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Healthcare Transaction Processing- Health Adjuster

Req #: CNX00044481
Location: Greenville, SC US
Job Category: Healthcare

Concentrix is seeing detail oriented individuals who are looking to start or continue their careers as a Medical Claims Processor at our Wade Hampton Facility. These positions will be processing Physicians, Specialist, Facility, Medicaid and Medicare Claims for a leading Healthcare client.

 

 

  • High School Diploma or equivalent required. College degree is preferred.
  • 1763- New York Individual Accidental Health Adjuster License Required
  • Previous claim processing experience is a plus but not required
  • Strong communication skills and basic math skills required.
  • Strong learning agility
  • Ability to locate and interpret complex information from approximately 10+ computer applications residing in a Windows environment
  • Ability to work in a customer-focused environment.  Accuracy, customer satisfaction scores are key!
  • Ability to succeed within a team environment.
  • Responsive to feedback.
  • Self-motivated - ability and desire to go the “extra mile”
  • Ability to work in a fast-paced virtual environment
  • Ability to pass a pre-employment background and drug test

 

Training and Working Hours

9 -12 Weeks training Class ; times will be an 8 hr time between 6am - 8pm M-F

 

After training the work hours will be 40 weekly hours: 5 day rotation 8 hour shift between the hours of 3am-10pm Mon - Sun . This shift will be provided once you start the training process.

 

 

If you have Medical Claims experience and are motivated to advance your career then apply today! We have interview times available immediately!


 

Please send resumes to: Arika.Aerts@Concentrix.com


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SPECIFIC RESPONSIBILITIES:

•           Understand Customer’s Claim Processing Policies/Guidelines and allow, deny claim payment based on the same

•           Ensure every claims is handled correctly and timely 1st time and every time

•           Follow Customer’s and healthcare industry regulations and policies

•           Ensure compliance with insurance procedures and allotted benefit coverage

•           Oversee claims processing and correct payments of claims

•           Monitor and Track self- performance on real time basis

•           Send denial letters on claims and send follow-up requests for information

•           Review payment reports for accuracy and compliance




Training and Working Hours

9 -12 Weeks training Class ; times will be an 8 hr time between 6am - 8pm M-F

 

After training the work hours will be 40 weekly hours: 5 day rotation 8 hour shift between the hours of 3am-10pm Mon - Sun . This shift will be provided once you start the training process.

 

 

  • Full Time with Benefits

 

 

Please Contact Robert Adger @ Robert.adger@concentrix.com ; Please no Phone Calls

 

 



What we Offer:

• A rapidly growing company with significant career growth opportunities
• A culture committed to teamwork and continuous improvement
• An attractive compensation package including medical, dental; PTO, paid holidays.

The Company:
Concentrix Corporation is the global business process outsourcing division of SYNNEX Corporation with award-winning expertise in providing our clients with platforms and services to support the customer lifecycle. From locations in the Philippines, China, Costa Rica, Nicaragua, the United States, United Kingdom, Hungary, India and Japan, our more than 45,000 employees support millions of transactions in multiple languages and countries worldwide. Concentrix Corporation is a wholly-owned subsidiary of SYNNEX Corporation (NYSE: SNX), a Fortune 500 corporation. Come experience the Concentrix difference! 


Note: This document describes typical duties and responsibilities and is not intended to limit management from assigning other work as desired.
Concentrix - A SYNNEX Corporation Company is an Equal Employment Opportunity employer M/F/D/V and is committed to the Quality Policy.


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