Job added in hotlist
Applied job
Contract job
90-day-old-job
part-time-job
Recruiter job
Employer job
Expanded search
Apply online not available
View more jobs in Honolulu, HI
View more jobs in Hawaii
View Similar Jobs

Job Details

Claims Processor I

Location
Honolulu, HI, United States

Posted on
Dec 01,2019

Apply for this job






Profile

Education
High School Diploma or GED
Skills
401(k)
Microsoft Word
10 Key Calculator
EDI
Medical Terminology
Benefits
Yearly Bonus
Health Insurance
Paid Time Off
Honolulu, HI
Order:
1303049
Order Type :
TempToFT
Job Title:
Claims Processor I
Industry:
Healthcare
Duration:
Temp-to-Hire
Hours:
Monday – Friday, 7:00AM – 3:30PM
Location:
Honolulu, HI
Parking:
Not Provided
Pay Rate:
$14.00 – $15.25/hour
As one of Hawaii’s leading health insurance providers, we promote the overall health and well-being for all internal employees and members. Competitive long-term benefits include 100% premium paid medical insurance, 401K and PTO upon date of hire, and eligibility for annual bonuses.
Description:
OCR validation of scanned claims
Processing of CMS 1500, EDI and UB04 claims
Data entry and review of outsourced rejects
EDI or EMC claims processing
Analyzing and calculating coordination of benefit payments
Create claims processing system memo to identify, track, and pay or deny claims in accordance with the Third-Party Liability policy and medical benefits guide
Review and process CMS 1500 Out of State claims in accordance with UHA’s out of state network policy and requirement criteria
Frist Health re-pricing of applicable CMS 1500 and UB04 claims
Requirements:
Able to navigate through internal and external computer systems including Microsoft Word and Excel, and have proficient PC keyboarding skills including 10-key
Able to use acquired skills & knowledge and willingness to learn new skills
Must be detail oriented
Able to interpret group benefit plan coverages
Able to analyze and calculate Coordination of Benefits information
Must have thorough knowledge of the medical claims processing software applications
Able to work as a contributing team member toward achieving management’s stated goals
High School diploma
One year of work experience in an office setting, preferably associated within the healthcare industry
Understanding of medical billing, medical terminology, and/or medical coding preferred i.e. familiarity with CMS 1500, UB04, EDI CMS 1500 and EDI UB04
ID# 1303049
All offers are contingent upon the successful completion of background and reference checks. In addition, the following health screens are required:
Drug and Alcohol Testing
Interested Applicants:
Please visit us online at ****to view additional positions. Applications will only be reviewed for applicants currently living in the state of Hawaii and who are available for an interview with Staffing Solutions. #SSOH
Why work with **MEMBERS ONLY**SIGN UP NOW***.:
We are a local, award winning, and growing privately owned agency in business for 25 years
Employees enjoy competitive pay, stimulating careers, and excellent growth opportunities!
We have over 120 job positions including full-time, part-time, and internship opportunities inclusive with medical benefits options
We partner with 100+ organizations in Hawaii, such as Kaiser Permanente, Bank of Hawaii, Hawaiian Airlines, Hilton Grand Vacations, KHON 2 News and many more!
We are proud to be an Equal Employment Opportunity and Affirmative Action employer, including females, minorities, protected Veterans and those with disability.

Company info

Sign Up Now - InsurCrossing.com

Similar Jobs:
Claims Investigator in Kapolei HI
Location : Kapolei, HI
Position Overview As a Claims Investigator, you will be researching shortage claims based on calls received from our customer locations. These investigations will aid in reducing shrink exposure at C&S, as well as the customers...
Claims Service Specialist
Location : Kapolei, HI
Where good people build rewarding careers. Think that working in the insurance field cant be exciting, rewarding and challenging? Think again. Youll help us reinvent protection and retirement to improve customers lives. Well help ...
\rTypical duties include but are not limited to: \r\r\r\rInvestigate and determine coverage, liability and damages on new and existing Bodily Injury claims to include taking recorded statements, interviewing of witnesses, and comp...