HELP-Hire Healthcare Hiring for Claims Benefits Specialist $30 HOUR! Job at Bellaire, TX Full Time

Claims Benefits Specialist $30 HOUR!

Location: 100% REMOTE, FELXIBLE HOURS

Shift: Candidate can have a work shift anywhere between 7a.m to 5 p.m.

Job Summary:

• To investigate and accurately process claim appeals within the regulatory requirements mandated by the State of Texas.

Duties include:

• Process Specialists Adjustments, Replacements, Refunds, and Appeals Queues, at 98% average, within 30 days of receipt.(Specialists must process a minimum of 6 claims per hour, per day, annual average).
• Process group queues content at 98% average, within 30 days of receipt.
• Review and process pended claims, within 5 days of initial review.
• Respond to internal inquiries within 48 hours of receipt. Review, investigate and provide accurate and efficient follow-up.
• Ensure Special Projects are completed accurately, in a timely and efficient manner.
• Participates in system testing and reviews for upgrades/implementation.

Skills:

• Knowledge of the most recent ICD, CPT/HCPCS coding methodologies (and their successors), as well as general principles with claims processing guidelines
• Strong organizational skills

Education:

• Required- H.S. Diploma or GED
• Required- 3 years claims processing experience
• A Bachelor’s degree may substitute for the required experience.

**Must be up to date with COVID-19 Vaccinations and Boosters**

Job Type: Full-time

Pay: $30.00 per hour

Benefits:

• Health insurance

Schedule:

• 8 hour shift

Work Location: One location