QNS Recruiting

  • Claims Processor - Johnstown

    Posted Date 2 weeks ago(7/1/2019 3:36 PM)
    Job ID
    2019-5742
    Company
    Senior LIFE Johnstown
    Location
    US-PA-Johnstown
    Category
    Accounting/Finance
    Type
    Regular Full-Time
    Education Level
    High School Diploma or Equivalent
    Experience Needed
    1-3 years
    Salary Info
    Based on experience.
  • Overview

    Claims Processor

     

    Full Time – Johnstown, Pa

     

    Senior LIFE is an innovative home and community based Medicare and Medicaid funded program which provides all-inclusive healthcare services and support to seniors living in the community. Senior LIFE makes it possible for seniors to remain at home, enjoying the comfort and reassurance of familiar surroundings while receiving the care they need.  Senior LIFE staff live the mission of the program.  Our team is committed to partnering with our seniors to remain at home through promoting open communication and shared decision making while providing excellent care and services.

     

    To fulfill this mission, Senior LIFE is seeking hardworking, dedicating and compassionate professionals to join its team. Within this team, the LIFE Center is seeking a talented, experienced Claims Processor.

    Responsibilities

    The responsibilities include:

    • Processing of medical claims (Outpatient Hospital, Physician, DME, Pharmacy, Ambulance, etc.)
    • Verification of Provider contract language for accurate payment adjudication.
    • Weekly claims adjudication/balancing for claims payment.
    • Verification of referrals obtained for services
    • Preparation of member enrollments for state agency
    • Field incoming phone calls regarding claim questions/claim status
    • Other billing-based duties, as needed

    Qualifications

    This position requires a versatile, independent and detail-oriented professional. Prior claims processing experience is preferred. Working knowledge of Microsoft Word and Excel.

     

     

     

     

     

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