Claims Processor I

Job not on LinkedIn

🔥 20 hours ago

🐊 Florida – Remote

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💵 $17 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

🦅 H1B Visa Sponsor

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👻 Ghost score 0%

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Logo of Baltimore Aircoil Company

Baltimore Aircoil Company

1001 - 5000 employees

Founded 1938

🏭 Manufacturing

⚡ Energy

Manufacturing • Energy • HVAC

Baltimore Aircoil Company is a manufacturer specializing in cooling and heating systems tailored for various industrial applications. They provide high-quality equipment, parts, and inspection services to enhance operational efficiency in temperature control solutions. Their commitment to customer support and product innovation positions them as a reliable partner in the HVAC and industrial sectors.

📋 Description

• Research and process claims according to business regulations, internal standards, and processing guidelines • Verify procedure and diagnosis coding • Resolve system edits, audits, and claims errors through research and approved references and investigative sources • Coordinate with internal departments to work edits and deferrals • Update patient identification, other health insurance, provider identification, and other files as necessary • Perform other duties and special projects as assigned • Maintain confidentiality, information security, productivity, safe equipment use, and compliance with remote-work and contract procedures

🎯 Requirements

• High School Diploma or equivalent • Must be authorized to work in the U.S. • Must successfully pass all required pre-employment screenings, including a drug screening • Ability to obtain and maintain required access approvals, credentials, background clearances, or system access applicable to the assigned contract • One (1) year of experience in a healthcare or insurance environment (preferred) • Ability to use complex mathematical calculations (preferred) • Proficiency in word processing and spreadsheet applications (preferred) • Proficiency in database software (preferred) • Strong analytical and organizational skills • Strong customer service skills • Strong oral and written communication skills • Proficient spelling, punctuation, and grammar skills • Good judgment skills • Basic business math skills • Ability to use standard office equipment • Ability to perform established essential functions and physical requirements, with or without reasonable accommodation

🏖️ Benefits

• Free medical insurance for employees, with a buy-up option available • Medical opt-out plan available for qualified employees • Paid holidays and sick time • Paid vacation available after one year of employment based on hours worked • 401(k) plan eligibility for full-time and part-time employees from the first day of employment • Supplemental benefits including Accident, Critical Illness, Short Term Disability and Hospital • Employee Assistance Program • Occasional in-person training, meetings, or other contract-required activities

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