Medical Claims Processor

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Accurate processing and completion of medical claims. Process claims that route out of automatic adjudication, within current turnaround standards. Demonstrate proficiency in product lines applicable to processing unit. Understand and apply plan concepts: Deductible, Coinsurance, Copay, Out-of-pocket, State variations. Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives. Responsibilities: Accurate processing and completion of medical claims Process claims that route out of automatic adjudication within current turnaround standards Demonstrate proficiency in product lines applicable to processing unit Understand and apply plan concepts: Deductible, Coinsurance, Copay, Out-of-pocket, State variations Comply with employment contract, company policies and procedures, and directives including transfer, re-assignment, shift changes, and alternative work arrangements Willing to work night shifts Requirements: Good communication skills written and verbal Good typing speed (English) and accuracy Proven result-oriented and goal-driven Analytical ability with research skills and effective decision-making Superior interpersonal skills Ability to accept constructive criticism and coaching Critical thinking abilities Ability to multi-task and understand multiple products and benefit levels Ability to remain focused and productive with repetitive tasks Working knowledge of MS Office Willing to work night shifts Required Skills: Communication Skills, Typing Speed (English), MS Office, Analytical Ability, Critical Thinking, Multi-tasking, Decision Making, Interpersonal Skills, Goal-oriented