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.
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
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