Claims Analyst
Overview:
TekWissen Group is a workforce management provider throughout the USA and many other countries in the world.
Our client is a health insurance company.
It offers different types of health care coverage plans that include individual and family, dental and vision, plans for employers, etc.
Title:
Claims Analyst Work Location:
Detroit, MI 48226 Duration:
4 Months Job Type:
Contract Work Type:
Onsite Dept:
Dir MA Oversight, Proj Engagement Description:
Reviewing claim submissions and verifying claims processed correctly.
Auditing claims-making sure the system applied the correct benefits, pricing, and cost share values.
Comparing claims data to the members benefits and other policy documents.
Ensuring the system applied to correct allowed amounts using CMS fee schedules.
Confirmed system applied the correct member cost share amounts based on benefit documents.
Performing other clerical tasks, as required.
Top 3 Required Skills/Experience 5 years medical claims experience (HCFA and UBs) In depth knowledge of medical claim coding Proficient in Microsoft Word and Excel Required Skills/Experience - The rest of the required skills/experience.
Include:
Excellent critical thinking and decision-making skills.
Good administrative and organizational skills.
Ability to work under pressure, perform a range of clerical functions with great attention to detail.
Preferred Skills/Experience - Optional but preferred skills/experience.
Include:
Medicare claims and compliance experience Comfortable working independently Understands the importance of deadlines TekWissen Group is an equal opportunity employer supporting workforce diversity.
Recommended Skills Administration Attention To Detail Auditing Claim Processing Content Management Coordinating Estimated Salary: $20 to $28 per hour based on qualifications.
TekWissen Group is a workforce management provider throughout the USA and many other countries in the world.
Our client is a health insurance company.
It offers different types of health care coverage plans that include individual and family, dental and vision, plans for employers, etc.
Title:
Claims Analyst Work Location:
Detroit, MI 48226 Duration:
4 Months Job Type:
Contract Work Type:
Onsite Dept:
Dir MA Oversight, Proj Engagement Description:
Reviewing claim submissions and verifying claims processed correctly.
Auditing claims-making sure the system applied the correct benefits, pricing, and cost share values.
Comparing claims data to the members benefits and other policy documents.
Ensuring the system applied to correct allowed amounts using CMS fee schedules.
Confirmed system applied the correct member cost share amounts based on benefit documents.
Performing other clerical tasks, as required.
Top 3 Required Skills/Experience 5 years medical claims experience (HCFA and UBs) In depth knowledge of medical claim coding Proficient in Microsoft Word and Excel Required Skills/Experience - The rest of the required skills/experience.
Include:
Excellent critical thinking and decision-making skills.
Good administrative and organizational skills.
Ability to work under pressure, perform a range of clerical functions with great attention to detail.
Preferred Skills/Experience - Optional but preferred skills/experience.
Include:
Medicare claims and compliance experience Comfortable working independently Understands the importance of deadlines TekWissen Group is an equal opportunity employer supporting workforce diversity.
Recommended Skills Administration Attention To Detail Auditing Claim Processing Content Management Coordinating Estimated Salary: $20 to $28 per hour based on qualifications.
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