Insurance Claims Adjudication Specialist

Firstsource Healthcare

Date: Dec 1, 2023

Location: Remote, Remote, US

Requisition ID: 6062

Description:

Join us at Firstsource Transaction Services! We are a leading Business Process Management company, providing customer-centric business process services. With a diverse array of resources, we can tap into our talent pools to ensure client proximity, deep market and domain expertise, and superior communication; called our ‘Right-shore’ delivery model. We leverage this model to serve organizations in the Banking, Financial Services and Insurance, Healthcare, Telecommunications & Media verticals. Our brand’s promise is – Business Process. Simplified.

Due to our continued growth, we are looking for results-oriented Claims Analyst to join our team. In this position, you will enjoy an independent and team work oriented environment. We will provide you with the processes, training and support that will enable you to succeed throughout your career. If you’re in the market for a rewarding and profitable career with one of the industry’s most recognized BPM Services Company, we want to hear from you. Contact us today!

Here are just some of the benefits you will enjoy in this financial services role:

  • Paid Training
  • Matrix Pay (paid by the claim) upon training completion
  • Flexible schedules-After Training
  • Medical, dental, vision, disability and life insurance
  • 401 (K) plan
  • Paid time off
  • Paid holidays

Claims Analyst – Insurance Claims Representative

(Health Care / Medical Financial Services)

Job Requirements

We are seeking a highly-motivated and success-driven Insurance Claims Representative who combines exceptional analytical and problem-solving skills, with the ability to positively adapt to change in a dynamic fast-paced environment. It is also vital that you display exceptional verbal and written communication, negotiation and active-listening skills, as well as the ability to work effectively in an environment with fluctuating workloads.

Specific qualifications for this medical financial services role include:

  • High School diploma or GED
  • Health claims processing experience
  • QNXT Processing System experience required

Knowledge in the following a plus:

  • Medical terminology
  • ICD-9/ICS-10, CPT, and HCPCS coding
  • HIPAA regulations
  • PC applications and systems
  • Ability to read and interpret general business correspondence, procedure manuals, and specific plan documents
  • Basic mathematical skills
  • Intermediate typing skills
  • Multiple computer application usage experience

We are an Equal Opportunity Employer. All qualified applicants are considered for employment without regard to race, color, age, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by federal, state or local law.

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