Job Description
Job Title: Claim Adjustment
Duration: 11+ Months
Location: 100% Remote
Client laptop
BGV must be cleared to start
Job Description
Knows how to review HCFA 1500 and UB04 processing (not mandatory)
Facets experience is a plus (not mandatory)
Working on multiple screens, hand-on with claims processing
Claims Adjudication / Adjustment
Knows how to review HCFA 1500 and UB04 processing (not mandatory).
Facets experience is a plus (not mandatory)
Working on multiple screens, hand-on with claims processing
Review and scrutinize claims and process claims into the computer system as per the provided DLPs /guidelines
Determine accurate claims payment or denial, identify, and elevate dubious claims or system issues to process the claim accurately.
Process claims in a timely manner, as per the required TAT
Correct errors or omissions on claim and investigate questionable data
To maintain Quality as per the SLA
To maintain Productivity as per the SLA
Continuously meet and exceed the assigned Targets
Performance should be maintained in accordance with the process performance parameters
To maintain confidentiality of work done
To follow all regulatory requirements and procedures as per the company policy
Display high levels of professionalism in the work delivered and overall conduct
Duration: 11+ Months
Location: 100% Remote
Client laptop
BGV must be cleared to start
Job Description
Knows how to review HCFA 1500 and UB04 processing (not mandatory)
Facets experience is a plus (not mandatory)
Working on multiple screens, hand-on with claims processing
Claims Adjudication / Adjustment
Knows how to review HCFA 1500 and UB04 processing (not mandatory).
Facets experience is a plus (not mandatory)
Working on multiple screens, hand-on with claims processing
Review and scrutinize claims and process claims into the computer system as per the provided DLPs /guidelines
Determine accurate claims payment or denial, identify, and elevate dubious claims or system issues to process the claim accurately.
Process claims in a timely manner, as per the required TAT
Correct errors or omissions on claim and investigate questionable data
To maintain Quality as per the SLA
To maintain Productivity as per the SLA
Continuously meet and exceed the assigned Targets
Performance should be maintained in accordance with the process performance parameters
To maintain confidentiality of work done
To follow all regulatory requirements and procedures as per the company policy
Display high levels of professionalism in the work delivered and overall conduct
💡 Quick Summary
Seeking a career-building opportunity? The WFH Claim Adjustment position is now open for candidates interested in the Work from home Jobs sector. This role in New York City offers a professional environment and growth potential.
Requirement Snapshot: Candidates should possess basic communication skills, a proactive attitude, and the ability to work in a team. Experience in Work from home Jobs is a plus.
