What are the responsibilities and job description for the Claims Examiner position at Anchor Benefit?
Anchor Benefit Consulting is Expanding: Claims Examiner Wanted!
Are you detail-oriented, a pro at problem-solving, and passionate about ensuring the integrity and accuracy of health insurance claims? If so, we've got an exciting opportunity that might just be your next career move!
Position: Claims Examiner
Industry: Health Insurance: Flexible – let's find a spot that suits us both.: Full-time commitment with the drive to exceed expectations.
Who We Are: Anchor Benefit Consulting stands at the forefront of health insurance, dedicated to simplifying the complexities of claims for our clients and plan participants. Our mission revolves around the assurance of accurate, fair, and timely claims processing, guided by compassion and precision.
What You'll Do:
- Dive into the world of claims, examining, reviewing, and processing with an eagle eye for accuracy and eligibility.
- Decode the mysteries of claim forms including CMS 1500, UB-04, and those related to dental and vision.
- Make informed decisions on claim approvals or denials, ensuring alignment with plan terms.
- Lead the charge in claims audits, delivering valuable insights and feedback to refine processes.
- Forge connections with providers to resolve billing mysteries and ensure fair payment practices.
- Be the beacon of knowledge on new guidelines, actively contributing to the optimization of our claims process.
- Deliver exceptional customer service, maintaining the trust and satisfaction of our clients and healthcare providers.
- Thrive in a collaborative environment, driving continuous improvement and excellence in claims processing.
Who You Are:
- A claims connoisseur with at least 3 years deep in the trenches of healthcare claims examination and auditing.
- Experienced with a diverse array of claim types, from dental and vision to FSA and section 105.
- A communicator par excellence, wielding both verbal and written prowess with ease.
- Detail-obsessed, with a critical eye for medical coding systems and terminology.
- A master organizer and planner, capable of juggling multiple priorities with grace.
- Computer savvy, especially with Microsoft Office, and ready to tackle new software systems head-on.
- Ethically unswerving, with a steadfast commitment to confidentiality and compliance.
- A team player, self-motivated, and driven by a passion for excellence in healthcare administration.
Why Anchor Benefit Consulting?
Joining our team means more than just a job. It's a chance to make a tangible difference in the lives of many, ensuring the fairness and accuracy of health insurance claims processing. At Anchor Benefit Consulting, we're committed to fostering a culture of growth, support, and innovation, where your career can flourish.
If you're driven by excellence and ready to contribute to our mission of delivering top-notch claims processing services, we want to hear from you.
Job Type: Full-time
Pay: $55,000.00 - $65,000.00 per year
Benefits:
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Paid training
- Vision insurance
Application Question(s):
- Do you have experience with HCFA and UB-04?
- Do you have experience with CPT, RVS, ICD-10, and HCPCS?
Ability to Commute:
- Maitland, FL 32751 (Required)
Work Location: Hybrid remote in Maitland, FL 32751
Salary : $55,000 - $65,000