Imagenet is a premier healthcare technology company that has taken medical claims processing and document management to new levels of service, security and efficiency. Our primary focus is performing grass roots training to our successful talented employees and ensuring their ongoing experience with us is fulfilling and fun while getting the job done. We offer a great benefit package, flexible hours, and remote work for those who are self-disciplined with a solid work ethic. Our Team members are versatile and have opportunities abound for those that want upward mobility.

Our core business is helping our clients reduce costs and increase productivity by providing the resources of staff that are proud of their work product and enjoy a Team environment.

Must be local to Tampa, FL

Do not apply if you are not local to Tampa - Performance Based Remote Work Offered

Job Description

Monday-Friday

Flexible and desirable hours available generally 9:00AM-5:30PM

· Analyze and adjudicate a variety of claim types to include facility, professional, inpatient and outpatient services

· Follow claims adjudication rules to assure that all claims are adjudicated in accordance with CMS rules and regulations and our Client's internal criteria

· Review different lines of business to include Medicare, Medicaid and Commercial services adherence to the contracts and timeliness guidelines

· Authorize claim payments within established limits; otherwise forward to Claims Manager

· Potentially process refunds appeals, disputes and adjustments (when applicable);

· Identify process improvement opportunities within the claim department and recommend system enhancements

· Handles any additional responsibility which may be assigned

Education :

· High School Diploma or equivalent required

Experience :

· Minimum of one-year experience working closely with health claims or in a claims processing/adjudication environment; required

. Abundance of opportunities for promotion within for those looking for upward mobility

.Meeting and exceeding metrics is rewarded

Technical Skills / Knowledge:

· Understanding of health claims processing/adjudication

· Ability to perform basic to intermediate mathematical computation routines

· Medical terminology strongly preferred

· Understanding of ICD-9 & ICD-10

· Basic MS office computer skills

· Ability to work independently or within a team

· Time management skills

· Written and verbal communication skills

· Attention to detail

· Must be able to demonstrate sound decision-making skills

Job Type: Full-time

Pay: $15.00 - $18.00 per hour

Job Type: Full-time

Pay: $15.00 - $18.00 per hour

Benefits:

• Dental insurance
• Health insurance
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Ability to commute/relocate:

• Tampa, FL 33609: Reliably commute or planning to relocate before starting work (Required)

Education:

• High school or equivalent (Preferred)

Experience:

• claims examiner: 1 year (Required)

Work Location: One location

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