Claims Processor I

    • Job Tracking ID: 512935-710410
    • 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: November 21, 2019
    • Years of Experience: Up to 2 Years
    • Starting Date: ASAP
    • Salary Type:: Hourly
    • Rate:: $12.14 + DOE
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Job Description:

Job Summary

This is an entry-level medical claims processing position. The Claims Processor I provides internal and external customer service in the Claims department. Successful candidates will have basic knowledge of medical terminology, billing and coding, and viewing medical claims forms. Experience working in a medical office setting is preferred.

Key Result Areas

  • Maintains production minimum of 25 claims per hour.
  • Maintains accuracy of 99% financial, 97% payment and 95% procedures.
  • Responsible to keep assigned clients at 5-day turnaround time.
  • Processes priority claims, call trackings and return pends.
  • Completes call logs, skimmages and pends on a daily basis as assigned.
  • Assists Claims Team Lead and other Claims Processors as needed.
  • Performs other duties as assigned or needed.

Experience and Skills:

  • High school degree or equivalent.
  • Knowledge of medical and dental terminology.
  • Knowledge of ICD-9, ICD-10, CPT coding preferred.
  • 1-2 years’ prior claims processing or billing experience preferred.
  • Good problem solving and analytical skills.
  • Types 45 wpm, 10-key by touch, and computer knowledge.
  • Able to demonstrate excellent attendance and punctuality.
  • Excellent customer service attitude and professionalism.
  • Demonstrate Accuracy, Customer Service, Timely Turn-Around (ACT).
  • Exceptional verbal and written communication skills.
  • Proficiency using Microsoft Office (Word, Excel, Outlook, etc.).
  • Ability to work efficiently, perform multi-tasking, prioritize tasks, and meet tight deadlines.
  • Possess a high degree of integrity and discretion, as well as the ability to adhere to both company policies and best practices.
  • Ensure compliance with security practices and procedures, including HIPAA and HITRUST standards.
  • Ability to efficiently and effectively perform the Key Result Areas with or without a reasonable accommodation without posing a direct safety threat to others or self.
  • Protect and enhance the Core Purpose and the Core Values of AmeriBen.

AmeriBen is an Equal Opportunity/Affirmative Action Employer committed to creating an environment of diversity and inclusion for equal employment and advancement opportunities to all employees and applicants for employment. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, national origin, sex, sexual orientation, gender identity and/or expression, genetic information, disability, veteran or military status, or any other category protected by federal, state and/or local law.

If you are unable to use our online application process due to a disability, please contact the Human Resources Department at humanresources@ameriben.com.