Healthcare Claims Processor - Hybrid In-Office

Karna is working to staff a temporary, full-time opening in support of a CDC (Centers for Disease Control & Prevention)/NIOSH (National Institute for Occupational Safety & Health) contract. This temp to perm position will offer a qualified candidate a great opportunity to work on a major public health project. If you meet the requirements of this announcement and possess the ability to work in a team environment as well as independently, please apply soon.

Duties for the Healthcare Claims Processor include:

• Resolving pended Healthcare Claims, prior approval requests and responding to providers.
  Analyzing claims to determine whether or not the claims should be approved or denied for payment.
• Reviewing and addressing provider inquiries regarding claim adjudication
• Meeting all required metrics for the position
• Applying knowledge of medical coding and various medical claims forms to the claims process.

Benefits for permanent employees include: health/dental/vision, 401k, PTO, paid holidays, and a friendly (jeans every day!) office environment. 

Required Experience:
• HS Diploma required
• 2-5 years of medical claims processing experience
• Experience with medical coding to include, diagnosis coding and terminology
• Ability to multi-task and follow documented claims processes
• Capability to prioritize and organize work assignments to meet deadlines
• Position is centered on meeting quality and production claim adjudication objectives
• Able to work independently and as part of a team with little supervision
• Proficient with MS Office skills, particularly Excel
• Excellent oral and written communication skills
• Strong attention to detail and the ability to make appropriate decisions based on the information presented
• Previous CDC/NIOSH experience strongly preferred
• Ability to obtain and maintain required clearance

PM18