Description
We're seeking a Medical Claims Analyst to work at a premier healthcare organization in Northwest Houston, TX 77092. Sound good? Take a closer look below. Salary/Pay Rate/Compensation: $18 hr.
What's a typical day as a Medical Claims Representative? You'll be:
• Maintaining workflow inventory on a day-to-day basis to ensure accurate claim determinations.
• Processing claims timely based on the productivity standard in accordance with contractual and non-contractual processing guidelines.
• Assisting and supporting other Claim Processors as needed and when requested.
• Completing various work assignments as requested by supervisor in a timely manner.
• Maintaining current desk procedures and reference materials.
• Working with claims management in the review of special projects.
• Performing any other assigned duties.
Requirements:
• Have a High School diploma or equivalent.
• Have a minimum of 1 year of medical claims adjudication experience in an HMO, PPO, or TPA setting.
• Have an understanding of medical terminology, CPT/HCPCS and ICD-9/ICD-10 Coding, and billing forms (HCFA/UB04).
• Have a strong knowledge of Medicare claims processing guidelines and payment methodologies.
• Have the ability to follow workflow procedures to release pended claims timely and accurately.
• Have knowledge of Medicare Secondary Payer regulations.
• Have strong analytical skills.
• Have basic computer knowledge.
As part of our promise to talent, Kelly supports those who work with us through a variety of benefits, perks, and work-related resources. Kelly offers eligible employees voluntary benefit plans including medical, dental, vision, telemedicine, term life, whole life, accident insurance, critical illness, a legal plan, and short-term disability. As a Kelly employee, you will have access to a retirement savings plan, service bonus and holiday pay plans (earn up to eight paid holidays per benefit year), and a transit spending account. In addition, employees are entitled to earn paid sick leave under the applicable state or local plan. Click here for more information on benefits and perks that may be available to you as a member of the Kelly Talent Community.
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Work changes everything. And at Kelly, we're obsessed with where it can take you. To us, it's about more than simply accepting your next job opportunity. It's the fuel that powers every next step of your life. It's the ripple effect that changes and improves everything for your family, your community, and the world. Which is why, here at Kelly, we are dedicated to providing you with limitless opportunities to enrich your life—just ask the 300,000 people we employ each year.Kelly is committed to providing equal employment opportunities to all qualified employees and applicants regardless of race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, age, marital status, pregnancy, genetic information, or any other legally protected status, and we take affirmative action to recruit, employ, and advance qualified individuals with disabilities and protected veterans in the workforce. Requests for accommodation related to our application process can be directed to the Kelly Human Resource Knowledge Center. Kelly complies with the requirements of California's state and local Fair Chance laws. A conviction does not automatically bar individuals from employment. Kelly participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.
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