Claims Processor

Imagine360 is seeking a Claims Processor to join the team!  The Claims Processor will validate the information on medical claims. Claims will be reviewed to ensure that there is no missing or incomplete information as well as proofread all manually data entered claims. The Claims Processor will also need to quickly identify duplicate claims, replacement claims, late/additional charges as well as link claims to designated contracts.

Position Location: 100% remote

Responsibilities include but are not limited to:

• Resolve day to day claim issues
• Ability to identify Replacement Claims, Duplicate Claims and Late/Additional Charges
• Ability to link specified claims to appropriate contracts
• Proofread all manual entered claims
• Strong Verbal and written communication skills
• Establish priorities, meet deadlines and work independently with limited supervision
• Ability to multi-task and prioritize tasks with other internal departments to meet company goals
• Able to meet daily production goals and performance objectives
• Adhere to HIPAA guidelines and regulations

Required Experience/Education:

• High School Diploma or GED required
• Knowledge of UB-04 and CMS-1500 billing forms required.
• Proficient in Microsoft Outlook, Word, Excel, and PowerPoint required
• 2+ years of healthcare and/or insurance company preferred

Skills and Abilities:

• Strong attention to detail
• Ability to work independently or as a team
• Demonstrate a commitment to building new skills and fostering a positive working environment

What can Imagine360 offer you?

• Multiple Health plan options
• Company paid employee premiums for disability and life insurance
• Parental Leave Policy
• 20 days PTO to start / 10 Paid Holidays
• Tuition reimbursement
• 401k Company contribution
• Company paid Short & Long term Disability plus Life Insurance
• Professional development initiatives / continuous learning opportunities
• Opportunities to participate in and support the company's diversity and inclusion initiatives

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Imagine360 is a health plan solution company that combines 50+ years of self-funding healthcare expertise. Over the years, we've helped thousands of employers save billions on healthcare. Our breakthrough total health plan solution is fixing today's one-size-fits-none PPO insurance problems with powerful, customized, member-focused solutions.

Imagine360 is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

**RECRUITMENT AGENCIES PLEASE NOTE: Imagine360 will only accept applications from agencies/business partners that have been invited to work on a specific role. Candidate Resumes/CV's submitted without permission or directly to Hiring Managers will be considered unsolicited and no fee will be payable. Thank you for your cooperation**

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