Claims Referral Specialist I - Tampa, United States - MRI

    MRI
    MRI Tampa, United States

    1 month ago

    Default job background
    Description

    Job Description

    Job Description

    ***THIS JOB IS ONSITE IN TAMPA-FL***

    ***Pay is $ $20.00 per hour DOE***

    Job Summary

    Responsible for daily processing of dental claims and/or pre-authorizations/referrals within plan timelines. Must be able to meet or exceed production goals and quality scores. Employee must maintain a professional demeanor and have good attendance. Job function may differ depending on area of assignment (e.g. claims, referrals, pre-estimates).

    Job Summary Details

    • Data Entry
    • Benefit determination and claims or pre-authorization and specialty referral processing
    • Maintain current knowledge of the service level agreements (SLA) and state regulations for processing purposes
    • Promote and support a teamwork culture and environment
    • Maintain a safe and productive working environment following established protocols
    • Perform other duties as assigned or determined appropriate

    Distinguishing Characteristics

    • Distinguishing Characteristics (Levels I, II, III)
    • Claims/Referral Specialist I: Able to process all claims for up to 2 lines of business per location with exception of COB and Ortho OR able to process all Pre-Authorizations and Referrals for 2 lines of business per location

    Education Requirements:

    Minimum

    High School or GED

    Preferred:

    Registered Dental Assistant (RDA)

    Minimum Years of Experience

    1yr dental claim processing experience required

    Specific Skills/Knowledge

    · Working knowledge of Microsoft Office (Excel, Outlook, and Word)

    · Demonstrated ability to work independently and meet objectives

    · Type a minimum of 40 wpm

    · 10-key by touch

    · Strong communication, presentation and customer service skills

    · Front/back office experience in a dental office preferred

    Company DescriptionMedia Riders Inc is a family-owned Recruitment and Staffing Services company. Providing recruitment and payroll services to our customers, who directly support State and/or Federal funded programs. We are an SBA certified Women-Owned Small Business (WOSB) and Texas certified Historically Underutilized Business (TxHub).

    Company Description

    Media Riders Inc is a family-owned Recruitment and Staffing Services company. Providing recruitment and payroll services to our customers, who directly support State and/or Federal funded programs. We are an SBA certified Women-Owned Small Business (WOSB) and Texas certified Historically Underutilized Business (TxHub).