Medical Claim Specialist
- Full-time
Company Description
Staffing Service USA (SSUSA) is a locally owned and operated business and has been in business for over 27 years. SSUSA provides flexible staffing, temp to hire, and permanent placement services specializing in Industrial, Office, and Professional Staffing. Please visit our website for additional information at www.staffingserviceusa.com for additional information.
Job Description
We are seeking a Medical Claim Specialist for our client in the Lancaster area.
This is a full time position and the Medical Claim Specialist will be responsible for verifying coverage, investigating, managing and resolving medical-only claims in accordance with established requirements and procedures. This person will be the point of contact on questions from providers, clients and their injured employees.
Essential Job Functions:
- Review all medical invoices for unassigned medical only claims
- Approve appropriate invoices for payment in a timely manner
- Respond to calls from providers and directs medical care, where appropriate
- Review the unassigned medical only claims in accordance with claims handling criteria.
- Assign claims to the appropriate claim rep when criteria are met
Qualifications
The Medical Claim Specialist is required to have the following:
- MINIMUM 3 years insurance claims or related experience
- MUST be familiar with medical bills, medical terminology and medical coding
- High School Diploma
- Proficient with MS Excel
- Strong attention to detail
- Professional phone demeanor
$12 - $16/hour
Additional Information
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