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Allegis Group - Charlotte, NC
posted 2 months ago
Full-time - Entry Level
Remote - Charlotte, NC
10,001+ employees
Administrative and Support Services
About the position
The Claims Processor is responsible for the daily processing of claims and pre-authorizations/referrals within a specific business line, such as Commercial, Medicare, or Medicaid. This role involves verifying data entry errors, correcting entries, and determining whether claims should be processed or referred to another department based on the benefits schedule.
Responsibilities
- Process daily claims and pre-authorizations/referrals.
- Verify data entry for accuracy and correct any errors.
- Decide if claims should be processed or sent for further review based on benefits schedule.
- Support one specific business line, such as Commercial, Medicare, or Medicaid.
Requirements
- 3+ years of medical claims experience.
- 2+ years of claims processing experience, preferably in Medicaid or Commercial.
- Experience working in dental or medical offices may be considered.
Benefits
- Medical, dental & vision insurance
- Critical Illness, Accident, and Hospital coverage
- 401(k) Retirement Plan with pre-tax and Roth post-tax contributions
- Voluntary Life & AD&D insurance for employee and dependents
- Short and long-term disability insurance
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Paid Time Off (PTO), Vacation, or Sick Leave
