Healthcare Claims Processor - Hybrid In-Office

Greenbelt, MD
Sep 17, 2022
Oct 02, 2022
Accountant, IT
Full Time
Healthcare Claims Processor - Hybrid In-OfficeUS-MD-GreenbeltJob ID: 2022-2381Type: Temporary Full Time# of Openings: 1Category: Public HealthKarnaOverviewKarna 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 temp to perm 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. ResponsibilitiesDuties 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 adjudicationMeeting all required metrics for the positionApplying knowledge of medical coding and various medical claims forms to the claims process. QualificationsBenefits for permanent employees include: health/dental/vision, 401k, PTO, paid holidays, and a friendly (jeans every day!) office environment. Required Experience:* 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 as part of a team with little supervision* 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 PM18PI191375294

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