We currently have an opportunity for an experienced Medical/Dental Claims Processor in our Columbia, MD office.
Independently processes routine medical, dental and/or hospital claims; processes complex claims with minimal assistance as appropriate to assigned unit.
Obtains additional information regarding a claim from providers and member when necessary.
Meets quantity and quality claims processing standards.
Maintains current knowledge of assigned plan(s) and effectively applies this knowledge in the payment of claims and in providing customer service assistance.
Assists with customer service as needed by responding to and documenting telephone and written inquiries regarding eligibility, benefits or claims status; setting up claims to be re-opened; and processing check tracers, stop payments, and claims audits.
Performs other related duties as assigned.
This is a full-time hourly position in a bargaining unit, with a schedule of 35 hrs/week. Zenith American offers competitive pay and benefits including 401(k) and defined benefit pension plans, casual dress and more. For consideration, send resume and cover letter referencing Job #154-2012 to [Click Here to Email Your Resumé] or fax to (206) 216-3486, www.zenith-american.com, Equal Opportunity Employer
Zenith American Solutions (recently formed by the merger of Zenith Administrators and American Benefit Plan Administrators) is a premier, national third party-administrator (TPA) for employee benefit plans. We serve as administrator, manager or technology service vendor for corporate employers, government entities, trade associations, and Taft-Hartley benefit trust funds, through our national network of service centers. We currently have 1200+ employees located in 36 offices across the nation. We combine technology and proven practices with national resources and a local presence for our clients. Come and find out about the great things going on at Zenith American.
Three years of experience processing group medical or dental claims through which the incumbent has demonstrated good judgment in, and a thorough knowledge of, claims and adjudication.
Knowledge, skills and ability equivalent to a high school diploma.
Effective oral and written communication skills.
Ability to meet quality and production goals and attendance standards on a consistent basis.
Zenith-American - 22 months ago