Claims Processor I

New
O
OscarHealth insurance
This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas.Full-TimeEntry
Salary20 USD per hour
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Job Details

Required Skills
Microsoft OfficeGoogle WorkspaceData entry

Requirements

  • Have a high school diploma, GED, or equivalent years of experience in data analytics, provider data, and/or claims processing.
  • Experience navigating claims-resolution systems is a bonus qualification.
  • Knowledge of health insurance operations processing protocols and payment schemes is a bonus qualification.
  • Experience manipulating and accurately entering data in a production-driven environment is a bonus qualification.
  • Experience handling personal health information (PHI) professionally is a bonus qualification.
  • Advanced Google Suite or Microsoft Office capabilities, or willingness to learn, are a bonus qualification.
  • An associate or bachelor's degree in Business, Accounting, Finance, Economics, Healthcare, Public Policy, Technology, or Math is a bonus qualification.
  • Ability to navigate multiple systems, solve problems within predefined methods and guidelines, and analyze claims data are bonus qualifications.

Responsibilities

  • Process claims accurately and on time.
  • Research and process claims according to business regulations, internal standards, and processing guidelines.
  • Resolve system edits, audits, and claims errors using approved references and investigative sources.
  • Contribute to reducing the daily claims inventory through processing.
  • Contribute to team-wide goals supporting daily Claims operations.
  • Comply with applicable laws and regulations.
  • Perform other duties as assigned.
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20 USD per hour
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