Adecco is assisting a local client, recruiting for a Claims Reviewer position. This position is a temp-to-hire opportunity. If interested, call 304-345-8367 TODAY!
As a Claims Reviewer, you will perform initial reviews of medical claims, including HCFA 1500 and UB-04 forms, ensuring accuracy and compliance with established guidelines – Apply Now!
Responsibilities for this position include but are not limited to:
Perform initial review of all claim edits as directed
Complete or route claim reviews within established time parameters
Review each claim flag in sequence, ensuring full and accurate completion based on payment guidelines
Identify and report patterns of incorrect billing or utilization to management
Escalate unclear items or gaps in guidelines to management for clarification
Maintain a quality rating of 98% or higher
Process 15–20 claims per hour
Participate in internal and/or external trainings as requested
Maintain a positive attitude and reliable attendance
Basic Requirements:
High school diploma or equivalent
Ability to follow written directions and work independently
Familiarity with medical terminology, CPT, and ICD-10 coding
Strong computer and typing skills
Preferred Qualifications:
Previous claims processing experience
Experience in billing or a physician office setting
What’s in this for you?
Pay - $17.75/hour
Weekly pay – receive a paycheck every week
Comprehensive benefits after 1 week – medical, dental, vision, options available
Opportunity for temp-to-hire placement
For more information, call 304-345-8367 TODAY!
EOE
Principals only. Recruiters, please don't contact this job poster.