Claims Processor

Adecco is assisting a local client recruiting for Claims Processor jobs in Eden Prairie, MN.  These Claims Processor jobs are temp opportunities!

Claims Processor jobs require candidates to use claims platform, and multiple applications to determine if the medical record matches a claim that was stopped for an Optum, post-payment review. Must determine the medical records appropriate pathway, assign the appropriate clinical review drop dead date based upon the state and government required turnaround times, and adhere to strict process turnaround times in order to avoid adversely impacting the overall savings of the department within an office environment. If you meet the qualifications listed below – Apply Now!

Responsibilities for Claims Processor jobs include but are not limited to:

  • Retrieves medical records from source systems
  • Claims platform and medical records comparison for determination of medical record detail appropriateness to an Optum, Waste and Error suspected claim, determination of pathway for review and resolution, sets the internal clinical review drop dead date based upon regulatory and compliance state/program guidelines, and opens and creates a PICTS case for future internal processes
  • Works escalated issues as assigned by other internal and external teams

 

Candidates must meet the following requirements to be considered for Claims Processor jobs:

  • High School Diploma/ GED
  • 1+ year experience with an office environment
  • 1+ year experience with MS Office: Word and Excel
  • 1+ year experience working in a production and quality-based metric environment
  • Strong typing and keying (data entry) skills
  • Strong written and verbal communication skills
  • A strong ability to monitor details for accuracy and personal organization to work unattended and with little managerial oversight
  • Must have claims processing experience

 

What's in this for you? 

  • Pay rates starting at $15.50 per hour, plus overtime as needed!
  • Weekly Pay – you receive a paycheck every week
  • Casual, Office Work Environment – dress casual and enjoy a casual, laid back atmosphere
  • Comprehensive benefits after 1 week – medical, dental, vision, options available
  • Generous Bonus Incentives offered for referrals!  For more information, ask a recruiter today!

 

Click on “Apply Now” to be considered for this Claims Processor job in Eden Prairie, MN!  You may also visit www.adeccousa .com to view other current opportunities.

  • Apply with Adecco

Reference number US_EN_99_023402_391629