Medical Claims Processor

Association Health Care Management is seeking Medical Claims Processors to join our team in Houston, TX!

Competitive Pay & Great Benefits

Having Experience is a Must

We Offer

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Paid training
  • Vision insurance
  • 1 hour lunch break
  • PTO
  • Competitive Pay
  • Great Company Culture

Job Duties

  • Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing, and adjusting hospital and physician claims.
  • Consistently meet established productivity, schedule adherence and quality standards.
  • Knowledge of International Classification of Diseases (ICD) and/or Current Procedural Terminology (CPT) codes required.
  • Answers phone calls regarding claims questions as needed.
  • Adheres to privacy and confidential and proprietary company policies and procedures (i.e., HIPAA).
  • Data entry and coding
  • Prep documents
  • Reprice bills according to the physician/facility contracts.
  • Scan all claims accurately and efficiently
  • Communications - interacts effectively
  • Teamwork - Work and interact effectively as a team member; support the team approach
  • This is a challenging role that takes an ability to thoroughly review, analyze and research complex health care claims to identify discrepancies, verify pricing, confirm prior authorizations, and process them for payment.
  • You’ll need to be comfortable navigating across various computer systems to locate critical information.
  • Attention to detail is critical to ensure accuracy, which will impact the timely processing of the member's claim.

Qualifications

  • High School Diploma/GED
  • 2+ years of experience analyzing healthcare claims
  • Familiarity with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
  • Experience in using excel to create and maintain spreadsheet, Word for documentation
  • Ability to screen and populate from different sources
  • Experience using Microsoft Office to manage emails
  • Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product
  • Extended periods of sitting at a computer and use of hands/fingers across keyboard or mouse
  • Office environment
  • Pass background check

Job Type: Full-time

Pay: From $15.00 per hour

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Schedule:

  • Monday to Friday

Ability to commute/relocate:

  • Houston, TX: Reliably commute or planning to relocate before starting work (Preferred)

Application Question(s):

  • Can you work M-F 8am-5pm schedule?
  • Can you pass a background check?

Education:

  • High school or equivalent (Preferred)

Experience:

  • Claims Processing: 1 year (Required)
  • Medical Bill and Coding: 1 year (Required)

Work Location: One location

Posted
11/14/2021
Salary Range
$24,000.00 - 32,000.00
per Year
Salary range estimated by
Location
Houston, TX 77246, US
Apply Now