Claims Processing Associate @ CareCentrix
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Job Details
Overview
Do you have the passion to make an impact on people’s lives? Then come join our team at CareCentrix, where home is the center of patient care. As a Claims Processing Associate, you will review and investigate claims, determine payment amounts, process data with proper authorizations and document everything accurately.
Responsibilities
- Review electronic claims and resolve computer generated edits.
- Determine correct payment or denial amounts and document notes.
- Identify questionable claims, authorizations, or system issues.
- Achieve production and quality targets as set by the department.
- Adhere to all CareCentrix policies including HIPAA, Business Ethics, and Attendance.
Qualifications
The ideal candidate will have experience with claims processing or medical terminology, a high school diploma (or equivalent), and at least one year of related work experience. Clear communication skills, strong organizational abilities, and good judgement are essential for success in this fast-paced role.
What We Offer
Enjoy an hourly wage between $16.35 and $20.00 plus corporate bonus incentive, robust benefits including Medical, Dental, Vision, 401(k) with company match, and more. Work in an award winning culture at CareCentrix that values care, excellence, and humor.
Key skills/competency
Claims Review, Payment Determination, Data Processing, HIPAA, Medical Terminology, Quality Targets, Communication, Organization, Problem-Solving, Compliance
How to Get Hired at CareCentrix
🎯 Tips for Getting Hired
- Customize your resume: Highlight claims processing and compliance experience.
- Research CareCentrix: Understand their patient care mission and culture.
- Emphasize healthcare skills: Focus on medical terminology and claims review.
- Prepare for interviews: Practice scenarios related to claim resolutions.