Health Care Claims Examiner Job Vacancy in Bay Bridge Administrators, LLC Austin, TX 78746 – Latest Jobs in Austin, TX 78746
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Company Name : Bay Bridge Administrators, LLC
Location : Austin, TX 78746
Position : Health Care Claims Examiner
Job Description : Key Responsibilities: Analyzing, processing, researching, adjusting and adjudicating claims which will result in a payment or non-payment of a claim with minimal guidance.Review insurance policies, the claim form and supporting documentation to make sure that all of the information is correct. They determine whether the claims are covered under the policies issued to that policyholder.Provide the insured with correspondence that is clear, concise and meets state regulations in relation to the decision they made on the claim processed.Assist in identifying, investigating and reporting fraudulent claim activity to our internal fraud unit.Provide customer service telephone support for benefit and claim inquiriesRequired Skills and Experience: Minimum of 3-years health care claims adjudication experienceIntermediate knowledge of Microsoft Office systems to include Outlook and WordAbility to work in a fast paced/deadline driven environmentBasic policy coverage and insurance regulation knowledgeVerbal/written telephone communication skillsAbility to prioritize and handle multiple tasksBenefit Conditions:Waiting period may applyCOVID-19 Precaution(s):Remote interview processSocial distancing guidelines in placeVirtual meetingsSanitizing, disinfecting, or cleaning procedures in placeWork RemotelyNoJob Type: Full-timePay: $19.00 – $21.00 per hourBenefits:Dental insuranceEmployee assistance programFlexible spending accountHealth insuranceLife insurancePaid time offReferral programRetirement planVision insuranceSchedule:8 hour shiftMonday to FridayEducation:High school or equivalent (Preferred)Experience:Health Care Claims: 3 years (Preferred)Work Location: One location
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