Medicaid Claims Adjuster - remote - Reqroute : Job Details

Job Title: Medicaid Claims Adjuster - remote Location: Remote Term: Long Term Contract Job Description:

• Claims Adjudication / Adjustment
• Having HCFA 1500 and UB04 processing is desirable (not mandatory).
• Facets experience is a plus (not mandatory)
• Working on multiple screens, hand-on with claims processing
• Review and scrutinize claims and process claims into the computer system as per the provided DLPs /guidelines
• Determine accurate claims payment or denial, identify, and elevate dubious claims or system issues to process the claim accurately.
• Process claims in a timely manner, as per the required TAT
• Correct errors or omissions on claim and investigate questionable data
• To maintain Quality as per the SLA
• To maintain Productivity as per the SLA
• Continuously meet and exceed the assigned Targets
• Performance should be maintained in accordance with the process performance parameters
• To maintain confidentiality of work done
• To follow all regulatory requirements and procedures as per the company policy
• Display high levels of professionalism in the work delivered and overall conduct

Skills

• Claims Adjudication / Adjustment experience
• Having HCFA 1500 and UB04 processing is desirable (not mandatory)
• Facets experience is a plus (not mandatory)

Please send resumes to [email protected] Companies across U.S. have engaged ReqRoute, Inc to deliver skilled, dedicated IT professionals. Recruiting is our passion and we support Fortune 1000 companies with their hiring needs. We always seek to deliver competitive and sought-after career opportunities to our potential consultants and employees. We invite you to review the position requirements and apply today if your skills match our needs. ReqRoute, Inc is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, disability, military status, national origin or any other characteristic protected under federal, state, or applicable local law. ( www.reqroute.com )