Medical Claims Representative

Medical Claims Representative

12 Nov 2024
Virginia, Virginiabeach 00000 Virginiabeach USA

Medical Claims Representative

Vacancy expired!

Kelly Services® has been providing outstanding employment opportunities to the most talented individuals in the marketplace. We are proud to offer an opportunity to work as a Medical Claims Representative located in Virginia Beach, VA!By working with Kelly in this role, you would be eligible for:

A competitive hourly pay rate with weekly checks

Online continuing education via the Kelly Learning Center

Several employee discounts

- And more!Important information: This position is recruited for by a remote Kelly office, not your local Kelly branch. To be considered for this position, you must use the “submit now” button below.Title: Medical Claims RepresentativeSchedule: 1st shift Monday-FridayPay Rate: $17.00 per hour to startJob Information:t

Responsible for keying, processing and/or adjusting health claims in accordance with claims policies and procedures.t

Works without significant guidance w/ basic understanding of multiple products HMO, PPO, COB, etc.t

Must be able to successfully perform all the duties of the Claims Rep. t

Responsible for keying, processing and/or adjusting health claims in accordance with claims policies and procedures. t

Able to handle more complex claims. t

Good understanding of the application of benefit contracts, pricing, processing, policies, procedures, gov't regs, coordination of benefits, & healthcare terminology.

Good working knowledge of claims and products, including the grievance and/or re-consideration process.t

HS diploma or equivalentt

Medical Claims experiencet

Experience using PC, database system, and related software word processing, spreadsheets, etc.t

Hospital or Medical claim biller experience helpful.t

Knowledge of Medicare processing t

Experience adjudicating claims and research to make payment or denial determinationt

Ability to read and understand contractst

Knowledge of CPT/HCPC and ICD-10

If you are interested, or know someone who is, please email resume immediately to:AudreyKelly Services, Inc.auds463@kellyservices.comWhy Kelly ® ?The Managed Solutions practice within Kelly Outsourcing and Consulting Group (KellyOCG ® ) is one focus within the full array of Kelly Services® workforce solutions.Kelly Services has transformed from the staffing industry pioneer to a leading workforce solutions provider. KellyOCG is the distinguished outsourcing and consulting segment of Kelly Services, known for applying a forward-looking approach that enables companies to make strategic workforce planning decisions that impact their business and competitive advantage.The Managed Solutions practice area of KellyOCG is dedicated to partnering with clients to architect and implement solutions that put them in a position to meet their operational obligation to their organization and freedom to focus on their more strategic business needs.About Kelly Services ®As a workforce advocate for over 70 years, we are proud to have a role in managing employment opportunities for more than one million workers around the globe. We employ 550,000 of these individuals directly with the remaining workers engaged through our talent supply chain network of supplier partners. Revenue in 2015 was $5.5 billion. Visit kellyservices.com and connect with us on Facebook at https://www.facebook.com/kellyservices , LinkedIn at http://www.linkedin.com/company/kellyservices and Twitter at https://twitter.com/kellyservices .Kelly Services is an equal opportunity employer including, but not limited to, Minorities, Females, Individuals with Disabilities, Protected Veterans, Sexual Orientation, Gender Identity and is committed to employing a diverse workforce. Equal Employment Opportunity is The Law. at https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm

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