• Job Description

  Req#: BH_1016042
  Innova Solutions has a client that is immediately hiring for a Claims Processing Specialist
  
  Position type: Full Time - Contract
  Duration: 04 Months Contract
  Location: Philadelphia, PA
  
  As a Claims Processing Specialist, you will:
  • Reviewing all medical bills brought to his/her attention for the application of cost containment measures.
  • This is to be completed according to the jurisdictional requirements of the workers compensation law and involved both medical bill cost containment and utilization review for three (3) jurisdictions.
  • Screens and evaluate bills for provider services.
  • Determining if all billing information is complete and correct, obtaining by telephone, and evaluating any missing information to process the bill
  • Applying all relevant guidelines that pertain to the evaluation of reported services; obtaining technical assistance for highly specialized non-routine decisions, as warranted; and maintaining and applying current knowledge of those aspects of workers' compensation laws and regulations that affect medical bill processing.
  • Performs miscellaneous recording functions.
  • Advises management of recurring problems with providers.
  • Identifies systems problems and reports them to management.
  • Recommend improvements in processes, systems, etc.
  
  The Ideal Candidate will have:
  • High School diploma or equivalent.
  • Minimum of 4 years of experience in workers' compensation claims.
  • Excellent procedure code knowledge, medical cost containment knowledge, good data entry skills.
  • The incumbent must be courteous in dealing with various parties via telephone, ad must in addition be able to instruct others in medical cost containment.
  Qualified candidates should APPLY NOW for immediate consideration!
  This position is only open to applicants who can be engaged on a W-2 basis.
  Please hit APPLY to provide the required information, and we will be back in touch as soon as possible.
  We are currently interviewing to fill this and other similar positions. If this role is not a fit for you, we do offer a referral bonus program for referrals that we successfully place with our clients, subject to program guidelines. ASK ME HOW.
  Thank you!
  
  Thank you!
  Gandam Meghana
  218-325-3819
  Gandam.Meghana@innovasolutions.com
  
  PAY RANGE AND BENEFITS:
  Pay Range*: $20 - $24 per hour
  *Pay range offered to a successful candidate will be based on several factors, including the candidate's education, work experience, work location, specific job duties, certifications, etc.
  
  Benefits: Innova Solutions offers benefits( based on eligibility) that include the following: Medical & pharmacy coverage, Dental/vision insurance, 401(k), Health saving account (HSA) and Flexible spending account (FSA), Life Insurance, Pet Insurance, Short term and Long term Disability, Accident & Critical illness coverage, Pre-paid legal & ID theft protection, Sick time, and other types of paid leaves (as required by law), Employee Assistance Program (EAP).
  
  ABOUT INNOVA SOLUTIONS:Founded in 1998 and headquartered in Atlanta, Georgia, Innova Solutions employs approximately 50,000 professionals worldwide and reports an annual revenue approaching $3 Billion. Through our global delivery centers across North America, Asia, and Europe, we deliver strategic technology and business transformation solutions to our clients, enabling them to operate as leaders within their fields.
  
  Recent Recognitions:
  • Named One of America's Best Employers for New Grads by Forbes (2024
  • Named One of the Best Companies to Work For by U.S. News & World Report (Private Companies List, 2024-2025)
  • One of the Largest IT Staffing Firms in the US - Ranked #3 by Staffing Industry Analysts (SIA, 2024)
  • One of the Largest Staffing Firms in the US - Ranked #13 by Staffing Industry Analysts (SIA, 2024; includes Innova Solutions, Volt, & HireGenics)
  • Named One of the Top Ten Private Companies in Atlanta by the Atlanta Business Chronicle (2023)
  • One of the Largest Certified Minority Business Enterprises (MBEs) in the United States (NMSDC, 2024)
  • AWS Advanced Tier Services Partner with 100+ certifications
  
  Website: https://www.innovasolutions.com/
  
  Innova Solutions offers a referral bonus for qualified Ambassadors who refer eligible referrals. Submit referrals at https://innovasolutions.workllama.com/atsuser/anonreferafriend and earn $250-$1,000 per referral
  
  Innova Solutions is an Equal Opportunity Employer and prohibits any kind of unlawful discrimination and harassment. Innova Solutions is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment on the basis of race, color, religion or belief, national origin, citizenship, social or ethnic origin, sex, age, physical or mental disability, veteran status, marital status, domestic partner status, sexual orientation, or any other status protected by the statutes, rules, and regulations in the locations where it operates. If you are an individual with a disability and need a reasonable accommodation to assist with your job search or application for employment, please contact us at hr@innovasolutions.com or (770) 493-5588. Please indicate the specifics of the assistance needed. Innova Solutions encourages all interested and qualified candidates to apply for employment opportunities. Innova Solutions (HireGenics/Volt) does not discriminate against applicants based on citizenship status, immigration status, or national origin, in accordance with 8 U.S.C. § 1324b.
  The company will consider for employment qualified applicants with arrest and conviction records in a manner that complies with the San Francisco Fair Chance Ordinance, the Los Angeles Fair Chance Initiative for Hiring Ordinance, and other applicable laws.
  By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Innova Solutions and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy at Privacy Policy - innovasolutions.

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