Processor, Claims I

Company: Hornet Staffing
Location: Nashville
Posted on: January 27, 2023

Job Description:

Duties
Onsite

• 
  
• Responsible for the accurate and timely processing of claims.
  
• 75% Researches and processes claims according to business regulation, internal standards and processing guidelines.
  
• Verifies the coding of procedure and diagnosis codes.
  
• 20% Resolves system edits, audits and claims errors through research and use of approved references and investigative sources.
  
• 5% Coordinates with internal departments to work edits and deferrals, updating the patient identification, other health insurance, provider identification and other files as necessary.
  
  Required Skills and Abilities:
  
  
  • 
    
  • Strong analytical, organizational and customer service skills.
    
  • Strong oral and written communication skills.
    
  • Proficient spelling, punctuation and grammar skills.
    
  • Good judgment skills. Basic business math skills.
    
    Required Software and Tools:
    
    
    • 
      
    • Basic office equipment.
      
      Preferred Software and Other Tools:
      
      
      • 
        
      • Proficient in word processing and spreadsheet applications.
        
      • Proficient in database software.
        
        Work Environment:
        
        
        • 
          
        • Typical office or home environment.
          
          
          Required
          
          
          • 
            
          • ACCURATE DATA ENTRY
            
          • PROCESSOR
            
          • CLAIMS
            
            
            
            
            Additional
            
            
            • 
              
            • DATABASE
              
            • INSURANCE ENVIRONMENT
              
            • CUSTOMER SERVICE ORIENTED
              
              
              
              
              

Keywords: Hornet Staffing, Nashville , Processor, Claims I, Other , Nashville, Tennessee