Summary
Join Sutherland as a full-time, permanent Healthcare Claims Adjudicator! This data entry position involves processing medical claims based on client requirements, working independently with support resources. You will be responsible for accurate data entry, meeting key performance indicators, and adhering to HIPAA guidelines. The role does not involve customer interaction. Sutherland offers competitive pay, monthly incentives, comprehensive benefits, and opportunities for advancement. This position requires experience in health or health insurance claims, medical terminology knowledge, and 40 WPM typing accuracy. Work from home requires reliable high-speed internet.
Requirements
- Health or health insurance claims experience
- Knowledge of medical terminology
- Some experience in a medical office
- Accurate typing of 40 WPM
Responsibilities
- Work independently, processing claims via data entry for 90% of your day
- Be responsible for effectively adjudicating claims to meet production, quality, and other metrics in accordance with policy/procedures and regulatory guidelines
- Follow up on claims needing additional information
- Refer problem claims to a Lead and/or auditor for additional review
- Make sure that the integrity of the information is accurate and kept private according to HIPPA guidelines
- Work with specific software
- May be assigned special projects
Preferred Qualifications
- Excellent Internet connectivity: Internet access speeds of 2 Mbps upload and 10 Mbps download β the faster the better!
- In-house network, and a hard-wired Internet connection capable of continuously supporting outstanding call quality and high-speed response rates. (wireless and/or satellite Internet Service Providers are not compatible with our systems)
- A quiet and distraction-free, secure place to work
Benefits
- Salary of $13.50/hour + monthly incentives up to $1500/month
- Monthly rewards & recognition programs
- Medical, dental and vision benefits
- Paid training & PTO
- Cross program and advancement opportunities β 80% of our frontline leaders have been promoted from within
- Employee Discounts
- EAP & Health and Wellness programs including a personal trainer dedicated to Sutherland
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