Claims Processor, Vision Insurance
Employment type
Full-time
Work setting
On-site
Location
Mason, OH
Schedule
Day shift
Posted
You'll be redirected to the employer's application page.
Job overview
The Claims Processor, Vision Insurance role is onsite in Mason, OH; compensation is not specified. The position processes vision insurance claims and supports claims operations. The role exists to process claims accurately and efficiently while meeting plan requirements and quality and production goals. Work includes reviewing claim documentation, correcting errors, maintaining Medicare and Medicaid pending claims processes, and coordinating with internal teams and providers when additional information is needed.
What you'll do
- Process vision insurance claims and adjustments
- determine plan requirements
- review claims for completeness and compliance
- review images and transcribed data for auto adjudication
- correct claim errors
- maintain the Medicare/Medicaid Pend Claims process
- participate in rework and special projects
- comply with HIPAA
- communicate with internal teams and contact stores or providers when needed.
What we're looking for
- Skills & competencies
- claims processorvision insuranceclaims processingclaims adjustmentsmedicaremedicaidhipaadata entrycustomer servicemason ohava consulting
- Work arrangement
- Weekend coverage required
Why this role
Includes Medicare/Medicaid pending claims, corrected claims, and daily reporting; high school diploma or equivalent work experience and three years of data entry experience are listed.
About the employer
AVA Consulting is hiring for this role. Industry: Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds. Sector: 52.
Additional details
- Industry sector
- 52
- Industry
- Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
- Occupation code
- 43-3021.00
You'll be redirected to the employer's application page.
Listing ID: e1d5fc3e-3d08-494b-affb-a593ca9bdff5