medical claims analyst.

Do you have excellent analytical skills, attention to detail and ability to follow procedures? Do you have a deep knowledge of medical terminology and analyzing medical claims? If so, we may have the perfect REMOTE contract opportunity for you! Seeking candidates that ideally have 3+ years of experience working Stop-Loss medical claims for an insurance company. Candidates must have a "quality" over "quantity" mindset and be able to identify potential issues, investigate and resolve claims.  This role is 100% work from home and equipment will be supplied. Candidates must meet the claims experience criteria, have reliable home internet and be able to pass a criminal background check. The position is an open-ended contract with the estimation of time needed between 3-6 months. If you are interested in learning more, please apply today!  

salary: $21 - $26 per hour
shift: First
work hours: 8 AM - 5 PM
education: High School

Responsibilities

- Review medical claim information for completeness and accuracy (Experience with Stop-Loss claims ideal)

- Utilize medical terminology and billing codes to identify issues, inconsistencies and errors in claims; troubleshoot to resolve

- Verify eligibility and adhere to company policies, rules and regulations

- Process checks and reimbursements

- Adhere to policy guidelines and timelines to ensure deadlines are met




Skills

Claims Processing

Medical Terminology

Stop-Loss

Investigation

Reimbursements

Qualifications

Years of experience: 3 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.