Associate Claims Processor

United Concordia Dental / Highmark Health

Base: $18.00 - $21.99; bonus/equity: not specified...
High school diploma or ged required
Ability to navigate multiple systems simultaneously
Knowledge of administrative and clerical procedures
This role is responsible for screening, reviewing, evaluating, and adjudicating paper and electronic dental claims

Job Summary

  • This role is responsible for screening, reviewing, evaluating, and adjudicating paper and electronic dental claims.
  • The position requires determining benefit eligibility, resolving claim edits, and ensuring compliance with organizational policies and HIPAA regulations.
  • Candidates must meet production and quality standards while maintaining accurate records and attending all required training classes.

Matching Summary

This role is responsible for screening, reviewing, evaluating, and adjudicating paper and electronic dental claims.

Salary

Base: $18.00 - $21.99; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • High School Diploma or GED required
  • Ability to navigate multiple systems simultaneously
  • Knowledge of administrative and clerical procedures
  • Mathematical ability for claim adjudication
  • Adherence to HIPAA privacy standards

Nice-to-have

  • 1 year of related experience preferred
  • Problem-solving within pre-defined guidelines
  • Strong attention to detail and accuracy
  • Ability to take direction effectively

Key Requirements

  • High School Diploma or GED
  • No specific license or certification required
  • 1 year of related experience (Preferred)

Work Rights

Not specified

Tailored Resume

Cover Letter