Insurance Claims Processor

Wichita Falls, Texas
Health & Social Care, Practitioner & Technician
Job Type
Temp to Perm
US$ 11.00 - US$ 12.00 per hour, $11 - 12 per hour + none
Ref. Number
Savage, Kristen, Spherion
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Job Description

Summary of Essential Functions

-Files insurance claims on the UB-04 and HCFA 1505 form for medical services
-Computes insurance benefits, allowances, adjustments, and account balances
-Processes tracers and verifies reimbursement from payers
-Displays positive customer relations with all departments, outside companies, and patients

Duties and Responsibilities

-Compiles data and prepares insurance claims for billing. Reviews and corrects appropriate adjustments to patient accounts.
-Reviews assigned insurance reimbursement and ensures correct account balance and generate appropriate secondary billing if applicable
-Verifies and calculates payments, follows up on incorrect payments or denials in a timely manner and ensures proper status of accounts
-Determine whether to re-file a claim, refund, or process an adjustment. Identifies Medicare and Medicaid combine messages on a daily basis.
-Performs all other tasks and responsibilities as necessary

Working hours: Monday thru Friday, 8:00 AM - 4:30 PM

Skills & Qualifications

-Knowledge in all areas of insurance, including but not limited to, the ability to analyze and compile insurance billing data on the UB-04 and HCFA 1505 forms
-Knowledge of the filing practices for all third party payers
-Knowledge of the appeal process to government payers, and other payers as assigned
-Ability to read, comprehend, and apply governmental rules and regulations

Educational Requirements

-High School Diploma or equivalence is required
-At least one year of experience in insurance processing, obtained through vocational school or previous employment.
-Must be able to communicate effectively in English, both verbally and in writing

Must be willing to submit to drug screen and background check
Must have proven job stability to be considered
If interested, please submit qualified resumes to

Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temp-to-perm or direct hire opportunities, no one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.

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