nTech Workforce · 2 months ago
Claims Processor -w2 only
United States
Contract
Remote
Entry Level
1+ years expnTech Workforce is a leading healthcare staffing organization, and they are seeking multiple detail-oriented Claims Processors to join their Federal Employee Program (FEP) Claims Department. This role involves processing various types of claims and managing inventory to ensure timely processing, contributing to the team's efforts in overcoming a significant backlog.
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Hiring Manager
Lubna Farheen
Responsibilities
Process a high volume of HMO and PPO claims within the Facets system
Adapt to daily shifting priorities, processing various claim types including Medicare claims, paper claims, and subscriber-submitted claims
Utilize multiple applications daily to research and process claims, including Transaction Insight (TI Portal) for electronic claims and the Stored Information Retrieval (SIR) system for paper claims
Search for member authorizations using the Guiding Care database
Analyze claim data and interpret medical terminology from supporting documentation provided by clinical staff
Use Microsoft Excel spreadsheets to receive and manage claim inventories
Qualification
Required
High School Diploma or GED
1-3 years Claims processing, billing, or medical terminology experience
Hands-on experience processing claims directly within the Facets platform (legacy or G6)
Demonstrated experience with the following systems: TI Portal (Transaction Insight), SIR (Stored Information Retrieval System), HealthEdge Guiding Care, SharePoint
A strong understanding of medical terminology
Proficiency with Microsoft Office, including Excel and Word
Excellent analytical skills and the ability to multitask in a fast-paced environment
Company
nTech Workforce
nTech Workforce is a recruiting firm that offers a wide spectrum of staff augmentation and direct hire services.
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase