Pro Staff

Claims Examiner

Employer
Pro Staff
Location
ALEXANDRIA, MN
Posted
Mar 03, 2018
Closes
Mar 22, 2018
Ref
317925_1
Contact
Pro Staff
Job Type
Employee
Employment Status
Full Time

Be part of a company where you can make a difference! Pro Staff is recruiting a Claims Analyst for our client company in Alexandria that administers healthcare plans for 13 rural MN counties. In this position, you’ll be responsible for accurate and timely claims processing, supporting all lines of business and all types of health care related claims.

Main duties include:

  • Process hospital, medical and dental claims per production and accuracy standards of the department
  • Remain up to date on Minnesota Department of Human Services/Centers for Medicare & Medicaid Services (DHS/CMS) requirements and provider manual changes and updates sent to providers
  • Perform claims adjustments with accuracy
  • Identify processing issues and communicate to appropriate staff for resolution
  • Perform weekly peer quality reviews to ensure accurate processing
  • Other processing and systems development duties as required

Hours are 8am-5pm, Mon-Fri. Pay is $15.50/hr., with pay increase likely at hire on.

Qualifications:

  • High School Diploma or GED
  • Proficiency in all MS Office Applications
  • Ability to handle multiple tasks
  • Demonstrated organizational skills and attention to detail
  • Excellent communication skills
  • Familiarity with common health care forms, including UB-92/04 and/or CMS-1500 data elements or electronic data interchange (EDI) 8371, 837P, and/or 837D formats
  • Ability to efficiently navigate various websites including, by not limited to, Centers for Medicare & Medicaid Services (CMS), Minnesota Department of Human Services (DHS), National Plan and Provider Enumeration System (NPPES), and general health care websites
  • Familiarity with AMISYS Advance  and claims processing/billing are preferred
  • Sound like you? Contact Pro Staff at 320-763-9677 for complete details or to schedule your in-office interview.  We also offer Walk-In Wednesdays! Stop in any Wednesday between 7am-5pm to complete an application and interview on the spot!

    Pro Staff, an Atterro Human Capital Group company, offers short-term to long-term projects, temporary to contract-to-hire, or direct placements. With proven expertise in Administrative, Clerical, Light Industrial and Manufacturing backgrounds, Pro Staff matches the right people with the right career opportunities.