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Group Benefit Services (GBS) is Hiring a Medical Claims Processor Near Springfield, MO
Job Type - Employee, Full Time (40 hours a week) or Employee
Duties and Responsibilities:
- Responsible for accurate and timely adjudication of claims following GBS protocol.
- Analyze, process, research, adjust and adjudicate claims with timely reviewing for covered procedures/revenue and ICD-10 codes. Ensure accurate application of benefits with EOB/payment issuing to the correct provider.
- Process claims based upon contractual and/or Our Client agreements, use of established payment methodologies, applicable regulatory legislation, GBS policies and claims procedures guidelines.
- Identify claim overpayments and request refunds.
- Compile detailed reports as requested.
- Alerts manager or supervisor of issues that impact production and quality, i.e. incorrect database configurations, non-compliant claims, inefficient processes, system interface issues, etc.
- Answer incoming calls promptly and professionally, addressing inquiries and concerns from healthcare professionals and plan members. Document calls and complete follow up steps, if needed, to resolve caller requests. (outbound calls, research, fax, etc.)
- Manage time / prioritize effectively, having the ability to handle complex issues and constant change.
- Quality-focused performance
- Must be well organized, able to multi-task while remaining detail oriented
- Must be proficient working with database and processing software, excel, word and outlook
- Must have good mathematical, problem solving and analytical skills
- Provide the best customer service to all customers (external and internal) using professional written and verbal skills
BenefitsMedical, Dental, Vision, Group Life, Dependent Life, Short Term Disability, Long Term Disability, Voluntary Life, PTO, Paid Holidays, Simple IRA and Bonus ProgramCompany DescriptionGroup Benefit Services, Inc. (GBS) is an insurance claim technology organization headquartered in Springfield, Missouri. GBS has a variety of resources to provide a premier quality of employee benefit programs helping to deliver what Plan Sponsors want most – improved savings, optimal quality, and positive member experience. “Quality People & Technology, Delivering Best in Class Performance.”
Group Benefit Services, Inc. (GBS) is an insurance claim technology organization headquartered in Springfield, Missouri. GBS has a variety of resources to provide a premier quality of employee benefit programs helping to deliver what Plan Sponsors want most – improved savings, optimal quality, and positive member experience. “Quality People & Technology, Delivering Best in Class Performance.”
Job Summary
Full Time
$34k-40k (estimate)
05/24/2024
06/02/2024
The job skills required for Medical Claims Processor include Customer Service, Claim Processing, Problem Solving, Call Center, Leadership, etc. Having related job skills and expertise will give you an advantage when applying to be a Medical Claims Processor. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Medical Claims Processor. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Medical Claims Processor positions, which can be used as a reference in future career path planning. As a Medical Claims Processor, it can be promoted into senior positions as a Claims Clerk II that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Medical Claims Processor. You can explore the career advancement for a Medical Claims Processor below and select your interested title to get hiring information.
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