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Medical Claims Representative

Randstad

Medical Claims Representative

Renton, WA
Full Time
Paid
  • Responsibilities

    Job Description

    TO BE CONSIDERED, THE QUESTIONNAIRE VIA THE LINK BELOW MUST BE COMPLETED

    Are you a Medical Billing and Claims Professional? How would you feel to work for one of the fastest growing organizations within the area? One of the largest healthcare and insurance providers is seeking a Medical Billing and Collections Professional to provide excellent customer service to members and providers.

    To submit your resume and move to the next steps, please complete the questionnaire via the link below.

    https://forms.gle/qJAxYbGF36ZRFvoB8

    Duration: 6 Months (Possibility of Extension and Conversion to Perm) Pay Rate: $22.00 to $23.00 Shift/hours: M-F Normal Business Hours Location: Naches Avenue SW Renton WA 98057

    RESPONSIBILITIES:

    • The Review Services Coordinator is a critical role in adjudicating pre-authorization coverage requests for all types of services including medical and DME
    • Responsible for reading and interpreting contracts and coverage
    • This role also includes handling a high volume of incoming calls from members and providers, managing multiple requests simultaneously and accurately and easily identifying requests that require a higher level of clinical review

    SKILLS:

    • Strong knowledge of Medical Terminology, CPT, HCPC and ICD coding
    • Excellent Computer Skills
    • Communication and Interpersonal skills
    • MS Office

    REQUIREMENTS/QUALIFICATIONS:

    • Understanding of Claims and Payments
    • This position requires that all CMS, state and federal compliance and regulatory requirements be met
    • High School Diploma*
    • Working Knowledge of Health Plan Benefits and Policies and Medical Terminology
    • Basic Understanding of Medicare Regulations, Particularly Those Pertaining to the Provision of Part B Services
    • 2 Years Healthcare Experience With Emphasis in Health Insurance Including Pre-Authorizations, Benefits, Eligibility, and Billing

    To submit your resume and move to the next steps, please complete the questionnaire via the link below.

    https://forms.gle/qJAxYbGF36ZRFvoB8

    Company Description

    Randstad is the #1 staffing agency in the world. We partner with well respected organizations and Fortune 500 companies across the US. APPLY TODAY to learn how we can get YOU in front of the hiring manager! Our business is matching smart people with great jobs, from the executive office to the manufacturing floor. We use innovative technologies and a passion for people to provide you with the best experience possible.