Medical Claims Processor II

    • Job Tracking ID: 512935-586953
    • Job Location: Meridian, ID
    • Job Level: Entry Level (less than 2 years)
    • Level of Education: High School/GED
    • Job Type: Full-Time/Regular
    • Date Updated: August 11, 2017
    • Years of Experience: Up to 2 Years
    • Starting Date: September 18, 2017
    • Salary Type:: Hourly
    • Rate:: $14.00/Depends on Experience
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Job Description:

10As a Medical Claims Processor II, you will provide internal and external customer service relative to medical claims processing.

1-2 years prior medical claims processing experience is required.

Key Result Areas

Essential

  • Production is 25-27 claims per hour.
  • Standard 5-day turnaround time for call tracking
  • Keep assigned clients at a 5 working-day turnaround time
  • Maintain accuracy of 99% for financial, 97% for payment, and 95% for procedures
  • Handles incoming pending responses on a daily basis
  • Assist Claims Team Leads and other Claims Processors as needed
  • Process adjustments
  • Performs other duties as assigned or needed.

Experience and Skills:

Minimum Qualifications

  • Knowledge of medical and dental terminology
  • Knowledge of ICD-9, ICD-10, CPT coding
  • 1-2 years prior medical claims processing experience required
  • 10 key by touch
  • Type 65 wpm
  • Good problem solving and analytical skills
  • Ability to efficiently and effectively perform the Essential Key Result Areas with or without a reasonable accommodation without posing a direct safety threat to others or self
  • Excellent correspondence skills
  • High school graduate or equivalent
  • Protect and enhance the Core Purpose and the Core Values of the AmeriBen/IEC Group.