Job Description: Immediate, 100% remote position for a Claims Adjuster / Processor! The selected candidate will process claims AND investigate/perform adjustments of complex Healthcare (payor) claims and ensure that claims are handled properly within authority limits, and in line with standard procedures and guidelines. The selected candidate will verify healthcare insurance claims by reviewing claims requirements; examining documentation and calculations; highlighting and summarizing outofline situations; recommending changes in operating processes; completing reports, logs, and audit records.
ESSENTIAL FUNCTIONS:
Although this position is 100% remote, we are seeking candidates that reside in the following states: Wash DC, MD, VA, WV, NC, PA, DE, NY, NJ, TX, FL. This position is a 12month contract to permanent opportunity with our customer, a major healthcare insurance organization who is offering a generous salary and benefits package!
Required Skills
Preferred:
ATD Technology, LLC is a certified minority woman owned business that creates opportunities to match qualified individuals with client programs while meeting all parties' financial and technical goals. ATD is a full service provider with offerings in Contract, Permanent and Temp-to-Perm staffing solutions. We serve Fortune 1000, mid cap and small cap companies in the Commercial, Public and Government sectors.
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