Claims Service Representative jobs in United States
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Hornet Staffing, Inc, a GEE Group company · 3 weeks ago

Claims Service Representative

Hornet Staffing, Inc, a GEE Group company is seeking a Claims Service Representative. The role involves the accurate and timely processing of claims, researching and resolving claims errors, and coordinating with internal departments to manage patient and provider information.

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Hiring Manager
Raj Gandhi
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Responsibilities

Responsible for the accurate and timely processing of claims
Researches and processes claims according to business regulation, internal standards and processing guidelines
Verifies the coding of procedure and diagnosis codes
Resolves system edits, audits and claims errors through research and use of approved references and investigative sources
Coordinates with internal departments to work edits and deferrals, updating the patient identification, other health insurance, provider identification and other files as necessary

Qualification

Analytical skillsCustomer service skillsWord processingSpreadsheet applicationsDatabase softwareOrganizational skillsOral communicationWritten communicationSpelling skillsPunctuation skillsGrammar skillsJudgment skillsBasic business math

Required

Strong analytical, organizational and customer service skills
Strong oral and written communication skills
Proficient spelling, punctuation and grammar skills
Good judgment skills
Basic business math skills
Basic office equipment

Preferred

Proficient in word processing and spreadsheet applications
Proficient in database software

Company

Hornet Staffing, Inc, a GEE Group company

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Hornet’s delivery model is designed to support those clients utilizing an MSP or VMS.

Funding

Current Stage
Early Stage
Total Funding
unknown
2025-01-03Acquired

Leadership Team

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Laurel Lynn Bruce
Chief Financial Officer
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Company data provided by crunchbase