medical claims rep.

We are in search of a Medical Claims Representative to join our our clients team in the Montgomery County area. This role is pivotal in the healthcare industry, providing a crucial bridge between patients, healthcare providers and insurance companies. The ideal candidate has previous experience in a healthcare setting, has managed claims, and is familiar with EOB's. 

salary: $20 - $25 per hour
shift: First
work hours: 8 AM - 5 PM
education: High School

Responsibilities

• Follow benefit plan documents and established departmental policies and procedures to adjudicate claim
within policy provisions
• Determine whether to pay, deny, or pend claims within policy guidelines and adjudicate claims accordingly -
processer must be able to review and research claims by navigating multiple computer programs and
accurately selecting the data/information necessary for processing (e.g. applicable benefits, coding, prior
authorizations)
• Obtain and maintain a working knowledge of the multiple benefit schedules, as well as a clear understanding
of the eligibility system and claim system
• Other duties as assigned




Skills

Claims

Claims Processing

Patient Care Coordination

Receiving Incoming Calls

EMR

Qualifications

Years of experience: 0 years

Experience level: Experienced

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility).

This posting is open for thirty (30) days.