Our Client, a Health Services Provider Is Looking To Hire Some Claims Assessors x 3. Interested Candidates Who Meet Set Requirements Are Encouraged To Apply. The Candidates Will Be Reporting To Claims Supervisor.
Duties And Responsibilities
Claims Analysis And Recommend Efficient Processes.
Detect And Deter Healthcare Fraud, Waste And Abuse.
Claims Adjudication.
Attend To Client Queries And Process Claims.
Claims Authorizations.
Follows Up On All Pre-Authorized Hospital Stays To Determine Days Of Stay And Costs.
Assist In Wellness Initiatives And Member Education.
Input New Service Providers Into The System That Is Discipline And Banking Details.
Adjudicate New Membership Forms For On-Boarding Of New Clients.
Education And Experience
Proven Working Experience As a Claims Assessor Or In a Similar Role.
Strong Knowledge Of Computer Software And Databases.
Excellent Typing And Computer Skills.
Strong Attention To Detail And Accuracy.
Ability To Work Independently And As Part Of a Team.
Strong Organizational And Time Management Skills.
Good Knowledge Of Clinical And Office Procedures.
An Organized Individual With Excellent Interpersonal Skills And Ability To Cope With Pressure
Under Minimum Supervision.