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We are looking for a dedicated Claims Adjustor to join our team on a contract basis in Des Moines, Iowa. In this role, you will handle medical-only workers' compensation claims, ensuring accuracy and prompt processing. This position requires excellent customer service skills and attention to detail to effectively manage a low volume of daily calls and claims.
Job Responsibility:
Review workers' compensation claims to ensure compliance with medical and insurance standards
Process medical-only claims accurately and in a timely manner
Communicate with customers to address inquiries and provide exceptional service
Collaborate with team members to maintain organized and efficient claim workflows
Handle medical billing and insurance claim documentation with precision
Monitor and manage medical denials and appeals to resolve issues
Support hospital billing processes and ensure proper claim handling
Maintain detailed records for claims and related communications
Identify discrepancies in claim submissions and take corrective actions
Provide regular updates and reports on claim processing activities
Requirements:
At least 1 year of experience in medical billing, insurance claims, or a related field
Strong knowledge of medical collections and workers' compensation processes
Familiarity with medical denials and appeals procedures
Experience in hospital billing and insurance claims management
Excellent customer service skills with the ability to handle inquiries effectively
Strong organizational abilities and attention to detail
Ability to manage low volumes of calls (10-20 daily) while maintaining productivity
Proficiency in handling medical billing systems and related tools
What we offer:
medical, vision, dental, and life and disability insurance
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