[Remote] Claims Processor -w2 only

Note: The job is a remote job and is open to candidates in USA. nTech Workforce is a leading healthcare staffing organization, and they are seeking multiple detail-oriented Claims Processors to join their Federal Employee Program (FEP) Claims Department. This role involves processing various types of claims and managing inventory to ensure timely processing, contributing to the team's efforts in overcoming a significant backlog. Responsibilities • Process a high volume of HMO and PPO claims within the Facets system. • Adapt to daily shifting priorities, processing various claim types including Medicare claims, paper claims, and subscriber-submitted claims. • Utilize multiple applications daily to research and process claims, including Transaction Insight (TI Portal) for electronic claims and the Stored Information Retrieval (SIR) system for paper claims. • Search for member authorizations using the Guiding Care database. • Analyze claim data and interpret medical terminology from supporting documentation provided by clinical staff. • Use bolthires Excel spreadsheets to receive and manage claim inventories. Skills • High School Diploma or GED • 1-3 years Claims processing, billing, or medical terminology experience. • Hands-on experience processing claims directly within the Facets platform (legacy or G6). • Demonstrated experience with the following systems: TI Portal (Transaction Insight), SIR (Stored Information Retrieval System), HealthEdge Guiding Care, SharePoint • A strong understanding of medical terminology. • Proficiency with bolthires Office, including Excel and Word. • Excellent analytical skills and the ability to multitask in a fast-paced environment. Company Overview • nTech Workforce is a recruiting firm that offers a wide bolthires of staff augmentation and direct hire services. It was founded in 2005, and is headquartered in Columbia, Maryland, USA, with a workforce of 51-200 employees. Its website is Apply tot his job Apply tot his job