HYBRID Claims Examiner
Posted on: January 16, 2022
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
- Monitor and strategize claim inventory to ensure timelines of
- Provide phone support as needed for the Customer Service
- 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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