Join TEKsystems as a Claims Processor and play a crucial role in examining and processing claims while ensuring compliance with policies. This fully remote position offers a competitive hourly rate and a comprehensive benefits package to support your career growth.
Key Responsibilities
Examine and process paper and electronic claims
Determine whether to return, pend, deny, or pay claims
Resolve claim issues following established policies and procedures
Review claims for compliance and obtain additional information as needed
Monitor claims processing errors and make corrections
Document pertinent information related to claims payment
Required Qualifications
High school diploma or equivalent preferred
1.5-4 years claims processing experience required (healthcare related)
Knowledge of current procedural terminology (CPT) and international classification of diseases (ICD-9 and ICD-10)
Medical terminology, COB processing, subrogation
Preferred Qualifications
Coding experience preferred
Past experience using QNXT™ Claims Workflow a plus
Medicaid/Medicare experience
Benefits & Perks
Medical, dental & vision insuranceCritical Illness, Accident, and Hospital insurance401(k) Retirement PlanLife Insurance (Voluntary Life & AD&D)Short and long-term disabilityHealth Spending Account (HSA)Transportation benefitsEmployee Assistance ProgramTime Off/Leave (PTO, Vacation or Sick Leave)