Job Detail
This job is no longer available.
Position: Billing Specialist Category: Converted
City: State : OK
Branch Name: Tulsa Dress Code:
Branch Phone: (918) 551-7767 Job ID: 233224
Pay Information: Order Type: TTH
Description

Title: Medical Claims Auditor

Salary: $18.00-$22.00 an hour

What’s in it for you?

As a/a Medical Claims Auditor, a typical day for you might include the following: Performing insurance claim follow up, working from the aging report, contacting insurance companies to determine why a claim has not been paid, making corrections including filing appeals and resolving coding errors to get claims paid. This particular position also works with Indian Health, Patient Assistant Programs and assists patients with questions about their accounts. This person doesn’t do the coding but must be familiar in order to file appeals and recognize if a claim was denied due to incorrect code.

This job might be for you if:

    • At least 5 years of experience as a Claims Processor or in a related role.
    • Working knowledge of the insurance industry and relevant federal and state regulations, Indian Health, Patient Assistant Programs.
    • Computer literate and proficient in MS Office.
    • Excellent critical thinking and decision-making skills.
    • Good administrative and organizational skills.
    • Strong customer service skills.
    • Ability to work under pressure.
    • High attention to detail.

The company will expect you to:

    • Communicating with insurance agents
    • Preparing claim forms and working from aging reports.
    • Reviewing claim submissions and verifying the information.
    • Determining policy coverage and calculating claim amounts.
    • Filing appeals and resolving coding errors.
    • Complying with federal, state, and company regulations and policies.

While performing the duties of this job:

You may be constantly required to sit and use hands to operate telephone, type and operate computer and mouse. You also may occasionally lift and/or move up to 10 pounds and rarely lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision and distance vision.

To be a ProRecruiters candidate you will:

  • Have your Resumes .doc format – pdf and txt versions will not be accepted, and your resume must clearly reflect your skills and be free of any spelling errors or punctuation errors.

  • Have an Associate’s Degree OR at least 3 years of professionally related work experience with a work history that does not include a string of employment. A string is considered to be multiple consecutive employers where the tenure was for a year or less.

  • Have business professional experience since we do not handle any industrial or general labor positions.

  • Our Purpose: Improving the quality of lives in our communities.
  • Our Mission: To be an instrument of hope to our candidates seeking employment and our clients seeking quality employees to help them grow their organizations.
  • Our Vision: We do more than just fill jobs; we create them by putting great professionals in great jobs.

About Us
We are proud to be an equal opportunity employer.
  This job is no longer available.