Health Insurance Claims Processor - Clearwater, United States - Integrity Marketing Group

Integrity Marketing Group

Verified Company

Clearwater, United States

6 days ago

Posted by:

Mark Lane

beBee recruiter

Description

About Insurance Administrative Solutions
Insurance Administrative Solutions (IAS) is a third-party provider of comprehensive administrative solutions for our clients in the insurance industry.

We offer a business process outsourcing solution that helps insurers optimize administrative workload, bolster their industry expertise, leverage emerging technologies, and streamline operations.

With strong industry knowledge, we deliver value to our customers by providing compassionate customer service, efficient processing, and quality results.

Here at IAS, we embrace the fact that great things are only accomplished by working as a team. We believe that all of our employees have valuable input no matter the level. Our highly collaborative team environment offers each of our employees a place where they can excel.

Job Summary

Primary Responsibilities**:

Examine/perform/research & make decisions necessary to properly adjudicate claims and written inquiries.
Interpret contract benefits in accordance with specific claim processing guidelines.
Understand broad strategic concept of our business and link these to the daytoday business functions of claims processing.
Minimal external contact with providers/agents/policyholders.

Primary Skills & Requirements**:

Good oral and written communication skills
Previous health/Medicare/prescription claims adjudication experience a plus.
Must have organizational and decision making skills.
Team centered with excellent work ethic and reliability.
Experience with UB/institutional (CMS1450) and HCFA/professional (CMS1500) claims.
Familiarity with medical terminology, procedure and diagnosis codes preferred.
Familiarity with Qiclink software a plus.
Ability to calculate figures and coinsurance amounts.
Ability to read and interpret EOB's.
Ability to multitask, prioritize, problemsolve and effectively adapt to a fastpaced, changing environment in order to comply with service guarantees.
Must be able to work independently and meet quality and production standards.
Must have clear understanding of the policy benefits and procedures within the Claims unit.
Honesty, as well as respect, for the company and its policies & procedures is crucial.
High School diploma or GED equivalent.
Minimum of one (1) year related experience required.
Experience in medical/insurance preferred.
Experience with Medicare Supplement preferred.

Schedule:

Monday to Friday
37 hour work week

About Integrity

Integrity is one of the nation's leading independent distributors of life, health and wealth insurance products. With a strong insurtech focus, we embrace a broad and innovative approach to serving agents and clients alike.

Integrity is driven by a singular purpose:
to help people protect their life, health and wealth so they can prepare for the good days ahead.

Integrity offers you the opportunity to start a career in a family-like environment that is rewarding and cutting edge. Why? Because we put our people first At
Integrity, you can start a new career path at company you'll love, and we'll love you back. We're proud of the work we do and the culture we've built, where we celebrate your hard work and support you daily. Joining us means being part of a hyper-growth company with tons of professional opportunities for you to accelerate your career. Integrity offers our people a competitive compensation package, including benefits that make work more fun and give you and your family peace of mind.

Integrity, LLC is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, national origin, disability, veteran status, or any other characteristic protected by federal, state, or local law. In addition, Integrity, LLC will provide reasonable accommodations for qualified individuals with disabilities._