We have immediate openings for Claims Processors for a client in downtown Pittsburgh.
Screens, reviews, evaluate online entry, error correction and / or quality control review and final adjudication of paper/electronic claims. Determines whether to return, deny or pay claims following organizational policies and procedures. May include initial entry claims or claims which have suspended. Translate foreign language claims into English using software and code appropriately. Convert foreign currency to US dollar and code charges appropriately. Reviews processed claims and inquiries to determine corrective action which can include adjusting claims. Takes the corrective action steps using enrollment, benefit and historical claim processing information.
Essential Job Responsibilities:
Determine if claim information is complete and correct. Enter/verify claims data.
Resolve claim edits, review history records and determine benefit eligibility for service. Review payment levels to arrive at final payment determination.
Meets all production and quality standards. Attends all required training classes.
Elevates issues to next level of supervision, as appropriate.
Maintains accurate records, including timekeeping records.
A High School Diploma or GED is required for all levels.
2 years of claims processing
Ability to take direction and to navigate through multiple systems simultaneously.
Knowledge of administrative and clerical procedures and systems such as word processing and managing files and records.
Ability to use mathematics to adjudicate claims.
Ability to solve problems within pre-defined methods and guidelines.
Knowledge of operating systems specific to claim processing.
Typing speed of 60 words per minute
About Murtech COnsulting
Murtech Consulting is a 17-year-old women owned staffing solutions organization that specializes in information technology, engineering, emerging technologies, infrastructure and customer support. We currently support clients throughout the country and strive to become the premier “problem solver” for our clients staffing challenges.
Murtech Consulting has 3 simple core values: integrity, passion and work ethic. Our value proposition and services are built on servicing our employees and clients with these core values.
Why Murtech…because we help identify our clients’ challenges and identify and propose effective solutions. Murtech focuses on the IT and Engineering staffing and placement space to ensure that our efforts are managed to the clients’ full expectations.
Forming a collaborative partnership with our clients and understanding their unique requirements is at the essence of our value proposition and Core Values. Before we can effectively react and respond to your open positions, we drill in and engage with you, our client. We ask questions, understand your needs and determine the best staffing solutions to meet and exceed expectations.... Our reward is in having long-term client relationships, allowing our teams to focus on delivering the highest quality possible—every time.