Claims Processor - Revenue Cycle Claims Processing - Sharp Corporate - Day Shift - Full Time
Claims Processor - Revenue Cycle Claims Processing - Sharp Corporate - Day Shift - Full Time
Job Description
Hours:
Shift Start Time:
8 AMShift End Time:
4:30 PMAWS Hours Requirement:
8/40 - 8 Hour ShiftAdditional Shift Information:
Weekend Requirements:
No WeekendsOn-Call Required:
NoHourly Pay Range (Minimum - Midpoint - Maximum):
$25.150 - $28.950 - $32.420The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.
What You Will Do
Adjudication of referral claims and all related functions.
Required Qualifications
- 1 Year Previous claims processing experience in an HMO or indemnity insurance setting (HMO preferred)
Preferred Qualifications
- H.S. Diploma or Equivalent
- Other Some college coursework
Essential Functions
- Claims accuracy
Process claims accurately according to established procedures/current contracts. - Claims processing
Maintain average adjudication production of 13 claims processed per hour. - Customer service
Enrollee/provider/health plan contact to be professional and courteous. Calls to be returned in a timely fashion. - Time management
Demonstrate ability to work independently and manage time well with any free time used to help in other areas as directed. Inform supervisor when available for additional work assignments.
Knowledge, Skills, and Abilities
- Strong organizational skills.
- Working knowledge of medical terminology and RVS/CPT/ICD-9 coding.
- Ten key by touch. C
- RT keyboard skills.
- Good verbal and written skills.
- Knowledge of standard insurance procedures (pricing, exclusions, etc.
Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class
Hours:
Shift Start Time:
8 AMShift End Time:
4:30 PMAWS Hours Requirement:
8/40 - 8 Hour ShiftAdditional Shift Information:
Weekend Requirements:
No WeekendsOn-Call Required:
NoHourly Pay Range (Minimum - Midpoint - Maximum):
$25.150 - $28.950 - $32.420The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.
What You Will Do
Adjudication of referral claims and all related functions.
Required Qualifications
- 1 Year Previous claims processing experience in an HMO or indemnity insurance setting (HMO preferred)
Preferred Qualifications
- H.S. Diploma or Equivalent
- Other Some college coursework
Essential Functions
- Claims accuracy
Process claims accurately according to established procedures/current contracts. - Claims processing
Maintain average adjudication production of 13 claims processed per hour. - Customer service
Enrollee/provider/health plan contact to be professional and courteous. Calls to be returned in a timely fashion. - Time management
Demonstrate ability to work independently and manage time well with any free time used to help in other areas as directed. Inform supervisor when available for additional work assignments.
Knowledge, Skills, and Abilities
- Strong organizational skills.
- Working knowledge of medical terminology and RVS/CPT/ICD-9 coding.
- Ten key by touch. C
- RT keyboard skills.
- Good verbal and written skills.
- Knowledge of standard insurance procedures (pricing, exclusions, etc.
Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class
About Sharp HealthCare
The people of Sharp share the values of integrity, caring, safety, innovation and excellence. Here, you’ll join a diverse team of individuals dedicated to advancing the science of medicine and the art of caring. It’s what we call The Sharp Experience and it means you’ll do more than just work here; you’ll be part of something bigger — a supportive, purpose-driven community dedicated to improving the health of those we serve.
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