• Job Description

  Req#: R-12436

  Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.

  Job Posting Title

  Claims Processor- REMOTE

  Job Description Summary

  Responsible and accountable for the accurate and timely claims processing of all claim types. Claims must be processed with a high level of detailed quality and in accordance with claims payment policy and by the terms of our customer/provider contractual agreements.

  Job Description

  • Adjudicates claims and adjustments as required.
  • Resolves claims edits and suspended claims.
  • Maintains and updates required reference materials to adjudicate claims.
  • Provides backup support to other team/group members in the performance of job duties as assigned.

  Responsibilities

  • Ability to quickly use a 10-key machine
  • Experience with list of ICD-9 codes and Current Procedural Terminology (CPT)

  Work Experience

  Work Experience - Required:

  Claims

  Work Experience - Preferred:

  Education

  Education - Required:

  GED, High School

  Education - Preferred:

  Certifications

  Certifications - Required:

  Certifications - Preferred:

  Potential pay for this position ranges from $16.00 - $23.39 based on experience and skills. Pay range may vary by 8% depending on applicant location.

  To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail.

  Prime Therapeutics LLC is an Equal Opportunity Employer and a Tobacco-free workplace . We encourage diverse candidates to apply and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, genetic information, marital status, family status, national origin, age, disability, veteran status, or any other legally protected class under federal, state, or local law. Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures .

  Positions will be posted for a minimum of five consecutive workdays.

• About the company

  We build relationships. It’s how we make medicine more affordable, help our members be healthier and keep costs down.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,...

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