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Claims Processor

Posted: June 10, 2024
Salary:US$19.00 - US$21.00 per hour
Job type: Permanent
Discipline:Clinical ResearchEHR
Work Location:Hybrid

Job description

Now Hiring a Full Time Hybrid Claims Processor in Milwaukee!

Monday-Friday 8-4:30pm

On Site Tuesdays and Thursdays as Needed

  • Day to day:
    • Will rotate monthly on job duties with other claims processors
    • Heavy teamwork aspect
    • Bulk of their day is processing claim files -> two day turn around time
    • 1 day for UW claims
    • keeping up with emails and tickets
    • Ticketing system
    • Bank kick outs -> if they sent money to providers and it didn't clear the bank for whatever reason
    • refunds -> works with employer groups
    • adjustment claims and files
    • Matching adjustments
    • SPS reports -> roughly 12 employer groups that request a special report
  • 3-5 Must Haves:
    • claims experience -2 years
      Customer service / phone experience
    • Healthcare knowledge
    • Health insurance knoweldge
  • Nice to Have:
  • claims processing / customer service
  • Provider or billing company are a big plus
  • Great communication skills