Health Claims Processor opening for a Third Party Administrator in Tualatin, OR. Primary job functions will be performed in the office.
The successful candidate will:
Process routine medical, dental and/or hospital claims.
Provide customer service, including providing information to hospitals, physicians, and participants regarding eligibility, benefits and claims status.
Process routine medical, dental and/or hospital claims in accordance with assigned Plans.
Provide customer service by responding to and documenting telephone and/or written inquiries.
Consistently meet established performance standards, including quantity and quality claims processing standards.
Maintain current knowledge of assigned Plans and effectively apply knowledge in the payment of claims and customer service.
Minimum of 6 months experience processing all types of group medical, dental and/or hospital claims.
Basic knowledge of benefits claims adjudication principles and procedures.
Possess a strong work ethic and team player mentality.
Highly developed sense of integrity and commitment to customer satisfaction.
Ability to communicate clearly and professionally, both verbally and in writing.
Solid organization skills with strong detail orientation and listening skills.
Strong decision making, research and analytical abilities.
Ability to type 35 WPM with proficient PC skills, including MS Word and Excel
Salary Range & Benefits:
$22.68 - $29.23 Per Hour
Excellent benefits package including: health (medical, dental, prescription, vision) insurance, life insurance, Accidental death & dismemberment (AD&D), STD, LTD, retirement plans (defined benefits and 401(k)), FSA (healthcare and dependent care), transportation fringe benefit plan, and more!