Claims Examiner

Job Title: Processor - Data Entry (Seasonal) Job Type: Full Time/Remote WFH FLSA Status: Non-Exempt/Hourly Grade: H1 Pay: $16/hr Function/Department: Health Plan and Healthcare Services Reporting to: Team Lead/Supervisor - Operations Data EntryJob Details: Proficiency in Excel. Formula knowledge is not required, but the system used daily is similar to Excel in functionality. Demonstrated ability to work independently and efficiently assimilate new processes with minimal guidance. Strong analytical thinking skills with a deep-dive approach to problem solving and excellent attention to detail. 3 - 5 years of experience in medical insurance billing, coding or customer care. Solid understanding of medical insurance benefits, including deductibles-pays, and coverage structures. Ability to follow multi-step directions and navigate multiple programs and systems. Problem solving/Critical thinking skills while independent in a virtual environment (Enrollment, refund decision making-Open Enrollment/Membership it is very detail oriented: eg: Adding dependents, updating coverage, calculating premiums, adding additional insurance coverage, terminations, newborn adds, name & dob mismatches, interpreting applications and uploading the correct information.) Attention to detail Comfortable with remote computer learning. WFH experience is preferable. The ability to learn easily in a team environment is important. Able to accept constructive criticism Requirements – Prior Data Entryexperience preferred Pass a required assessment within the training period Typing 40 wpm Must be proficient in computer skills/typing skills Job Type: Full-time Benefits: 401(k) 401(k) matching Dental insurance Employee assistance program Employee discount Flexible spending account Health insurance Life insurance Paid time off Vision insurance Work Environment The work environment characteristics described here are representative of those an employee encounters while performing this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This position work remotely from home. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Must be able to regularly or frequently talk and hear, sit for prolonged periods, use hands and fingers to type, and use close vision to view and read from a computer screen and/or electronic device. Must be able to occasionally stand and walk, climb stairs, and lift equipment up to 25 pounds.