Health Benefits Claims Examiner
Cobalt Benefits Group, LLC (DBA: Blue Benefit Administrators, CBA Blue & EBPA)
full-time
Posted on:
Location Type: Remote
Location: Florida • United States
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Salary
💰 $21 - $22 per hour
Job Level
About the role
- Ensure accuracy of claims adjudication while maintaining quality and turn around goals.
- Adjudicate medical, dental and vision claims.
- Review plan documents for various groups to apply appropriate benefits to claims being adjudicated.
- Prioritize assigned claims by adjudicating oldest claims first.
- Communicate effectively with internal auditors and management team.
- Perform other related duties, as assigned.
Requirements
- At least 6 months prior experience in the healthcare or insurance industry with respect to operations support, including provider maintenance, billing, coding, or customer support.
- Experience in health care billing or a background with a health insurance carrier or Third-Party Administrator strongly desired.
- Solid time-management skills, with the ability to prioritize multiple tasks, while working with a sense of urgency.
- Strong interpersonal skills with excellent verbal and written communication skills.
- Keyboard and Windows skills are a must.
- Ability to work using Excel spreadsheets.
- Eager to learn the TPA industry and new concepts and processes.
- Blue Care experience and medical coding and terminology a plus.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims adjudicationhealthcare billingmedical codingbillingcodingprovider maintenancecustomer supportExcel
Soft Skills
time-managementprioritizationinterpersonal skillsverbal communicationwritten communicationsense of urgencyeagerness to learn