Wiki Claims Manager - Vision Insurance Company - Onsite Northern NJ

Laura Angela

New
Local Chapter Officer
Messages
2
Location
Saddle Brook, New Jersey
Best answers
0
Hi Everyone!

My company is looking for a Claims Manager - Vision Insurance Company - Onsite Northern NJ. Please see the job req below and email me directly if you are interested: lhamway@benecard.com

ROLES AND RESPONSIBILITIES: Claims Processing Manager/Examiner will be responsible for preparing all audit document, processing claims requiring supervisory override. Distribute daily work, meeting monthly department goals, meeting prompt pay deadlines, monthly reporting and other responsibilities as assigned.

QUALIFICATIONS:
  • 5+ year experience processing and adjudicating Medicaid and Medicare claims including:
  • Billing and Coding Edits (CPT/ICD-10/HCPCS/ Modifiers)
  • Third Party Liability COB (Coordination of Benefits) filing rules.
  • CPT Codes/HCPCS Codes
  • Knowledge of AS400
  • Understanding of the billing resubmission process
  • Timely filing
  • Researching rejected claims.
  • Remittance advice
  • Proper use of modifiers with procedure codes
  • Detailed knowledge of electronic billing processes and universal billing forms (HCFA 1500)
  • Knowledge of the appeal process to government payers
  • Promptly and professionally respond to emails.
  • Computer proficiency in a Windows environment, knowledge of Microsoft Office products with an emphasis in Excel
  • Certified Professional Coder (CBC) and/or Certified Professional Biller (CPB) a plus
Featured Benefits

Competitive salary

Potential to earn $1,000 sign-on bonus

Vacation and Sick/Personal Time

Medical Insurance

Hearing Program Discount

Short- & Long-Term Disability Insurance

Life Insurance

Flexible Spending Account

401(k)

Employee Referral Program

Employee Recognition

Tuition Reimbursement

Professional Development Training
 
Top