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Claims Coordinator

Job Title: Claims Coordinator
Location: Chicago IL
Length of Assignment: 6 Months
Guaranteed Hours: 40 Hours
Shift: 8 hours - Day

What previous job titles or background work will in this role?

  • · Claims Adjudicator
  • · Claims Research
  • · Claims Analyst
  • · Claims Provider Specialist

Job Description:

Position Purpose: Review and price pended claims as a result of high dollar limits or system errors. Assists with financial projects related to claims.

Education/Experience:

  • High school diploma or equivalent. Associate's degree preferred.
  • 2+ years of claims, health systems, finance or accounting experience, preferably in a healthcare environment. Knowledge of State payment regulations and guidelines."

Required Skills/Experience:

  • Excel/Word/Outlook/Microsoft Products
  • 2 years of medical claims experience
  • Typing speed 50 wpm
  • Basic knowledge of coding/billing
  • Must have a compatible laptop or desktop

Preferred Skills/ Experience:

  • 5 years Medicaid/Medicare CMS claims adjudication
  • 2 years Provider Data Maintenance or set up knowledge (affiliations, taxonomy)
  • Extensive coding and billing knowledge
  • Knowledge of HFS and IL state guidelines

Duites

  • Review and price pended claims as a result of high dollar limits and system errors
  • Compare/verify of provider billings vs. level of care authorized by medical management to assure provider is reimbursed correctly per the contract
  • Receive and respond to inquiries related to the pricing of pended claims and act as liaison between the Health plan and the Corporate claims department regarding these types of claims
  • Assist with financial projects involving claims
  • Complete and respond to internal audit error reports"

Contract length: 6 months

Job Types: Full-time, Contract

Pay: $18.00 - $20.00 per year

Schedule:

  • 8 hour shift
  • Day shift
  • Monday to Friday

Application Question(s):

  • Basic knowledge of coding/billing ??

Experience:

  • medical claims: 2 years (Required)
  • Basic knowledge of coding/billing: 1 year (Preferred)
  • Medicaid/Medicare CMS claims adjudication: 2 years (Preferred)

Work Remotely:

  • No

Speak with the employer
+91 9203551585

Company
MWIDM Inc.
Posted
11/06/2021
Salary Range
$29,000.00 - 42,000.00
per Year
Salary range estimated by
Location
Chicago, IL 60290, US