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HYBRID Claims Examiner

Company: Aerotek
Location: Hauppauge
Posted on: January 16, 2022

Job Description:

Claims Examiner Remote to start but will switch to a hybrid schedule (must be local to Hauppauge) Job Description

  • Process claims timely and accurately in full accordance of Medicare-Medicaid guidelines, as well as guidelines set forth by the Health Plan.
  • Alert management promptly of any identified issues that impact quality and production.
  • Consistently meet or exceed quality and production standards set forth by management.
  • Identify and elevate potential Coordination of Benefits.
  • Monitor and follow up on pending claim activity timely and accurately.
  • Monitor and strategize claim inventory to ensure timelines of claim payments
  • Provide phone support as needed for the Customer Service department queue
  • Assist manager with ad-hoc reports and projects as needed.QualificationsHigh School diploma required, some college preferred5 years of experience in a healthcare related field preferredExperience processing Medicaid/Medicare/MLTC medical claims preferredExperience in Microsoft Word and ExcelAbility to work flexible schedule between 8am-8pmAdvanced computer skillsTypes accurately at 55 WPMAbout Aston Carter: At Aston Carter, were dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless.Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients capabilities by seeking solvers and delivering solutions to address todays workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit Aston Carter is a company within Allegis Group, a global leader in talent solutions.The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call 888-237-6835 or email for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position.

Keywords: Aerotek, Westport , HYBRID Claims Examiner, Other , Hauppauge, Connecticut

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