Claims Specialist

Jan 24, 2025

Job ID:137849

Description

Claims Specialist
Location: Asheville, NC 28806
Pay Rate: $19.75/hour
Schedule: Monday–Friday, 8:30 AM – 5:00 PM

*2-4 Month Project

Our client is seeking to hire 3 detail-oriented Claims Specialists to join their team. This role focuses on processing paper medical claims accurately and efficiently while supporting the claims adjudication process and providing excellent customer service to providers.

Key Responsibilities:

  • Paper Claims (40%): Enter valid claims into the system, return invalid claims to providers, and ensure claims meet processing deadlines.

  • Claims Adjudication (20%): Finalize claims for payment, ensuring compliance with internal guidelines and regulations.

  • Customer Service (25%): Provide assistance to providers with claims-related issues and inquiries, offering clear and professional communication.

  • Compliance (10%): Ensure all claims adhere to regulatory standards and internal policies.

  • Other Duties (5%): Support additional administrative tasks as needed.

Skills & Qualifications:

  • Familiarity with medical claims systems and terminology (e.g., ICD-10, CPT) is very helpful.

  • Ability to work independently, manage deadlines, and maintain accuracy.

  • Strong problem-solving, communication, and organizational skills.

  • Proficiency in Microsoft Office (Word, Excel, Outlook).

  • High attention to detail and a commitment to quality work.

Education:

  • Required: High School Diploma or GED.

  • Preferred: Associate’s Degree in Business, Accounting, or a related field.

Why Join Our Client’s Team?
This position offers an excellent opportunity to apply your medical claims expertise in a professional and supportive environment. You’ll work alongside a dedicated team committed to accuracy and compliance in every step of the claims process. Candidates who have strong computer, administrative, and communication skills are encouraged to apply – will train!