Healthcare Claims Processor
Job ID: 2021-2281
Type: Temporary Full Time
# of Openings: 1
Category: Public Health
Karna is working to staff a temporary, full-time opening in support of a CDC (Centers for Disease Control & Prevention)/NIOSH (National Institute for Occupational Safety & Health) contract. This temporary position will offer a qualified candidate a great opportunity to work on a major public health project. If you meet the requirements of this announcement and possess the ability to work in a team environment as well as independently, please apply soon.
Duties for the Healthcare Claims Processor include:
- Resolving pended healthcare claims, prior approval requests and responding to providers.
Analyzing claims to determine whether or not the claims should be approved or denied for payment.
- Reviewing and addressing provider inquiries regarding claim adjudication
- Meeting all required metrics for the position
- Applying knowledge of medical coding and various medical claims forms to the claims process.
HS Diploma required
2-5 years of medical claims processing experience
Experience with medical coding to include, diagnosis coding and terminology
Ability to multi-task and follow documented claims processes
Capability to prioritize and organize work assignments to meet deadlines
Position is centered on meeting quality and production claim adjudication objectives
Able to work independently and with little supervision
Ability to work as part of a team
Proficient with MS Office skills, particularly Excel
Excellent oral and written communication skills
Strong attention to detail and the ability to make appropriate decisions based on the information presented
Previous CDC/NIOSH experience strongly preferred
Ability to obtain and maintain required clearance