Full-Time Health Claims Specialists

What you will be doing as a Claims Examiner:

• Work independently, processing claims via data entry for 90% of your day.
• Be responsible for effectively adjudicating claims to meet production, quality, and other metrics in accordance with policy/procedures and regulatory guidelines
• Follow up on claims needing additional information
• Refer problem claims to a Lead and/or auditor for additional review
• Make sure that the integrity of the information is accurate and kept private according to HIPPA guidelines
• Work with specific software
• May be assigned special projects

When you join us, you’ll enjoy:

• Pay rate of $13.50/hour with the opportunity to bonus an additional $1500 a month.
• Medical, dental, and vision plans.
• Paid training and PTO (be sure to ask about our Global Flexible Vacation Policy).
• Company-provided equipment.
• Advancement opportunities – 80% of our frontline leaders have been promoted from within.
• Monthly rewards & recognition programs.
• Employee Discounts.
• EAP and Health and Wellness programs including a personal trainer dedicated to Sutherland.
• Weekday schedule, Monday – Friday 8:30 AM – 5:00 PM EST.

Skills

• Data entry
• Time management
• Attention to detail
• Analytical

Required Qualifications

• High School Diploma or equivalent
• Excellent Internet Connectivity: Internet access speed of 2 Mbps upload and 10 Mbps download – the faster the better. house network, and a hard-wired internet connection capable of continuously supporting outstanding call quality and high-speed response rates. (Wireless and/or satellite Internet Service Providers are not compatible with our systems)
• A quiet and distraction-free, secure place to work
• Effective verbal and written communication skills
• Strong typing and analytical abilities
• Multi-tasking skills with a strong attention to detail
• Computer knowledge
• Minimum 40 words per minute on typing test
• Must have and maintain a clean and paper free work environment to meet our company policies.
• Medical Billing and Coding degree/certification.
• Previous experience in a medical office type setting, including some knowledge of insurance, claims, billing or coding, with an understanding of the different types of insurance (Medicare/Medicaid and/or Child Plus).
• Knowledge of Medical terminology

What is the last date for applying to the job?

Which countries are accepted for this remote job?