Medical Claims Processor

- Process claims for companies and process new claims, modify existing ones, and obtain information from claimants (bulk of business is Secondary Commercial Claims for NV/AZ)
- Analyze data given and insure accuracy
- Enter information from claims into data systems and process claims and arrange for claim resolution
- Answer inquiries regarding claims details
- Enter information from claims into data systems and process claims and arrange for claim resolution
- Submitting appeals/reconsiderations to payers for incorrectly processed claims
- Answer inquiries regarding claims details
- Manual identification, sorting and redistribution of misdirected correspondences
- Data entry of claims into internal systems and manage application for auto-pricing
- Manual pricing/handling of claims for retailers and customers
- Process all new claim pricing inventory in manual mailboxes for dual platform/networks
- Identification of errors and management of resolution with provider contracting
- Identifies steps necessary to process a varying complexity of contracts for pricing accuracy
- Researches, analyzes and calculates claims in accordance with provider contracts
- Works with internal matrix partners to resolve pended claims issues
- Enter payment information to the NDC 11 level into the First Rebate System Work and work with billing department for any discrepancies with payments
- Quality check entries made by the other claims processors
- Contact manufacturers for payment backup as needed
- Provide backup support to other team/group members
- Track and report data entered on weekly metric reporting
- Maintain and update required reference materials as needed

About Aerotek:

We know that a company's success starts with its employees. We also know that an individual's success starts with the right career opportunity. As a Best of Staffing® Client and Talent leader, Aerotek's people-focused approach yields competitive advantage for our clients and rewarding careers for our contract employees. Since 1983, Aerotek has grown to become a leader in recruiting and staffing services. With more than 250 non-franchised offices, Aerotek's 8,000 internal employees serve more than 300,000 contract employees and 18,000 clients every year. Aerotek is an Allegis Group company, the global leader in talent solutions. Learn more at Aerotek.com.

Aerotek is acting as an Employment Agency in relation to this vacancy.