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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

    • 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

Keywords: Bishop & Company, Inc., Honolulu , Claims Adjudicator I, Other , Honolulu, Hawaii

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