What are the responsibilities and job description for the Claims Examiner position at Productive Processing, Inc.?
Position Summary
The Claims Examiner is primarily responsible for processing medical claims accurately, and efficiently. The Claims Examiner will work independently will little supervision. This position may assist with special projects and claims reprocessing.
Essential Functions and Responsibilities
- Process claims that require more than basic claims training.
- Calculate other insurance and re-pricing benefits
- Identify claims issues and escalate these to the appropriate staff for resolution
Preferred Functions and Responsibilities
- Cross train and work in all processes as needed
- Process complex medical claims
Required Skills & Abilities
- High School Diploma/GED or equivalent
- 1-3 years of experience in claims processing
- Ability to recognize claims by determining claim type - professional, institutional, and other types
- Proficient in Microsoft Office suite with 10 key entry; minimum typing speed of 45 wpm
- Ability to remain focused and productive in a work environment that includes repetitive tasks
- Basic mathematic skills
- Good verbal and written communication skills
- Ability to work independently
- Ability to be adaptable and offer creativity in a continually changing environment
Preferred Skills & Abilities
- Experience in medical claims processing
- Knowledge of medical coding or medical terminology
Job Type: Full-time
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Work Location: Remote
Salary : $42,375 - $59,760