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Claims Research and Adjuster

Renton, WA 98057

Employment Type: Temporary Job Category: None Job Number: 246685 Pay Rate: $23.00/hour
Do you have experience with medical claims and reviewing contracts? Do you enjoy a fast paced environment where the job duties stay the same but each day is spent working on different things? PACE Staffing Network is looking for a Claims Research and Adjuster to introduce to our Client!

Our Client, one of the largest healthcare networks in the State of Washington, is looking for applicants who have experience with Claims Research and Adjuster experience to join their team. This position will be responsible for Medical Adjustments, and will need to possess an in-depth level of knowledge in Claims process and adjustments. In this position, you will also need to have strong analytical skills and have advanced skills in Excel. The volume of adjustments is still TBD but can average between 50-500 per day.

They offer a positive work environment, excellent opportunities for advancement and amazing coworkers. The best thing of all, this Client is committed to your success by providing an outstanding 8 week training program! So, If this sounds like your perfect opportunity, we really want to speak with you!

Pay: $23 per hour
Assignment Length: 5 months

Job Duties:
  • Adjucate pre-authorization coverage requests for all types of services
  • Manage multiple priorities simultaneously and accurately
  • Identify requests that require a higher level of clinical review
  • Work with the public utilizing problem solving and customer service skills
  • Other duties as needed

Job Requirements:
  • Minimum 2 years healthcare experience (preferably in medical insurance setting/focus)
  • Minimum 1 year previous customer service experience
  • Must have High School Diploma or GED
  • Working knowledge of Medical Health Plans
  • Understanding of Healthcare Coding Preferred
  • Must have Medical Terminology familiarity
  • Computer Savvy
  • Comfortable working with Microsoft Access Database

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