Healthcare Claims Adjudicator - Telework Available - Now Hiring

Imagenet is a premier healthcare technology company that has taken medical claims processing and document management to new levels of service, security and efficiency. We are looking for Claims Examiners to join our rapidly growing team in Tampa.

Job Description

·        Analyze and adjudicate a variety of claim types to include facility, professional, inpatient and outpatient services

·        Follow claims adjudication rules to assure that all claims are adjudicated in accordance with CMS rules and regulations and our Client's internal criteria

·        Review different lines of business to include Medicare, Medicaid and Commercial services adherence to the contracts and timeliness guidelines

·        Authorize claim payments within established limits; otherwise forward to Claims Manager

·        Potentially process refunds appeals, disputes and adjustments (when applicable)

·        Identify process improvement opportunities within the claim department and recommend system enhancements

·        Handles any additional responsibility which may be assigned

Education:  High School Diploma or equivalent required

Experience:

·        Preference for minimum of one-year experience working closely with Healthcare Claims or in a claims processing/adjudication environment

·        Open to training candidates without experience

Technical Skills / Knowledge:

·        Understanding of health claims processing/adjudication

·        Ability to perform basic to intermediate mathematical computation routines

·        Medical terminology strongly preferred

·        Understanding of ICD-9 & ICD-10

·        Basic MS office computer skills

·        Ability to work independently or within a team

·        Time management skills

·        Written and verbal communication skills

·        Attention to detail

·        Must be able to demonstrate sound decision-making skills

Salary: $15.00 - $18.00 per hour based on experience.

Job Type: Full-time

Benefits:

·        Dental insurance

·        Health insurance

·        Vision insurance

·        Performance Bonus

·        Referral Bonus

·        PTO

Schedule:

·        8 hour shift

·        Monday to Friday

·        Flexible schedule

Work Location: Hybrid remote in Tampa, FL 33609

Required qualifications:

• 18 years or older
• Legally authorized to work in the United States