Claims Specialist

Engage Partners, Inc.


Job Description
On Site Positions (3) in MT Laurel, NJ NO REMOTE $55KBonus potential-up to 10% based on goalsWork with Claims from a covered EntityEMR knowledge +++++++Analyzing documentsExcelQAContacting healthcare companies across the countryMust have great phone etiquetteEMAIL YOUR RESUME TO DOT@Job Requirements:Processing insurance claims, expediting billing and payments for insurance claimsDenied claims with insurance carriersAssemble appropriate information regarding claimsResolve claims issues to ensure prompt and accurate claims adjudicationAdjusting health claims in accordance with claims policies and proceduresExamining and resolving medical claimsPerform complex healthcare payer claims processingApproved payments in the claims systemProcess standard claims or adjustmentsNegotiate claims resolution within granted authorityMonitor training and ensure accurate claims processingResolve any open issues with claimsSettle cargo claims from shippersProtect operations by keeping claims informationMaintain paper claims and on-line claim dataNegotiate settlements on some claimsAssist customers throughout the claims process and settle undisputed non-injury claimsAssist claims department as needed withinventory and complex claim issuesEnsure any changes required to claimsSubmit claims on a daily basisSDL2017
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