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Claims Processor- HYBRID

Houma, LA 70360

Posted: 05/15/2024 Employment Type: Full Time Industry: Clerical Job Number: Claims Processor- Houma LA Pay Rate: $15/hr

Job Description

Local third-party insurance office looking to hire claims processor in the Houma area! This is hybrid position. Only requiring you to report to the office 1-2 a week. 


Duties Include:

Provide timely processing of medical claims. This includes approving, pending and denying claims according to the accepted coverage guidelines.

Request and review correspondence such as medical records in order to make a claim payment determination.

Correspond with medical providers, plan members, and clients.

Maintain working relationship with nurse case managers.

Maintain patient confidentiality in accordance with HIPAA and company policies.

Coordinate benefits with other medical insurance plans, Medicaid and Medicare.

Job Requirements

Education, Knowledge, Experience:

• PC literate, including Microsoft Office (Word, Excel)

• Knowledge and use of CPT and ICD-10 coding

• Knowledge of medical insurance including plan deductible, co-insurance, out-of-pocket, PPO Networks, etc.

• Knowledge of HIPAA regulations and healthcare administration functions, including claims processing, eligibility verification, provider verification and preauthorization desirable.

• Third Party Administrator knowledge and experience a plus.

• Experience in many facets of the managed healthcare insurance business.

• Bachelor Degree or equivalent training/certification


Essential Skills:

• Strong interpersonal skills and a customer service focus with high standards of quality

• High degree of self-discipline and motivation

• Able to work independently with minimal supervision and as part of a team

• Strong written and verbal communication skills; professional presentation

Meet Your Recruiter

Constance Shoemaker
Recruiting Account Manager

Meet Constance Shoemaker our Recruiting Account Manager at our Houma location. With her extensive background in management, IT, sales, and customer service, she brings a wealth of experience and skills to our team.

But Constance isn't just an amazing recruiter. She's also a dedicated mother, who loves spending time with her daughter and their dog. In her free time, you can find her lost in the pages of a good book or whipping up delectable treats in the kitchen.

What sets Constance apart is her infectious goofiness and unwavering dedication to her work. She's a true expert at finding the perfect match for candidates, thanks to her attention to detail and exceptional ability to connect.

At Steadfast, Constance's contagious energy helps us provide outstanding service to both clients and candidates. Her ability to multitask, combined with her natural knack for problem-solving, ensures that she can tackle any challenge that comes her way.

In a nutshell, Constance is a driven and detail-oriented recruiter who pours her heart into everything she does. We're incredibly grateful to have her on our team at Steadfast, and we know that clients and candidates will appreciate the care and dedication she brings to her work each and every day.

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About Houma, LA

Ready to take the next step in your career? Explore our job opportunities in the vibrant area of Houma, Louisiana! Nestled in the heart of Cajun Country, Houma offers a rich tapestry of culture, from delicious crawfish boils to lively Mardi Gras celebrations. Known for its charming bayous, Houma provides a picturesque backdrop for outdoor enthusiasts with opportunities for boating, fishing, and exploring the nearby Mandalay National Wildlife Refuge. Immerse yourself in the local art scene at the Downtown Art Gallery or catch a show at the Houma Terrebonne Civic Center. Join in the excitement of supporting the Houma Marlins baseball team or indulge in the local cuisine that mixes traditional Cajun flavors with a modern twist. Start your new career journey in this dynamic and enchanting region today!