Claims Processor Ii

VERDEGARD ADMINISTRATORS LLC

Honolulu, HI, United States
Base: $17.92 - $22.85 - $27.78; bonus/equity: not ...
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Accurate claims processing
Cms 1500 and ub 04 data entry
Interpretation of plan documents
** VERDEGARD ADMINISTRATORS LLC is seeking a Claims Processor II to join their team in Honolulu, HI. The role involves accurate processing of various healthcare claims and requires strong customer service skills alongside technical abilities in claims adjudication. **

Job Summary

  • The successful candidate will ensure accurate and timely processing of Physician, Facility, Dental, and Vision claims for multiple plan designs.
  • MedImpact delivers leading edge pharmaceutical and technology solutions that dramatically improve the value of health care.
  • This position offers comprehensive benefits including medical, dental, vision, wellness programs, paid time off, and a 401K with company match.

Matching Summary

Match Score: 75

** VERDEGARD ADMINISTRATORS LLC is seeking a Claims Processor II to join their team in Honolulu, HI. The role involves accurate processing of various healthcare claims and requires strong customer service skills alongside technical abilities in claims adjudication. **

Salary

Base: $17.92 - $22.85 - $27.78; Bonus/Equity: Not specified; Benefits: Medical/Dental/Vision, PTO, 401K match

Skills & Requirements

Must-have

  • Accurate claims processing
  • CMS 1500 and UB 04 data entry
  • Interpretation of plan documents
  • Resolution of claim errors
  • Client service communication

Nice-to-have

  • Experience with RBP and MEC plans
  • Audit project assistance
  • Strong aptitude for new programs
  • Teamwork and high performance
  • Ability to work overtime

Key Requirements

  • GED/HS Diploma and 1+ year experience
  • Intermediate MS Office knowledge
  • CCP or CPC certification preferred
  • US work authorization required
  • On-site presence in Honolulu, HI

Work Rights

Must have US work authorization

Tailored Resume

Cover Letter