Claims Report Editor
Job Description
Become part of EMI Health s growing organization. EMI Health is an employee benefits firm providing great insurance products to companies and individuals in Utah, Arizona and Texas. We provide our employees with an outstanding benefit package that includes paid time off and holiday pay. We also offer medical, dental, vision, life, disability and retirement savings plans.
This is a full-time non-exempt position. Hours are generally 8:00 a.m. to 5:00 p.m. Monday through Friday.
EMI Health is a tobacco free workplace. Hiring non-tobacco users only.
EMI Health is an EEO employer as defined by the EEOC.
Responsibilities
The Claims Report Editor resolves and adjudicates medical, vision and Medicare claims by performing the following duties:
-Processes claims (pay, pend, deny) and prior approvals timely and accurately.
-Reviews claims information to determine the nature of a member s illness or injury.
-Determines and understands the coverage provided under a member s plan.
-Manages their time and workload effectively to ensure all service levels are maintained.
-Makes claim payment decisions.
-Assists team members in support of achieving department and office goals.
Qualifications
QUALIFICATIONS
-Knowledge of medical terminology, CPT codes and ICD10.
-Knowledge of Medicare Secondary Payer and Coordination of Benefits rules.
-Excellent keyboarding skills (keyboarding 40-50 wpm/10-key minimum 9,000 keystrokes per hour with above average accuracy). Testing results are required.
-Exceptional organizational and analytical skills with ability to prioritize work load.
-Advanced computer navigation and knowledge with experience using web based programs.
-Effective verbal and written communication skills.
-Ability to adapt quickly and willingly to change.
-Positive attitude with excellent attendance.
EXPERIENCE AND EDUCATION
-Two or more years of related experience.
-High school diploma or equivalent (GED).
Additional Information
Submit resumes via email to kmaughan@emihealth.com.Estimated Salary: $20 to $28 per hour based on qualifications.
Become part of EMI Health s growing organization. EMI Health is an employee benefits firm providing great insurance products to companies and individuals in Utah, Arizona and Texas. We provide our employees with an outstanding benefit package that includes paid time off and holiday pay. We also offer medical, dental, vision, life, disability and retirement savings plans.
This is a full-time non-exempt position. Hours are generally 8:00 a.m. to 5:00 p.m. Monday through Friday.
EMI Health is a tobacco free workplace. Hiring non-tobacco users only.
EMI Health is an EEO employer as defined by the EEOC.
Responsibilities
The Claims Report Editor resolves and adjudicates medical, vision and Medicare claims by performing the following duties:
-Processes claims (pay, pend, deny) and prior approvals timely and accurately.
-Reviews claims information to determine the nature of a member s illness or injury.
-Determines and understands the coverage provided under a member s plan.
-Manages their time and workload effectively to ensure all service levels are maintained.
-Makes claim payment decisions.
-Assists team members in support of achieving department and office goals.
Qualifications
QUALIFICATIONS
-Knowledge of medical terminology, CPT codes and ICD10.
-Knowledge of Medicare Secondary Payer and Coordination of Benefits rules.
-Excellent keyboarding skills (keyboarding 40-50 wpm/10-key minimum 9,000 keystrokes per hour with above average accuracy). Testing results are required.
-Exceptional organizational and analytical skills with ability to prioritize work load.
-Advanced computer navigation and knowledge with experience using web based programs.
-Effective verbal and written communication skills.
-Ability to adapt quickly and willingly to change.
-Positive attitude with excellent attendance.
EXPERIENCE AND EDUCATION
-Two or more years of related experience.
-High school diploma or equivalent (GED).
Additional Information
Submit resumes via email to kmaughan@emihealth.com.Estimated Salary: $20 to $28 per hour based on qualifications.
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