Claims Clerk jobs in Akron, OH

SUMMARY: This position is responsible for processing medical, vision and hearing claims for healthcare services in accordance with our Client’s benefit health plan provision.

DUTIES AND RESPONSIBILITIES:

· Receives and returns incoming calls and emails regarding insurance coverage and benefits, eligibility issues along with claim status from Client members in accordance with organizational standards.

· Processes medical, vision and hearing claims according to plan provisions, corporate policies and procedures.

· Meets production and quality goals in accordance with organizational standards.

· Communicates systems issues promptly to the Claims Supervisor/Manager.

· Manages information received by phone and by general correspondence from members of our Client’s health plan.

· Demonstrates a positive and cooperative work attitude, encourages teamwork among fellow employees and customers.

· Provides backup in other areas, based on business need, assisting management with special projects or requests.

· Performs other related duties as assigned by management.

QUALIFICATIONS:

· Associates Degree (AA) or equivalent from a two-year college or technical school, or one to three years related experience and/or training, or equivalent combination of education and experience.

· Certificates, licenses and registrations required: None

· Computer skills required: Microsoft Office Suite

· Other skills required:

o Must have above average knowledge with claims adjustment / processing, financial software, documentation skills, data entry, analyzing information, problem solving, verbal and written communication, customer focus, general math skills and statistical analysis.

o Must be able to work independently, be organized and have the ability to multi-task.

HYBRID SCHEDULE: Training up to ninety (90) days full-time in office (Monday through Friday). OPTIONAL Hybrid Schedule upon completion of (90) day training period and successfully meeting all benchmarks (audit accuracy). Hybrid is considered three (3) days at home and two (2) days in office. Hybrid Schedule is contingent upon performance and business needs.

If you meet the requirements for this position, and are interested in joining our company, apply now to join our claims team!

Job Type: Full-time

Pay: $16.00 - $18.00 per hour

Expected hours: No less than 40 per week

Benefits:

• 401(k)
• 401(k) 4% Match
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Professional development assistance
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday
• No nights
• No weekends

Work setting:

• Hybrid work
• Office

Education:

• High school or equivalent (Preferred)

Experience:

• Claims Paying: 2 years (Preferred)
• ICD-10 | CPT Coding: 1 year (Required)
• Insurance Verification: 1 year (Required)

Work Location: Hybrid remote in Uniontown, OH 44685