Job Summary

• The Claims Processor I is responsible for accurate and timely processing of medical professional claims pended for manual adjudication in assigned Workflow roles.
• The incumbent must meet quality and productivity standards.
• HealthOne provides the means to help you achieve your goals, whether you’re starting your career or looking to develop additional skills.

Matching Summary

Salary

Competitive salary; Benefits: 401K (4% Match, Immediate Vesting), Accident insurance, Critical Illness Insurance, Dental Insurance, Employee Assistance Program, Flexible Spending Account, Health & Wellness Program, Health Savings Account, Life & AD&D Insurance, Long Term Disability, Medical Insurance, Paid Time Off, Pet Insurance, Short Term Disability, Vision Insurance

Skills & Requirements

Key Requirements

• High School Diploma or GED
• One year claims processing experience
• Knowledge of ICD-10, CPT4, DRG, HCPCS codes
• Knowledge of EDI and HIPAA protocols
• Knowledge of HCFA 1500 form

Work Rights