Title Claims Processor
Job Title/Position Claims Processor
Job Description

The responsibilities of this position are to process, research, and adjust claims in accordance with plan documents and administrative guidelines. All applicants must have the ability to maintain a courteous and professional demeanor in providing Customer Service; Ability to work under pressure, prioritize tasks and carry them through to completion in a timely and efficient manner; Ability to problem solve, research, document and communicate results while working independently.

 

Job Tasks/Deliverables:

  • Problem solve issues involving claims and claims payment
  • Accurate and timely processing, researching, and adjusting of claims
  • Identify and resolve root cause of claim payment errors
  • Research and recreate member and/or provider EOBs
  • Provide written analysis and response regarding claim cases
  • Other duties as assigned

Education Required:

High School Diploma or equivalent, Computer Classes and Medical Terminology Knowledge preferred.

Experience Required:

  • Excellent oral and written communication
  • Ability to work independently and as part of a team
  • Detail oriented
  • Data entry Experience
  • 10-key
  • ICD/CPT/HCPCS coding
  • PC literate
  • Managed care or health care background preferred

Employment Type:

Full Time

Hours:

8:00am – 5:00pm

Compensation:

HMA offers a competitive compensation package including full medical, dental, and visions benefits, 401K match, Active&Fit Membership, paid holiday, and paid-time off.

Location Honolulu, Hawaii
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