Medicaid Claims Processor - Wisconsin Residents Only
TEKsystems
Brookfield, WI
21 hours ago
$19.25 - $19.25
Job Description
Join TEKsystems as a Medicaid Claims Processor and play a vital role in our Medicaid line of business expansion. You will process healthcare claims accurately and efficiently, ensuring compliance and quality in a remote work environment.
Key Responsibilities
Examine and process both paper and electronic healthcare claims
Determine appropriate action: return, pend, deny, or pay claims
Adjudicate claims following established procedures and timelines
Review claims for completeness, billing accuracy, and policy compliance
Investigate and resolve pending claims
Process specialty claims and apply appropriate pricing
Maintain production and quality standards while ensuring confidentiality
Document claim decisions and maintain accurate records
Required Qualifications
High school diploma or equivalent
1.5+ years of healthcare claims processing experience
Familiarity with CPT, ICD-9/10, and medical terminology
Experience with COB processing and subrogation
Experience with Medicaid and/or Medicare claims
Benefits & Perks
Medical, dental & visionCritical Illness, Accident, and Hospital insurance401(k) Retirement PlanVoluntary Life & AD&D for the employee and dependentsShort and long-term disabilityHealth Spending Account (HSA)Transportation benefitsEmployee Assistance ProgramTime Off/Leave (PTO, Vacation or Sick Leave)