Health Claims Processor

Health Claims Processor - Our client is a Third Party Administrator in Tualatin, OR and this Direct Hire opening will be processing medical claims and providing customer service. For consideration, please apply online or email resume to talent@activatestaffing.com.

Job Description

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.

Responsibilities:

  • 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.

Requirements:

  • 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!

About Activate Staffing LLC

The Resource for Insurance Professionals
Activate Staffing is a premier staffing firm specializing in the Insurance Industry. Our staff is comprised of the best Insurance and Staffing professionals in the industry to fill the staffing needs of Insurance Companies, TPAs, Self-Insured Entities, and Retail and Wholesale Agencies and Brokerages. We have the breadth of knowledge and the skills needed to successfully match top-notch talent with highly rated companies. Give us a call, and Expect the Best!

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Job Summary

  • Job ID

    1620815

  • Category

    Health & Benefits TPA

  • Location

    Tualatin, OR

  • Order Type

    Direct Hire

  • Contact Phone

    (720) 633-9726

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