COBRA
• HIPAA compliancy
• Ability to interpret client plan documents
• Excellent communication, organizational, and follow-up skills
• Proficient computer skills
• Strong attention to detail

90 Degree Benefits, is an Equal Employment Opportunity (EEO) employer and does not discriminate on the basis of race, color, national origin, religion, gender, age, veteran status, political affiliation, sexual orientation, marital status, or disability (in compliance with the Americans with Disabilities Act) with respect to employment opportunities.

Job Type: Full-time

Pay: $18.00 - $21.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Experience:

• ICD-10: 5 years (Required)
• Medical Claims Processing: 3 years (Required)
• Third Party Administrator: 2 years (Required)

Work Location: In person

Salary : $18 - $21