Fully Remote Medical Claims Processor

This range is provided by Reqroute, Inc. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $17.00/hr - $17.00/hr Fully Remote Claims Processor Duration: 5-6 Month Project Pay: $17.00/hr on W2 Hours: 7:00am – 4:00pm PST Start Date: Targeting for December 15th Role Each associate is responsible for validating members’ Out-of-Pocket Maximum (OOPM) cost shares based on the audit years provided in the Accumulator Overages Report. The process involves reviewing the members’ responsibilities according to their plan benefits and ensuring that OOPM limits and any overages are accurate, following the preset criteria established by Centene. If a member has exceeded their OOPM limit, the excess amount will be reimbursed directly through medical claims and pharmacy reimbursements. Qualifications • 1-3 years of experience in claims processing • Good logical thinking ability • Knowledge of US Healthcare Industry • Exposure to MS Office Responsibility • Adjudication/Adjustments of claims with zero errors • Completion of claims in queue within specified time frame Seniority level • Executive Employment type • Contract Job function • Customer Service • Business Consulting and Services Referrals increase your chances of interviewing at Reqroute, Inc by 2x Get notified about new Medical Claims Processor jobs in United States. Apply tot his job Apply tot his job Apply To this Job