Medical Claims Processor

Our client has immediate opening for experiences Claims Processors to work full time in Baltimore, MD. Candidate must have experience processing Medicare claims to qualify for this position and be able to begin an assignment immediately. General Responsibilities: -Enters claims data into system while interpreting coding and understanding medical terminology in relation to diagnoses and procedures.  -Processes claim forms -Adjudicates for allocation of deductibles, co-pays, co-insurance maximums and provider reimbursements.  -Follows adjudication polices and procedures to ensure proper payment of claims.  -Provides prompt customer service to members, providers and other internal company entities regarding claims.  -Documents phone calls in system and follows up on issues if needed.  -Resolves problems resulting from claim adjudication and customer service phone calls.  -Audits randomly selected claims to ensure quality processing.  -Researches claim overpayments and requests funds Required Education and Experience: -Qualified candidate will have a HS diploma or equivalent  -Three years medical claim processor experience or equivalency required;  -Experienced in processing inpatient, outpatient, home health, DME and provider claims  -Demonstrated computer skills and ability to work within MS Word & Excel  -Human relations and effective communication skills are also required.  -Experience in health insurance field; in one or multiple of the following areas: Medicare; Medicaid; and commercial health plans.  -Familiar with CMS regulations and guidelines as it applies to claim processing  -Good oral and written communication skills.  -Maintains positive and cooperative working relationships with co-workers and other associates.  -Ability to identify problems and logically research with minimum assistance to locate answer through appropriate reference materials.  Please submit resume and reference information to Donal O'Donoghue by applying online or call him directly at 410-663-5019. Join Aerotek Professional Services. Our customized employment solutions and personalized approach give job seekers access to great opportunities with competitive salaries. Aerotek offers comprehensive benefits that can include medical, dental, optical, and optional 401k. Don't put your career in the hands of just anyone; put it in the hands of a specialist. Launch or rejuvenate your career today with Aerotek Professional Services! Allegis Group and its subsidiaries are equal opportunity employers.

Please refer to job code allegis-1994129 when responding to this ad.

Category:	Accounting/Banking/Finance/Insurance
	> Claims
Location:	Baltimore, MD
County:	Baltimore City County
ZIP Code:	21201
Pay Rate:	Open
Job Terms:	full time
Company:	Allegis Group
Phone:	email only please
Fax:	email only please