Claims Processor - Full-time / Part-time

Currently seeking Claims Processors and Claims Examiners for a large company in North Phoenix!

Claims Processor Summary:

Processing basic payments and/or claim denials for Medicaid medical claims; demonstrating the highest levels of customer service, technical skills and professionalism to ensure mutually rewarding and continued provider relationships.

Claims Processor Job Description:

• Examining and entering basic claims for appropriateness of care and completeness of information in accordance with accepted coverage guidelines, ensuring all mandated government and state regulations are consistently met.
• Processing claims for multiple plans with automated and manual differences in benefits, as well as utilizing the system and written documentation to determine the appropriate payment for a specific benefit.
• Approving, pending, or denying payment according to the accepted coverage guidelines.
• Maintaining internal customer relations by interacting with staff regarding claims issues; researching, and ensuring accurate and complete claim information; contacting insured or other involved parties for additional or missing information; updating information to claim file with regard to claims status, questions or claim payments.

Claims Processor Qualifications Include:

• Knowledge of medical terminology, such as: CPT-4, ICD-9, ICD-10, HCPCS, ASA & UB92 Codes, and standard of billing guidelines preferred.
• Experience with Facets or QNXT software a plus

Qualified candidates please apply below

About Aerotek: Aerotek, headquartered in Hanover, Md., is a leading provider of technical, professional and industrial staffing services. Established in 1983, Aerotek is an operating company of Allegis Group, the largest provider of staffing services in the U.S. Aerotek operates a network of more than 200 non-franchised offices throughout the U.S., Canada and Europe. For more information, visit aerotek.com. Aerotek is acting as an Employment Agency in relation to this vacancy.