Temporary Claims Technician II

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Requirements:

• Knowledge of: Medical insurance Explanation of Benefits.
• General office equipment, including personal computer, telephone, photocopier, fax, etc.
• Windows-based PC systems, including Microsoft Word, Excel, and Outlook.
• Ability to: Understand current software programs and screens that are required in the daily processing of claims.
• Keep current on claims processing practices and procedures.
• Education and Experience: High school diploma or equivalent and two years (or an Associate’s degree and a minimum of one/two years) of relevant experience with claims processing in an automated claim environment; or a combination of education and relevant experience may be qualifying.

Responsibilities:

• Reporting to the Claims Supervisor you will: Verify, process, and/or adjudicate claims, including applying detailed consideration, standards in pending and releasing claims from pend edits and for proper application of program policy related to claim entry and analysis.
• Assists with training new hires and cross-training other Claims Technicians.