Medical Claims Processor

Adecco is currently assisting a local client in their search to fill a Medical Claims Processor position, in Eden Prairie, MN! This is a long term opportunity for the right person. If you would like to pursue a great opportunity and enjoy working for a fast paced company, then Apply Now if you meet the qualifications listed below!


Job Summary:

The EPS Provider Enrollment Specialist will be responsible for performing the appropriate processes to enroll and maintain enrollment for Optum Electronic Statements and Payments (EPS) providers. The Specialist will review, investigate and process enrollment using the Optum EPS applications. Conducts data entry and re-work; analyzes and identifies trends and provides reports as necessary.

Responsibilities:

• Provide expertise or general support by reviewing, researching, investigating, processing and adjusting EPS enrollments
• Authorize enrollment or refer to investigators for further review analyze and identify trends and provides reports as necessary
• Strive for provider service excellence
• Consistently meet established productivity, schedule adherence and quality standards
• Proficiency with Windows PC applications, which includes the ability to learn new and complex computer system applications
• Safeguard transactions and escalate when applicable
• Adapt to changing business objectives
• Verify true providers and the activity on their account
• Thoroughly review enrollment items for fraudulent activity
• Apply expanded knowledge base of fraud schemes to assist in handling of specialized fraud functions such as identity theft and cross-channel fraud
• Other duties as assigned

Position Requirements:

• Ability to sit/stand for extended periods of time
• Proficiency with Windows PC applications, which includes the ability to learn new and complex computer system applications
• Ability to manage multiple systems and applications
• Ability to multi-task - this includes ability to understand multiple products and multiple levels of benefits within each product
• Self-Starter
• Ability to work overtime as required
• Ability to work a flexible schedule including weekends

Minimum Qualifications:

• High school education or equivalent
• 2+ years of work experience in an office environment, healthcare related/insurance related field or customer service industry
• Prior experience working on a computer
• Problem solving skills
• Self -Starter and detail oriented

1. Work address 11000 Optum Circle Eden Prairie, MN 55344
2. Face to face interviewing
3. Work hours - M-F 8am -4:30pm
Business casual dress code



Adecco provides one of the most comprehensive benefits packages in the industry to contract employees.

HOW TO APPLY:
Candidates interested in this Opportunity should apply IMMEDIATELY. DO NOT DELAY. Please click on the “Apply Now” button to fill out your application. If you have any questions, you can contact Kristin Kaiser at kristin.kaiser@adeccona.com

IMPORTANT INFORMATION:
This position is being recruited for by Adecco’s Service Delivery Center, not your local Adecco Branch Office. To be considered for this position, you must use the “apply now” button to submit your resume. If you have questions about the position, you may contact the recruiter recruiting for this position listed above, however your resume must be received via the “apply now” button included within to be considered.

The Adecco Group is a global leader in HR services. Our group connects over 700,000 associates with our business clients each day through our 6,600 offices in over 70 countries and territories around the world. We offer employment opportunities at any stage in your professional career. Contact us today to discuss available contract and direct hire positions. Adecco Group offers benefits including Holiday, 401(k), Insurance Benefit Plans and Service/Anniversary Bonus opportunities.

Equal Opportunity Employer Minorities/Women/Veterans/Disabled

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Reference number US_EN_2_286200_410086