Claims Processor, Medical

 Posted 8 hours ago
     
 $21.08 - $28.45 per hour
  
0-2 years experience
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AI Summary

Ensures the accurate posting of cash transactions, payments, and adjustments while resolving payment variances. Processes refunds and manual denials to minimize reimbursement discrepancies.

We are so glad you are interested in joining Sutter Health! 

Position Overview:

Ensures timely and accurate posting of cash transactions, payments, adjustments, manual denials, insufficient fund checks/debit transactions, and general ledger accounting transactions. Reviews, researches, and resolves payment variances to minimize inappropriate payment variances from expected reimbursement, processes payments/refunds/adjustments.

Additional Requirements:

DISCLAIMER:

  • You must be a resident of the state of Utah to be eligible for consideration for this role.


EDUCATION:

  • HS Diploma: High School Diploma or General Education Diploma (GED)

PREFERRED EXPERIENCE:

  • Medical Claims
  • Medical Denials
  • Medical Billing & Coding
  • Home Health and/or Hospice


SKILLS AND KNOWLEDGE:

  • Basic bookkeeping principles, general business procedures, knowledge of consumer collection and billing rules and regulations.

  • Written and verbal communication skills.

  • Ability to process requests quickly, accurately, and consistently with general supervision.

  • Able to work with others in a flexible and cooperative manner.

  • Proficient in using Microsoft Word, Excel, Visio and PowerPoint, and internet research.

Job Shift:

Days

Schedule:

Full Time

Shift Hours:

8

Days of the Week:

Monday - Friday

Weekend Requirements:

As Needed

Benefits:

Yes

Unions:

No

Position Status:

Non-Exempt

Weekly Hours:

40

Employee Status:

Regular

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $21.08 to $28.45 / hour

The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

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