Healthcare Claims Processor - Atlanta, GA, United States - KARNA

Description

Karna is working to staff a temporary, full-time opening in support of a CDC (Centers for Disease Control & Prevention)/NIOSH (National Institute for Occupational Safety & Health) contract. This temp to perm position will offer a qualified candidate a great opportunity to work on a major public health project. If you meet the requirements of this announcement and possess the ability to work in a team environment as well as independently, please apply soon.

Duties for the Healthcare Claims Processor include:

• Resolving pended healthcare claims, prior approval requests and responding to providers.
  Analyzing claims to determine whether or not the claims should be approved or denied for payment.
• Reviewing and addressing provider inquiries regarding claim adjudication
• Meeting all required metrics for the position
• Applying knowledge of medical coding and various medical claims forms to the claims process.

Benefits for permanent employees include: health/dental/vision, 401k, PTO, paid holidays, and a friendly (jeans every day) office environment.

Required Experience:

• HS Diploma required

• 2-5 years of medical claims processing experience

• Experience with medical coding to include, diagnosis coding and terminology

• Ability to multi-task and follow documented claims processes

• Capability to prioritize and organize work assignments to meet deadlines

• Position is centered on meeting quality and production claim adjudication objectives

• Able to work independently and as part of a team with little supervision

• Proficient with MS Office skills, particularly Excel

• Excellent oral and written communication skills

• Strong attention to detail and the ability to make appropriate decisions based on the information presented

• Previous CDC/NIOSH experience strongly preferred

• Ability to obtain and maintain required clearance

PM18

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