Claims Adjudicator I

Company: Bishop & Company, Inc.
Location: Honolulu
Posted on: January 15, 2022

Job Description:

Bishop & Co. is recruiting for a Claims Adjudicator I with a health insurance administrator in the Honolulu area!

Claims Adjudicator I #19153



Position Details:

• Analyze claims to determine the extent of the insurance carrier' s liability and makes benefit determinations in accordance with guidelines and policy provisions
• Processes claims and verifies data entered from the claim form is accurate and complete to enable the claim to be processed correctly
• Improves claim payment accuracy by identifying pricing and/or submission inconsistencies to management
• Ensures that Federal and State regulations, timeliness standards, confidentiality requirements, and accreditation standards are met
• Runs third-party liability diary reports and other claim reports
  
  
  
  Requirements:
  
  • High school degree or general education degree (GED) required
  • Experience in medical claims processing at a health insurance company or third-party administrator preferred
  • Basic proficiency in Microsoft Word and Excel
  • Knowledge of medical terminology, CPT, ICD, and HCPCS codes required
  • 10-key by touch, and type at least 30 wpm
  • Good organizational and decision-making skills
  • Able to prioritize and consistently meet deadlines
  • Strong data entry and attention to detail
    
    
    
    Additional Information:
    
    • Job Type: Temporary for 3-6 months with a possible extension
    • Schedule: Full time, Monday-Friday, 8: 00am-5: 00pm
    • Pay: Commensurate with experience
    • Parking: Not included
      
      
      
      Bishop & Company provides recruiting and placement services for client companies and opportunities for job seekers throughout Hawaii, with emphasis on executive search, direct hire, temp to hire, and temporary/contract staffing. We charge no fees to our placed candidates and our temporary/contract employees. Our client services are 100% guaranteed.
      
      Please forward resumes to:
      Bishop & Company
      (or Email: jobs@bishopco.net)
      
      Phone: 808-839-2200
      Fax: 808-839-4844
      Website: http://www.bishopco.net/
      
      ***No relocation, In-state applicants only. Must be available to interview immediately.***
      
      Location: Honolulu, HI
      
      Equal Opportunity Employer - Disability and Veteran

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