The Claims Processor I adjudicates incoming claims in accordance with policies, procedures, and guidelines, as outlined by Health Choice and contractual agreements, within mandated timeframes, and according to rates as reflected in respective provider contracts.
Health Choice exists to improve the health and well-being of the individuals we serve through our health plans, integrated delivery systems and managed care solutions. We strive to recruit and retain only the finest health care professionals with the highest levels of integrity, compassion and competency. If you are driven by your own personal commitment to these values and desire to work in a team-focused, collaborative and supportive environment - while still being valued for your individual strengths - Health Choice is the place for you.
Equal Opportunity Employer Minorities/Women/Veterans/Disabled
High School Diploma or GED
At least one (1) year claims processing
At least one (1) year data entry of 10-key by touch
Knowledge of medical terminology, CPT codes, HCPCS codes, ICD-9 / ICD-10, and Medicaid / Medicare